Mental Health Care Plan Template

Key objectives

To provide patients with a digital version of their Me and My goals plan, giving healthcare professionals access to their goals.

Outcome measures

Equip patients with the tools they need to document and share their wishes for treatment, to support difficult conversations and support self-management of complex health conditions, as well as providing the tools they need to interact digitally rather than relying on a face to face consultations.

Current Baselines


Workflow

(coming soon)

Me and My Goals Care Plan Template

Example template code for Me and My Goals Care Plan Template

<div class="form-inline">

<style media="screen">

a {word-wrap: break-word;}

.form-group {width: 100%; !important}

.cp_label {font-size: 18px;font-weight: 900;}

.cp_whiteBox {background-color:#ffffff; padding:15px; margin-bottom:10px; margin-top:10px; -moz-border-radius: 10px; -webkit-border-radius: 10px; -khtml-border-radius: 10px; border-radius: 10px;}

</style>

<div class="cp_whiteBox">

<div class="row" style="margin-top: 15px;">

<div class="col-sm-12">

<label class="cp_label" for="cp_aboutMe">About Me</label>

<p>Use this space to record your story and what is important to you.</p>

<textarea class="form-control" name="cp_aboutMe" id="cp_aboutMe" rows="5" style="width: 100%;"></textarea>

</div>

</div>

<br /><br />

<div class="row" style="margin-top: 15px;">

<div class="col-sm-12">

<h3>My Recovery Goals</h3>

<p>Write down up to three goals that you want to achieve to get well and stay well. Under each goal write down the step you need to take to achieve the goal and the date you hope to do it by.</p>

</div>

</div>

<div class="row" style="margin-top: 15px;">

<div class="col-sm-12">

<label class="cp_label" for="cp_goal1">Goal No 1</label>

<textarea class="form-control" name="cp_goal1" id="cp_goal1" rows="1" style="width: 100%;"></textarea>

</div>

</div>

<div class="row" style="margin-top: 15px;">

<div class="col-sm-12">

<label class="cp_label" for="cp_nextstep1">My next step</label>

<textarea class="form-control" name="cp_nextstep1" id="cp_nextstep1" rows="3" style="width: 100%;"></textarea>

</div>

</div>

<br />

<div class="row" style="margin-top: 15px;">

<div class="col-sm-12">

<label class="cp_label" for="cp_goal2">Goal No 2</label>

<textarea class="form-control" name="cp_goal2" id="cp_goal2" rows="1" style="width: 100%;"></textarea>

</div>

</div>

<div class="row" style="margin-top: 15px;">

<div class="col-sm-12">

<label class="cp_label" for="cp_nextstep2">My next step</label>

<textarea class="form-control" name="cp_nextstep2" id="cp_nextstep2" rows="3" style="width: 100%;"></textarea>

</div>

</div>

<br />

<div class="row" style="margin-top: 15px;">

<div class="col-sm-12">

<label class="cp_label" for="cp_goal3">Goal No 3</label>

<textarea class="form-control" name="cp_goal3" id="cp_goal3" rows="1" style="width: 100%;"></textarea>

</div>

</div>

<div class="row" style="margin-top: 15px;">

<div class="col-sm-12">

<label class="cp_label" for="cp_nextstep3">My next step</label>

<textarea class="form-control" name="cp_nextstep3" id="cp_nextstep3" rows="3" style="width: 100%;"></textarea>

</div>

</div>

</div>

</div>