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scientific_writer/.claude/skills/treatment-plans/SKILL.md

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+---
+name: treatment-plans
+description: "Generate comprehensive medical treatment plans in LaTeX/PDF format for all clinical specialties. Supports general medical treatment, rehabilitation therapy, mental health care, chronic disease management, perioperative care, and pain management. Includes SMART goal frameworks, evidence-based interventions, regulatory compliance (HIPAA), and validation tools for complete patient-centered care planning."
+---
+
+# Treatment Plan Writing
+
+## Overview
+
+Treatment plan writing is the systematic documentation of clinical care strategies designed to address patient health conditions through evidence-based interventions, measurable goals, and structured follow-up. This skill provides comprehensive LaTeX templates and validation tools for creating professional treatment plans across all medical specialties with full regulatory compliance.
+
+**Critical Principle: Treatment plans must be patient-centered, evidence-based, measurable, and compliant with healthcare regulations (HIPAA, documentation standards).** Every treatment plan should include clear goals, specific interventions, defined timelines, monitoring parameters, and expected outcomes that align with patient preferences and current clinical guidelines.
+
+## When to Use This Skill
+
+This skill should be used when:
+- Creating individualized treatment plans for patient care
+- Documenting therapeutic interventions for chronic disease management
+- Developing rehabilitation programs (physical therapy, occupational therapy, cardiac rehab)
+- Writing mental health and psychiatric treatment plans
+- Planning perioperative and surgical care pathways
+- Establishing pain management protocols
+- Setting patient-centered goals using SMART criteria
+- Coordinating multidisciplinary care across specialties
+- Ensuring regulatory compliance in treatment documentation
+- Generating professional treatment plans for medical records
+
+## Core Capabilities
+
+### 1. General Medical Treatment Plans
+
+General medical treatment plans address common chronic conditions and acute medical issues requiring structured therapeutic interventions.
+
+#### Standard Components
+
+**Patient Information (De-identified)**
+- Demographics (age, sex, relevant medical background)
+- Active medical conditions and comorbidities
+- Current medications and allergies
+- Relevant social and family history
+- Functional status and baseline assessments
+- **HIPAA Compliance**: Remove all 18 identifiers per Safe Harbor method
+
+**Diagnosis and Assessment Summary**
+- Primary diagnosis with ICD-10 code
+- Secondary diagnoses and comorbidities
+- Severity classification and staging
+- Functional limitations and quality of life impact
+- Risk stratification (e.g., cardiovascular risk, fall risk)
+- Prognostic indicators
+
+**Treatment Goals (SMART Format)**
+
+Short-term goals (1-3 months):
+- **Specific**: Clearly defined outcome (e.g., "Reduce HbA1c to <7%")
+- **Measurable**: Quantifiable metrics (e.g., "Decrease systolic BP by 10 mmHg")
+- **Achievable**: Realistic given patient capabilities
+- **Relevant**: Aligned with patient priorities and values
+- **Time-bound**: Specific timeframe (e.g., "within 8 weeks")
+
+Long-term goals (6-12 months):
+- Disease control or remission targets
+- Functional improvement objectives
+- Quality of life enhancement
+- Prevention of complications
+- Maintenance of independence
+
+**Interventions**
+
+*Pharmacological*:
+- Medications with specific dosages, routes, frequencies
+- Titration schedules and target doses
+- Drug-drug interaction considerations
+- Monitoring for adverse effects
+- Medication reconciliation
+
+*Non-pharmacological*:
+- Lifestyle modifications (diet, exercise, smoking cessation)
+- Behavioral interventions
+- Patient education and self-management
+- Monitoring and self-tracking (glucose, blood pressure, weight)
+- Assistive devices or adaptive equipment
+
+*Procedural*:
+- Planned procedures or interventions
+- Referrals to specialists
+- Diagnostic testing schedule
+- Preventive care (vaccinations, screenings)
+
+**Timeline and Schedule**
+- Treatment phases with specific timeframes
