Substance Use Treatment Plan Example (Alcohol Use Disorder)
A complete, fictional alcohol use disorder treatment plan: problem statement, long-term goal, measurable objectives, interventions and how progress is measured. Adapt the structure; build the content from your own assessment.
The MentalNote web app drafts treatment plans, intake assessments and progress notes from a recorded session, for you to review and edit. Free plan: 5 web-app scribe sessions a month, no credit card.
Illustrative example only. The client, scores and every other detail on this page are fictional and were written for this page. This is not a diagnosis, a treatment recommendation or clinical supervision. Build every plan from your own assessment of the client, and follow your licensing board, agency, payer and state requirements.
If a client is in crisis in the US, they can call or text 988 (Suicide and Crisis Lifeline). Outside the US, use local emergency services.
Sample alcohol use disorder treatment plan
Each objective names who will do what, how it will be measured and by when. Each intervention says what the clinician will do. That link between problem, goal, objective and intervention is what reviewers look for.
Sample treatment plan (fictional client)
| Diagnosis | Alcohol use disorder, moderate (ICD-10-CM F10.20), as established by the clinician's diagnostic assessment |
|---|---|
| Presenting problem | Adult client drinks four to six drinks on most evenings and has tried to cut down twice without success. Partner is worried, and the client has been late to work after drinking. No history of withdrawal seizures reported. AUDIT at intake: 21. Client wants to cut down first and decide later about stopping completely. |
| Strengths | Committed partner, steady employment, previous periods of lower drinking, open about wanting change. |
| Problem statement | Daily drinking is harming the client's relationship and work and has not responded to attempts to cut down alone. |
| Long-term goal | Client will reduce alcohol use to their chosen target and reduce related harm to relationships and work. |
| Short-term objectives |
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| Interventions |
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| Frequency | Weekly individual sessions for 12 weeks, then review. |
| Measures | AUDIT (10 items, scored 0 to 40); scores of 20 or more suggest likely alcohol dependence and a need for further assessment. A daily drinking log or Timeline Followback interview tracks change between administrations. |
| Review | Every 90 days, or sooner if the clinical picture changes, with client participation. Client and clinician sign the plan. |
| Discharge criteria | Client meets their drinking target for at least eight weeks, has a written relapse prevention plan, and has links to ongoing support if wanted. |
More objectives you can adapt
Replace the numbers and dates with the client's own baseline and targets.
| Area | Example objective |
|---|---|
| Harm reduction | Client will not drive after any drinking and will plan transport in advance, by self-report, for the whole plan period. |
| Cravings | Client will use an urge-management skill (urge surfing, delay and distract) and record the outcome for at least three urges a week. |
| Routine | Client will replace the evening drinking routine with one alternative activity on at least four evenings a week. |
| Relationships | Client and partner will attend one joint session to agree on support, if both consent, by week 8. |
| Recovery support | Client will attend one mutual-help or peer support meeting a week for six weeks, if they choose this option. |
Interventions often used
- Motivational interviewing
- CBT relapse prevention
- Contingency management (where available)
- Mutual-help facilitation
- Couples or family-involved therapy
- Coordination with medical care for withdrawal management and medication options
List only interventions you are trained to deliver and the client has agreed to.
Write the progress notes that match
Session notes should refer back to the objectives in the plan. These guides show how:
Other treatment plan examples
Depression Treatment Plan Example
Client will reduce depressive symptoms and return to their usual level of work and social functioning.
Anxiety Treatment Plan Example (Generalized Anxiety Disorder)
Client will reduce worry and anxiety to a level that no longer interferes with sleep, work and relationships.
PTSD Treatment Plan Example
Client will reduce PTSD symptoms enough to drive independently and sleep through most nights.
Adult ADHD Treatment Plan Example
Client will build reliable organization and time-management habits that improve task completion at work and home.
Adjustment Disorder Treatment Plan Example
Client will adapt to the job loss, restore daily structure and return to their usual level of functioning.
See all examples and the blank template on the treatment plan examples hub, or read how to write treatment plan goals and objectives.
Frequently asked questions
Does a substance use treatment plan have to aim for abstinence?
Not always. Many programs support client-chosen goals, including reduced use, while others require abstinence. Write the goal the client and program have agreed and note any medical advice, for example where a condition makes any drinking unsafe.
What are measurable objectives for substance use?
Use counts the client can record: drinking days per week, drinks per drinking day, days abstinent, meetings attended or urges managed. A screening measure such as the AUDIT adds a standardized score at reviews.
Why include a medical referral?
Stopping or sharply cutting down heavy, regular drinking can cause withdrawal that needs medical care, and medical providers can discuss medications that support reduced drinking. A referral, with consent to coordinate, keeps the plan safe.
Can MentalNote draft a treatment plan?
Yes. The MentalNote web app drafts treatment plans, intake assessments and progress notes from a recorded session, and you review and edit every draft. MentalNote is HIPAA-compliant, with a BAA included on every plan. The free plan includes 5 web-app scribe sessions a month.
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