Part 1: Progress Note Using the file attached address in a progress note (without violating HIPAA regulations) the following: Part 2: Privileged Note Based on this week’s readings prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment.
In your progress note address the following: Requirements: 4 pages | .doc file
Treatment modality used and efficacy of approach Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the treatment plan for progress toward goals)
Modification(s) of the treatment plan that were made based on progress/lack of progress Clinical impressions regarding diagnosis and or symptoms Relevant psychosocial information or changes from original assessment (e.g. marriage separation/divorce new relationships move to a new house/apartment change of job)
Safety issues Clinical emergencies/actions taken Medications used by the patient even if the nurse psychotherapist was not the one prescribing them Treatment compliance/lack of compliance Clinical consultations Collaboration with other professionals (e.g. phone consultations with physicians psychiatrists marriage/family therapists)
The therapist’s recommendations including whether the client agreed to the recommendations Referrals made/reasons for making referrals Termination/issues that are relevant to the termination process (e.g. client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
Issues related to consent and/or informed consent for treatment Information concerning child abuse and/or elder or dependent adult abuse including documentation as to where the abuse was reported
Information reflecting the therapist’s exercise of clinical judgment Include items that you would not typically include in a note as part of the clinical record.
Explain why the items you included in the privileged note would not be included in the client family’s progress note.
Explain whether your preceptor uses privileged notes. If so describe the type of information he or she might include. If not explain why
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