+- Appointment frequency (weekly, monthly, quarterly)
+- Milestone assessments and goal evaluations
+- Medication adjustments schedule
+- Expected duration of treatment
+
+**Monitoring Parameters**
+- Clinical outcomes to track (vital signs, lab values, symptoms)
+- Assessment tools and scales (e.g., PHQ-9, pain scales)
+- Frequency of monitoring
+- Thresholds for intervention or escalation
+- Patient-reported outcomes
+
+**Expected Outcomes**
+- Primary outcome measures
+- Success criteria and benchmarks
+- Expected timeline for improvement
+- Criteria for treatment modification
+- Long-term prognosis
+
+**Follow-up Plan**
+- Scheduled appointments and reassessments
+- Communication plan (phone calls, secure messaging)
+- Emergency contact procedures
+- Criteria for urgent evaluation
+- Transition or discharge planning
+
+**Patient Education**
+- Understanding of condition and treatment rationale
+- Self-management skills training
+- Medication administration and adherence
+- Warning signs and when to seek help
+- Resources and support services
+
+**Risk Mitigation**
+- Potential adverse effects and management
+- Drug interactions and contraindications
+- Fall prevention, infection prevention
+- Emergency action plans
+- Safety monitoring
+
+#### Common Applications
+
+- Diabetes mellitus management
+- Hypertension control
+- Heart failure treatment
+- COPD management
+- Asthma care plans
+- Hyperlipidemia treatment
+- Osteoarthritis management
+- Chronic kidney disease
+
+### 2. Rehabilitation Treatment Plans
+
+Rehabilitation plans focus on restoring function, improving mobility, and enhancing quality of life through structured therapeutic programs.
+
+#### Core Components
+
+**Functional Assessment**
+- Baseline functional status (ADLs, IADLs)
+- Range of motion, strength, balance, endurance
+- Gait analysis and mobility assessment
+- Standardized measures (FIM, Barthel Index, Berg Balance Scale)
+- Environmental assessment (home safety, accessibility)
+
+**Rehabilitation Goals**
+
+*Impairment-level goals*:
+- Improve shoulder flexion to 140 degrees
+- Increase quadriceps strength by 2/5 MMT grades
+- Enhance balance (Berg Score >45/56)
+
+*Activity-level goals*:
+- Independent ambulation 150 feet with assistive device
+- Climb 12 stairs with handrail supervision
+- Transfer bed-to-chair independently
+
+*Participation-level goals*:
+- Return to work with modifications
+- Resume recreational activities
+- Independent community mobility
+
+**Therapeutic Interventions**
+
+*Physical Therapy*:
+- Therapeutic exercises (strengthening, stretching, endurance)
+- Manual therapy techniques
+- Gait training and balance activities
+- Modalities (heat, ice, electrical stimulation, ultrasound)
+- Assistive device training
+
+*Occupational Therapy*:
+- ADL training (bathing, dressing, grooming, feeding)
+- Upper extremity strengthening and coordination
+- Adaptive equipment and modifications
+- Energy conservation techniques
+- Cognitive rehabilitation
+
+*Speech-Language Pathology*:
+- Swallowing therapy and dysphagia management
+- Communication strategies and augmentative devices
+- Cognitive-linguistic therapy
+- Voice therapy
+
+*Other Services*:
+- Recreational therapy
+- Aquatic therapy
+- Cardiac rehabilitation
+- Pulmonary rehabilitation
+- Vestibular rehabilitation
+
+**Treatment Schedule**
+- Frequency: 3x/week PT, 2x/week OT (example)
+- Session duration: 45-60 minutes
+- Treatment phase durations (acute, subacute, maintenance)
+- Expected total duration: 8-12 weeks
+- Reassessment intervals
+
+**Progress Monitoring**
+- Weekly functional assessments
+- Standardized outcome measures
+- Goal attainment scaling
+- Pain and symptom tracking
+- Patient satisfaction
+
+**Home Exercise Program**
+- Specific exercises with repetitions/sets/frequency
+- Precautions and safety instructions
+- Progression criteria
+- Self-monitoring strategies
+
+#### Specialty Rehabilitation
+
+- Post-stroke rehabilitation
+- Orthopedic rehabilitation (joint replacement, fracture)
+- Cardiac rehabilitation (post-MI, post-surgery)
+- Pulmonary rehabilitation
+- Vestibular rehabilitation
+- Neurological rehabilitation
+- Sports injury rehabilitation
+
+### 3. Mental Health Treatment Plans
+
+Mental health treatment plans address psychiatric conditions through integrated psychotherapeutic, pharmacological, and psychosocial interventions.
