DAP MI Counseling Note
COUNSELING SESSION Last Counseling Session:[date name="variable_1" default="03/28/2019"] Last Medical Appointment:[date name="variable_2" default="03/28/2019"]. Last drug screen:[date name="variable_3" default="03/28/2019"] and results reported as [select name="variable_4" value="normal|abnormal"]. D: Client came to office to meet with this writer [checkbox name="reason" value="to engage for monthly counseling|at the request to see counselor"]. Writer invited client to initiate session by asking client to share their current status. Client reported to [textarea name="variable_5" default=""]. Writer demonstrated active listening skills, and when client finished reporting self-identified status, this writer used reflection, and clarified client's priorities and readiness. Using a collaborative approach to agenda map with client identifying [text name="variable_6" default=""] as being an area which could be a primary focus for this session. Writer used open-ended questions to assist client in exploring the problem further, and this writer assessed client's understanding and previous barriers. Writer provided affirmations and built confidence through ask-tell-ask, where praise was given to support [comment memo="Praise: specify at least 1 positive event, attitude or strength of client identified"][text name="praise" default=""]. Client was asked to consider incremental changes to address their reported barriers. Client was able to identify [text name="variable_7" default=""] as a possibility. Writer used scaling questions to assess readiness and commitment and worked collaboratively with client to develop a plan that includes adequate structure, accountability, benchmarks and rewards. Client and this writer developed homework for next session. A: Client appears to be in [select name="variable_8" value="pre-contemplative|preparatory|action|maintenance"] stage of change as evidenced by [textarea name="variable_9" default=""]. Client's progress in achieving treatment goals is best assessed as "[checkbox name="progress" value="minimal|inconsistent|progressing|improving|stable"]" as evidenced by client's self-reports, drug screen results, behavior and engagement. P: Next session scheduled for [date name="variable_10" default="03/28/2019"]. Client reports commitment to [text name="v" default=""] prior to next session. This writer will remain available to offer ongoing resources if client needs support between session. RESOURCES PROVIDED: [checkbox name="RE" value="MI worksheet- Agenda Mapping.|MI worksheet- Exploring Pros and Cons|MI Worksheet- Change Plan|List of Community Resources for |Referral to |Phone Numbers for "][comment memo="Use text box to add specific resources, resources not listed, or indicate none"][textarea name="variable_1" default=""].
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Sandbox Metrics: Structured Data Index 0.56, 18 form elements, 240 boilerplate words, 4 text boxes, 3 text areas, 4 dates, 3 checkboxes, 2 drop downs, 2 comments, 26 total clicks
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