Group Therapy Note
This writer utilized psychoeducation of introduction to treatment, coping skills, and healthy living skills to help pts create healthy living plan and develop treatment goals. [text name="variable_1" default="Name"] Processed: [textarea name="variable_35" default="sample text"] [text name="variable_1" default="Name"] Engaged in Introduction to treatment group and discussed skillful behavior. [text name="variable_1" default="Name"] reaction was [checkbox name="variable_1" value="Positive | Negative | Neutral"] [text name="variable_1" default="Name"] Participation: [checkbox name="variable_35" value="engaged in feedback | Processed skillful bx | Provided feedback | Evasive| Refused to participate| Did not participate| Program Refusal"] [text name="variable_1" default="Name"] Engagement [checkbox name="variable_1555" value="Engaged | Disengaged | Distracted| Refusal| Open to feedback| Closed to feedback| No participation| Refused"] [text name="variable_1" default="Name"] Multidisciplinary concerns include: continued need for medically monitoring detox [checkbox name="variable_2" value="anxiety | depression | safety concerns | Program refusal |Resistance| Interpersonal| Case management Concerns"] [textarea name="variable_1" default=" "] [text name="variable_1" default="Name"] Orientation: [checkbox name="variable_55" value="A+Ox4 | A+Ox3 | A+OX2 | A+OX1"] [text name="variable_1" default="Name"] Psychosocial / emotional concerns: [checkbox name="variable_5" value="anxiety | depression| over friendly | interpersonal concerns | Lack of engagement| Evasive | refusal| outspoken| poor boundaries "] [text name="variable_1" default="Name"] Judgement is: impairment aeb: resistance to coping skills, struggling with interpersonal effectiveness skills, ongoing need for medically managed detox, struggling to understand ways to change bx. Plan: [text name="variable_1" default="Name"] to continue with current level of care and therapy, to continue with weekly family and individual therapy, daily therapeutic processing groups, programming, and other groups. Continue with rx daily medication management via medication management team PRN. [text name="variable_1" default="Name"] to do appropriate programming. Multidisciplinary team to follow up with concerns brought up that are relevant to their field. Team to continue to monitor and address concerns brought up in this discussion, family to reach out with any questions, [text name="variable_1" default="Name"] to express any case management needs to staff PRN. Staff to continue to monitor and create appropriate documents prn. Collateral to follow up with any questions. [text name="variable_1" default="Name"] to follow up with team regarding case management issues Detox absence: [text name="variable_1" default="Name"] was offered to attend group, [text name="variable_1" default="Name"] refused to attend group d/t detoxing, [text name="variable_1" default="Name"] did accept worksheet packet on discharge date information, expectations of t x, and benefits of using coping skills. [text name="variable_1" default="Name"] continually has the opportunity to ask primary therapists, case managers, and other staff regarding introduction to treatment material. Pt is oriented to the program upon initial meeting with [text name="variable_1" default="Name"], CM, and Nursing.
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Sandbox Metrics: Structured Data Index 0.23, 26 form elements, 253 boilerplate words, 18 text boxes, 2 text areas, 6 checkboxes, 58 total clicks
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