+
+#### Essential Components
+
+**Psychiatric Assessment**
+- Primary psychiatric diagnosis (DSM-5 criteria)
+- Symptom severity and functional impairment
+- Co-occurring mental health conditions
+- Substance use assessment
+- Suicide/homicide risk assessment
+- Trauma history and PTSD screening
+- Social determinants of mental health
+
+**Treatment Goals**
+
+*Symptom reduction*:
+- Decrease depression severity (PHQ-9 score from 18 to <10)
+- Reduce anxiety symptoms (GAD-7 score <5)
+- Improve sleep quality (Pittsburgh Sleep Quality Index)
+- Stabilize mood (reduced mood episodes)
+
+*Functional improvement*:
+- Return to work or school
+- Improve social relationships and support
+- Enhance coping skills and emotional regulation
+- Increase engagement in meaningful activities
+
+*Recovery-oriented goals*:
+- Build resilience and self-efficacy
+- Develop crisis management skills
+- Establish sustainable wellness routines
+- Achieve personal recovery goals
+
+**Therapeutic Interventions**
+
+*Psychotherapy*:
+- Evidence-based modality (CBT, DBT, ACT, psychodynamic, IPT)
+- Session frequency (weekly, biweekly)
+- Treatment duration (12-16 weeks, ongoing)
+- Specific techniques and targets
+- Group therapy participation
+
+*Psychopharmacology*:
+- Medication class and rationale
+- Starting dose and titration schedule
+- Target symptoms
+- Expected response timeline (2-4 weeks for antidepressants)
+- Side effect monitoring
+- Combination therapy considerations
+
+*Psychosocial Interventions*:
+- Case management services
+- Peer support programs
+- Family therapy or psychoeducation
+- Vocational rehabilitation
+- Supported housing or community integration
+- Substance abuse treatment
+
+**Safety Planning**
+- Crisis contacts and emergency services
+- Warning signs and triggers
+- Coping strategies and self-soothing techniques
+- Safe environment modifications
+- Means restriction (firearms, medications)
+- Support system activation
+
+**Monitoring and Assessment**
+- Symptom rating scales (weekly or biweekly)
+- Medication adherence and side effects
+- Suicidal ideation screening
+- Functional status assessments
+- Treatment engagement and therapeutic alliance
+
+**Patient and Family Education**
+- Psychoeducation about diagnosis
+- Treatment rationale and expectations
+- Medication information
+- Relapse prevention strategies
+- Community resources
+
+#### Mental Health Conditions
+
+- Major depressive disorder
+- Anxiety disorders (GAD, panic, social anxiety)
+- Bipolar disorder
+- Schizophrenia and psychotic disorders
+- PTSD and trauma-related disorders
+- Eating disorders
+- Substance use disorders
+- Personality disorders
+
+### 4. Chronic Disease Management Plans
+
+Comprehensive long-term care plans for chronic conditions requiring ongoing monitoring, treatment adjustments, and multidisciplinary coordination.
+
+#### Key Features
+
+**Disease-Specific Targets**
+- Evidence-based treatment goals per guidelines
+- Stage-appropriate interventions
+- Complication prevention strategies
+- Disease progression monitoring
+
+**Self-Management Support**
+- Patient activation and engagement
+- Shared decision-making
+- Action plans for symptom changes
+- Technology-enabled monitoring (apps, remote monitoring)
+
+**Care Coordination**
+- Primary care physician oversight
+- Specialist consultations and co-management
+- Care transitions (hospital to home)
+- Medication management across providers
+- Communication protocols
+
+**Population Health Integration**
+- Registry tracking and outreach
+- Preventive care and screening schedules
+- Quality measure reporting
+- Care gaps identification
+
+#### Applicable Conditions
+
+- Type 1 and Type 2 diabetes
+- Cardiovascular disease (CHF, CAD)
+- Chronic respiratory diseases (COPD, asthma)
+- Chronic kidney disease
+- Inflammatory bowel disease
+- Rheumatoid arthritis and autoimmune conditions
+- HIV/AIDS
+- Cancer survivorship care
+
+### 5. Perioperative Care Plans
+
+Structured plans for surgical and procedural patients covering preoperative preparation, intraoperative management, and postoperative recovery.
