Treatment Progress Plan
Students are expected to deliver a Treatment Progress Note detailing the experience of a counseling session. The Progress Note consists of two parts: a) the Formal Treatment Note and b) a summary of students Subjective Reporting. Formal Treatment Note should follow the DAP format, which equals to:
Description: The first part is to describe the client. Please, include age, race, ethnicity, occupation (professional, student, homemaker, etc.), a general description of appearance, and any significant other elements (such as a disability, unusual characteristics, etc.). Next, describe the presenting problem. This is the clients reason for seeking counseling. Finally, indicate the location of the session, and the date and time. All the information in the description should be as objective as possible.
Assessment: This is students assessment of the presenting problem. He/she may simply be repeating what the client stated (such as with a client who tells you verbatim he is depressed). Or, he/she may be taking the content of what the client has stated and distilling it into a hypothesis. An example of this is indicating the Client may be depressed and/or anxious for someone reporting feeling sad, stressed out, and having trouble sleeping and who appears very nervous. Please, be careful with your wording. If you are not sure about the problem, use wording such as it appears or client may be. When unsure, you should include further assessment of the concerns in your treatment plan. If the student cannot comfortably make an assessment based on lack of information, he/she can state such.
Plan: This is students plan for future sessions. This can be a very simple statement reflecting future plans and should not replace the formal Treatment Plan. For example, the student may state Need to further assess alcohol use for someone appearing to have alcohol use issues.
Important note: Subjective Reporting consists of each students emotional and/or cognitive responses to the client (or the clients situation) during the session. Transference and counter-transference would be included in this category. For example, if the students client talks about an experience which is similar to an experience he/she had, student might feel a strong emotional response when the client tells him/her about his/her experience.
Use FULL APA Style. CORRECT FORMATTING. First page must have the Running Head in the header but nowhere else, INCLUDE ABSTRACT and do NOT put any references in the abstract. Use proper and scientific language and correct grammar and syntax. Do not use casual expressions or first person in the text and make sure to use politically correct and non-offensive terminology. This is supposed to be platinum quality.
Make sure to use outside sources as well, especially in the Assesment and Treatment Plan sections of the paper. Remember to use the DSM V for certain. The three diagnostic characteristics of the client that must be definetely adressed, included in the Assesment and Treatment plan are the following: Neurotic, Possible Anxiety Disorder, Problems with Adjustment in the Workplace.
Make sure to follow the DAP correctly. Also, make sure to include the clients request.
A description of the client, the time, date, place and a transcript of the session will be uploaded. The DSM V will also be uploaded.