Chat with us, powered by LiveChat DAP Session Note Template Type of Session: Nature of Contact: X Individual X Scheduled Appoint. Group Walk-in Couples Emergency Family Client Name: Jane Doe Session Date: February 12, 2016 Session Number: 1 - Writeden.com

DAP Session Note Template Type of Session: Nature of Contact: X Individual X Scheduled Appoint. Group Walk-in Couples Emergency Family Client Name: Jane Doe Session Date: February 12, 2016 Session Number: 1

Student Name: Date:

 

DAP Session Note Template

 

Type of Session:

 

Nature of Contact:

 

X

 

Individual

 

X

 

Scheduled Appoint.

 

Group

 

Walk-in

 

Couples

 

Emergency

 

Family

 

Client Name: Jane Doe

 

Session Date: February 12, 2016

 

Session Number: 1

 

Data

 

Based on the DAP format, the Data section should provide information about what happened during the session, including client-reported information (such as presenting problem or symptoms), client’s report of SI/HI and substance use information, counselor-observed behaviors and emotions, the topics of discussion and their sequence, the client’s reported reactions, interventions used, and any discussion related to homework.

 

Enough information should be provided so that another professional (including your supervisor) can follow exactly what happened during the session. Remember- if it isn’t documented, it didn’t happen… which can have important implications in terms of liability when others evaluate the quality and thoroughness of the services provided.

 

Assessment

 

Provide the counselor’s clinical impressions from the session, including the interpretation of counselor-observed behaviors and emotions (including mental status info.), diagnosis (including any provisional considerations), prognosis, conceptualization of the client’s issues (which may align/contrast with client’s view/insight), evaluation of SI/HI risk, and any testing results.

 

Plan

 

Any plans or recommendations relating to the future of treatment are stated, including the next session’s appointment, any referrals, or homework assignments agreed to be completed. Items listed here were either already discussed in session or, if not critical, will happen at or before the very next session.

 

____ ____________________________

 

Counselor-in-training Signature Supervisor Signature

 

Rv. Spring 16 1

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