+
+#### Components
+
+**Preoperative Assessment**
+- Surgical indication and planned procedure
+- Preoperative risk stratification (ASA class, cardiac risk)
+- Optimization of medical conditions
+- Medication management (continuation, discontinuation)
+- Preoperative testing and clearances
+- Informed consent and patient education
+
+**Perioperative Interventions**
+- Enhanced recovery after surgery (ERAS) protocols
+- Venous thromboembolism prophylaxis
+- Antibiotic prophylaxis
+- Glycemic control strategies
+- Pain management plan (multimodal analgesia)
+
+**Postoperative Care**
+- Immediate recovery goals (24-48 hours)
+- Early mobilization protocols
+- Diet advancement
+- Wound care and drain management
+- Pain control regimen
+- Complication monitoring
+
+**Discharge Planning**
+- Activity restrictions and progression
+- Medication reconciliation
+- Follow-up appointments
+- Home health or rehabilitation services
+- Return-to-work timeline
+
+### 6. Pain Management Plans
+
+Multimodal approaches to acute and chronic pain using evidence-based interventions and opioid-sparing strategies.
+
+#### Comprehensive Components
+
+**Pain Assessment**
+- Pain location, quality, intensity (0-10 scale)
+- Temporal pattern (constant, intermittent, breakthrough)
+- Aggravating and alleviating factors
+- Functional impact (sleep, activities, mood)
+- Previous treatments and responses
+- Psychosocial contributors
+
+**Multimodal Interventions**
+
+*Pharmacological*:
+- Non-opioid analgesics (acetaminophen, NSAIDs)
+- Adjuvant medications (antidepressants, anticonvulsants, muscle relaxants)
+- Topical agents (lidocaine, capsaicin, diclofenac)
+- Opioid therapy (when appropriate, with risk mitigation)
+- Titration and rotation strategies
+
+*Interventional Procedures*:
+- Nerve blocks and injections
+- Radiofrequency ablation
+- Spinal cord stimulation
+- Intrathecal drug delivery
+
+*Non-pharmacological*:
+- Physical therapy and exercise
+- Cognitive-behavioral therapy for pain
+- Mindfulness and relaxation techniques
+- Acupuncture
+- TENS units
+
+**Opioid Safety (when prescribed)**
+- Indication and planned duration
+- Prescription drug monitoring program (PDMP) check
+- Opioid risk assessment tools
+- Naloxone prescription
+- Treatment agreements
+- Random urine drug screening
+- Frequent follow-up and reassessment
+
+**Functional Goals**
+- Specific activity improvements
+- Sleep quality enhancement
+- Reduced pain interference
+- Improved quality of life
+- Return to work or meaningful activities
+
+## Best Practices
+
+### SMART Goal Setting
+
+All treatment goals should meet SMART criteria:
+
+- **Specific**: "Improve HbA1c to <7%" not "Better diabetes control"
+- **Measurable**: Use quantifiable metrics, validated scales, objective measures
+- **Achievable**: Consider patient capabilities, resources, social support
+- **Relevant**: Align with patient values, priorities, and life circumstances
+- **Time-bound**: Define clear timeframes for goal achievement and reassessment
+
+### Patient-Centered Care
+
+✓ **Shared Decision-Making**: Involve patients in goal-setting and treatment choices  
+✓ **Cultural Competence**: Respect cultural beliefs, language preferences, health literacy  
+✓ **Patient Preferences**: Honor treatment preferences and personal values  
+✓ **Individualization**: Tailor plans to patient's unique circumstances  
+✓ **Empowerment**: Support patient activation and self-management  
+
+### Evidence-Based Practice
+
+✓ **Clinical Guidelines**: Follow current specialty society recommendations  
+✓ **Quality Measures**: Incorporate HEDIS, CMS quality measures  
+✓ **Comparative Effectiveness**: Use treatments with proven efficacy  
