client 3 age 6 :Goal: Improve Focus and Reduce Distractibility
Goal Desc: LAR reports client has trouble staying focused. LAR reports client has a hard time sitting still and gets distract easily.
Obj: Over the next 90 days, client will learn 2-3 new skills to help her improve focus and reduce distractibility.
Int: Skills Training (QMHP) will provide psychoeducation and training in symptom management and recovery skills and how to implement them in their daily living to help him reach previously identified goals.
4 skills training notes
Intervention (summary of service): Incorporate training methods below into this section
Training methods:
__Rehearsal
__Practice
__Instructions
__Role playing
__Education
__Movie/Video
__Reinforcement
__Coaching
__Handouts
__Prompting
__Modeling
__Feedback/shaping
QMHP met with client to discuss/address (reason for session). QMHP reviewed client actions (homework) from the previous session. QMHP introduced (topic chosen) to address (link to objective). QMHP utilized handouts (cite curriculum or supplemental curriculum) and provided instructions on completing handouts. QMHP provided education about the purpose of handout and reinforced the importance of utilizing skill outside of session to meet previously identified goals.
Examples of training methods:
QMHP utilized supplemental information about (topic) and used a movie to help reinforce the skill being taught.
QMHP coached the client when to use the skills learned and reinforced the importance of using this skill to meet previously identified goals.
QMHP modeled skill and allowed the client to practice skill.
QMHP and client role-played various scenarios to allow the client a chance to practice the skills learned.
QMHP practice and rehearsed skills discussed in session today.
QMHP prompted the client to identify areas of concerns he/she would like to address this day.
Feedback/shaping allowed QMHP to check for understanding of information learned this day.
Feedback/shaping also allowed the client to identify times he/she could utilize the skill.
Response (client’s response to session of the day or services, include client quotes; measurable progress should also be notated here):
Example: Client is excited about learning new skills and reported “I cannot wait to show my mom.”
(Progress chosen at the top) is noted as evident by clinical observation of (behaviors that have changed).
(Progress chosen at the top) is noted as evident by LAR reports of (increased/decreased client behavior we are addressing).
Plan (client actions, QMHP actions, next session date):
The QMHP and client will continue working on (skills). Client will implement skills into their daily routine and will report effectiveness at our next session. List any homework you have given the client. Next session date (month, day, year).