+✓ **Avoid Low-Value Care**: Eliminate unnecessary tests and interventions  
+✓ **Stay Current**: Update plans based on emerging evidence  
+
+### Documentation Standards
+
+✓ **Completeness**: Include all required elements  
+✓ **Clarity**: Use clear, professional medical language  
+✓ **Accuracy**: Ensure factual correctness and current information  
+✓ **Timeliness**: Document plans promptly  
+✓ **Legibility**: Professional formatting and organization  
+✓ **Signature and Date**: Authenticate all treatment plans  
+
+### Regulatory Compliance
+
+✓ **HIPAA Privacy**: De-identify all protected health information  
+✓ **Informed Consent**: Document patient understanding and agreement  
+✓ **Billing Support**: Include documentation to support medical necessity  
+✓ **Quality Reporting**: Enable extraction of quality metrics  
+✓ **Legal Protection**: Maintain defensible clinical documentation  
+
+### Multidisciplinary Coordination
+
+✓ **Team Communication**: Share plans across care team  
+✓ **Role Clarity**: Define responsibilities for each team member  
+✓ **Care Transitions**: Ensure continuity across settings  
+✓ **Specialist Integration**: Coordinate with subspecialty care  
+✓ **Patient-Centered Medical Home**: Align with PCMH principles  
+
+## LaTeX Template Usage
+
+### Template Selection
+
+Choose the appropriate template based on clinical context:
+
+1. **general_medical_treatment_plan.tex** - Primary care, chronic disease, general medicine
+2. **rehabilitation_treatment_plan.tex** - PT/OT, post-surgery, injury recovery
+3. **mental_health_treatment_plan.tex** - Psychiatric conditions, behavioral health
+4. **chronic_disease_management_plan.tex** - Complex chronic diseases, multiple conditions
+5. **perioperative_care_plan.tex** - Surgical patients, procedural care
+6. **pain_management_plan.tex** - Acute or chronic pain conditions
+
+### Template Structure
+
+All LaTeX templates include:
+- Professional formatting with appropriate margins and fonts
+- Structured sections for all required components
+- Tables for medications, interventions, timelines
+- Goal-tracking sections with SMART criteria
+- Space for provider signatures and dates
+- HIPAA-compliant de-identification guidance
+- Comments with detailed instructions
+
+### Generating PDFs
+
+```bash
+# Compile LaTeX template to PDF
+pdflatex general_medical_treatment_plan.tex
+
+# For templates with references
+pdflatex treatment_plan.tex
+bibtex treatment_plan
+pdflatex treatment_plan.tex
+pdflatex treatment_plan.tex
+```
+
+## Validation and Quality Assurance
+
+### Completeness Checking
+
+Use validation scripts to ensure all required sections are present:
+
+```bash
+python check_completeness.py my_treatment_plan.tex
+```
+
+The script checks for:
+- Patient information section
+- Diagnosis and assessment
+- SMART goals (short-term and long-term)
+- Interventions (pharmacological, non-pharmacological)
+- Timeline and schedule
+- Monitoring parameters
+- Expected outcomes
+- Follow-up plan
+- Patient education
+- Risk mitigation
+
+### Treatment Plan Validation
+
+Comprehensive validation of treatment plan quality:
+
+```bash
+python validate_treatment_plan.py my_treatment_plan.tex
+```
+
+Validation includes:
+- SMART goal criteria assessment
+- Evidence-based intervention verification
+- Timeline feasibility check
+- Monitoring parameter adequacy
+- Safety and risk mitigation review
+- Regulatory compliance check
+
+### Quality Checklist
+
+Review treatment plans against the quality checklist (`quality_checklist.md`):
+
+**Clinical Quality**
+- [ ] Diagnosis is accurate and properly coded (ICD-10)
+- [ ] Goals are SMART and patient-centered
+- [ ] Interventions are evidence-based and guideline-concordant
+- [ ] Timeline is realistic and clearly defined
+- [ ] Monitoring plan is comprehensive
+- [ ] Safety considerations are addressed
+
+**Patient-Centered Care**
+- [ ] Patient preferences and values incorporated
+- [ ] Shared decision-making documented
+- [ ] Health literacy appropriate language
+- [ ] Cultural considerations addressed
+- [ ] Patient education plan included
+
+**Regulatory Compliance**
+- [ ] HIPAA-compliant de-identification
+- [ ] Medical necessity documented
+- [ ] Informed consent noted
+- [ ] Provider signature and credentials
+- [ ] Date of plan creation/revision
+
+**Coordination and Communication**
+- [ ] Specialist referrals documented
+- [ ] Care team roles defined
+- [ ] Follow-up schedule clear
+- [ ] Emergency contacts provided
+- [ ] Transition planning addressed
+
+## Integration with Other Skills
+
+### Clinical Reports Integration
+
+Treatment plans often accompany other clinical documentation:
+
+- **SOAP Notes** (`clinical-reports` skill): Document ongoing implementation
+- **H&P** (`clinical-reports` skill): Initial assessment informs treatment plan
+- **Discharge Summaries** (`clinical-reports` skill): Summarize treatment plan execution
+- **Progress Notes**: Track goal achievement and plan modifications
+
+### Scientific Writing Integration
+
+Evidence-based treatment planning requires literature support:
+
+- **Citation Management** (`citation-management` skill): Reference clinical guidelines
+- **Literature Review** (`literature-review` skill): Understand treatment evidence base
+- **Research Lookup** (`research-lookup` skill): Find current best practices
+
+### Research Integration
+
+Treatment plans may be developed for clinical trials or research studies:
+
+- **Research Grants** (`research-grants` skill): Treatment protocols for funded studies
+- **Clinical Trial Reports** (`clinical-reports` skill): Intervention documentation
+
+## Common Use Cases
+
+### Example 1: Type 2 Diabetes Management
+
+**Scenario**: 58-year-old patient with newly diagnosed Type 2 diabetes, HbA1c 8.5%, BMI 32
+
+**Template**: `general_medical_treatment_plan.tex`
+
+**Goals**:
+- Short-term: Reduce HbA1c to <7.5% in 3 months
+- Long-term: Achieve HbA1c <7%, lose 15 pounds in 6 months
+
+**Interventions**:
+- Pharmacological: Metformin 500mg BID, titrate to 1000mg BID
+- Lifestyle: Mediterranean diet, 150 min/week moderate exercise
+- Education: Diabetes self-management education, glucose monitoring
+
+### Example 2: Post-Stroke Rehabilitation
+
+**Scenario**: 70-year-old patient s/p left MCA stroke with right hemiparesis
+
+**Template**: `rehabilitation_treatment_plan.tex`
+
+**Goals**:
+- Short-term: Improve right arm strength 2/5 to 3/5 in 4 weeks
+- Long-term: Independent ambulation 150 feet with cane in 12 weeks
+
+**Interventions**:
+- PT 3x/week: Gait training, balance, strengthening
+- OT 3x/week: ADL training, upper extremity function
+- SLP 2x/week: Dysphagia therapy
+
+### Example 3: Major Depressive Disorder
+
+**Scenario**: 35-year-old with moderate depression, PHQ-9 score 16
+
+**Template**: `mental_health_treatment_plan.tex`
+
+**Goals**:
+- Short-term: Reduce PHQ-9 to <10 in 8 weeks
+- Long-term: Achieve remission (PHQ-9 <5), return to work
+
+**Interventions**:
+- Psychotherapy: CBT weekly sessions
+- Medication: Sertraline 50mg daily, titrate to 100mg
+- Lifestyle: Sleep hygiene, exercise 30 min 5x/week
+
+### Example 4: Total Knee Arthroplasty
+
+**Scenario**: 68-year-old scheduled for right TKA for osteoarthritis
+
+**Template**: `perioperative_care_plan.tex`
+
+**Preoperative Goals**:
+- Optimize diabetes control (glucose <180)
+- Discontinue anticoagulation per protocol
+- Complete medical clearance
+
+**Postoperative Goals**:
+- Ambulate 50 feet by POD 1
+- 90-degree knee flexion by POD 3
+- Discharge home with PT services by POD 2-3
+
+### Example 5: Chronic Low Back Pain
+
+**Scenario**: 45-year-old with chronic non-specific low back pain, pain 7/10
+
+**Template**: `pain_management_plan.tex`
+
+**Goals**:
+- Short-term: Reduce pain to 4/10 in 6 weeks
+- Long-term: Return to work full-time, pain 2-3/10
+
+**Interventions**:
+- Pharmacological: Gabapentin 300mg TID, duloxetine 60mg daily
+- PT: Core strengthening, McKenzie exercises 2x/week x 8 weeks
+- Behavioral: CBT for pain, mindfulness meditation
+- Interventional: Consider lumbar ESI if inadequate response
+
+## Professional Standards and Guidelines
+
+Treatment plans should align with:
+
+### General Medicine
+- American Diabetes Association (ADA) Standards of Care
+- ACC/AHA Cardiovascular Guidelines
+- GOLD COPD Guidelines
+- JNC-8 Hypertension Guidelines
+- KDIGO Chronic Kidney Disease Guidelines
+
+### Rehabilitation
+- APTA Clinical Practice Guidelines
+- AOTA Practice Guidelines
+- Cardiac Rehabilitation Guidelines (AHA/AACVPR)
+- Stroke Rehabilitation Guidelines
+
+### Mental Health
+- APA Practice Guidelines
+- VA/DoD Clinical Practice Guidelines
+- NICE Guidelines (National Institute for Health and Care Excellence)
+- Cochrane Reviews for psychiatric interventions
+
+### Pain Management
+- CDC Opioid Prescribing Guidelines
+- AAPM/APS Chronic Pain Guidelines
+- WHO Pain Ladder
+- Multimodal Analgesia Best Practices
+
+## Timeline Generation
+
+Use the timeline generator script to create visual treatment timelines:
+
+```bash
+python timeline_generator.py --plan my_treatment_plan.tex --output timeline.pdf
+```
+
+Generates:
+- Gantt chart of treatment phases
+- Milestone markers for goal assessments
+- Medication titration schedules
+- Follow-up appointment calendar
+- Intervention intensity over time
+
+## Support and Resources
+
+### Template Generation
+
+Interactive template selection:
+
+```bash
+cd .claude/skills/treatment-plans/scripts
+python generate_template.py
+
+# Or specify type directly
+python generate_template.py --type mental_health --output depression_treatment_plan.tex
+```
+
+### Validation Workflow
+
+1. **Create treatment plan** using appropriate LaTeX template
+2. **Check completeness**: `python check_completeness.py plan.tex`
+3. **Validate quality**: `python validate_treatment_plan.py plan.tex`
+4. **Review checklist**: Compare against `quality_checklist.md`
+5. **Generate PDF**: `pdflatex plan.tex`
+6. **Review with patient**: Ensure understanding and agreement
+7. **Implement and document**: Track progress in clinical notes
+
+### Additional Resources
+
+- Clinical practice guidelines from specialty societies
+- AHRQ Effective Health Care Program
+- Cochrane Library for intervention evidence
+- UpToDate and DynaMed for treatment recommendations
+- CMS Quality Measures and HEDIS specifications
+
+## Ethical Considerations
+
+### Informed Consent
+All treatment plans should involve patient understanding and voluntary agreement to proposed interventions.
+
+### Cultural Sensitivity
+Treatment plans must respect diverse cultural beliefs, health practices, and communication styles.
+
+### Health Equity
+Consider social determinants of health, access barriers, and health disparities when developing plans.
+
+### Privacy Protection
+Maintain strict HIPAA compliance; de-identify all protected health information in shared documents.
+
+### Autonomy and Beneficence
+Balance medical recommendations with patient autonomy and values while promoting patient welfare.
+
+## License
+
+Part of the Claude Scientific Writer project. See main LICENSE file.
+