Miscellaneous
Loading Add to Favorites
Share
Tweet
Cite
DATA:
This writer provided the following services to the client during this appointment: [comment memo="(check all that apply)"]
[checkbox name="services" value="Initial visit/engagement|Initial assessment|Goal/objective planning|Genograms|Therapeutic engagement around:| thought interruption/replacement| power and control| co-parenting communication| physiological reactivity| trauma| tolerating negative emotions| societal influences| multigenerational influences| child development and the impact of violence|Reflective thinking about self, partner and child|Visualization practice|Relaxation training|Grounding technique training/practice|Cognitive Behavioral Therapy(CBT)|Cognitive Processing Therapy(CPT)|Psychodynamic Psychotherapy|Beyond Trauma|Healing Trauma|Seeking Safety|Dialectical Behavior Therapy Skills|Post assessment|Discharge planning/discussion| Other"][text name="services" default="" size="75"]
This writer worked on the following component(s) of Fathers For Change with the client:[comment memo="(choose all that apply)"]
[checkbox name="FFC-stage" value="Intake| Assessment| Father/child play assessment| Review of treatment plan| Topic 1: Introduction to FFC| Topic 1a: IPV Psychoeducation| Topic 2: What does it mean to be a father/mother?| Topic 2a: Review of witnessing violence| Topic 2b: Completion of Change Plan| Topic 3: Father Child relationship| Topic 4: Genogram| Topic 5: Identifying triggers| Topic 6: Coping skills, anger thermometer| Topic 7: Relaxation and physiological arousal| Topic 8: Cognitive coping, perspective-taking| Topic 9: Co-parenting skills| Topic 10: Increased understanding of co-parenting context| Topic 11: Communication skills, active listening| Topic 12: Co-parenting problem-solving, fair fighting| Topic 13: Parenting skills, daily routines| Topic 14: Preparing for father-child sessions| Topic 15: Taking responsibility| Topic 16: Child guided play| Topic 17: Feelings identification and expression| Topic 18: Review of treatment| Post-assessments"]
[comment memo="To your knowledge were there any incidents of IPV since the last appointment?"][checkbox name="incidents" value="Yes there was an incident of IPV since the last appointment.| No, to my knowledge, there have not been any incidents of IPV since the last appointment"]
[comment memo="Were there any DCF reports made or children removed since the last appointment?"] [checkbox name="dcfreports" value="Yes there was a report made to DCF| Yes there were children removed from the home| There were no reports made to DCF| No children were removed from the home"]
[comment memo="Please describe this Client’s current living situation"] [checkbox name="living" value="Client is living with partner who was part of the referral| Client is not living with the partner who was part of the referral| Client is not living with the partner who was part of the referral and the partner is missing| Client is not living with the partner because the partner is incarcerated| There was no partner connected to this referral| Unsure/unclear"][text name="living" default="" size="30"]
[comment memo="Did partner participate in this session?"] [checkbox name="partner-participate" value="The partner participated in this session.| The partner did not participate in this session.| Co-parenting sessions will not be appropriate/possible with this client"]
[comment memo="Did child/children participate in this session?"] [checkbox name="child-participate" value="Children did participate in this session| Children did not participate in this session| Sessions with the child/children will not be appropriate/possible with this client"]
[comment memo="What referrals did you make to another agency or a community resource for this client?"] [checkbox name="referral" value="No referrals are needed at this time| This writer has made referrals for the following services| batterer intervention| intimate partner violence| substance abuse outpatient| substance abuse inpatient| parenting classes| mental health inpatient| individual counseling| group therapy| psychotropic medication management| other"]
ASSESSMENT:
[comment memo="Client Participation and response to intervention:"] [checkbox name="response" value="Client is engaged in services| Client is guarded in communication during treatment sessions| Client is compliant with interventions and the treatment plan| Client is resistant to services| Client is having difficulty moving forward with goals| Client is open in communication during treatment sessions| Client's mental status impedes therapeutic process| Client minimizes his/her contributions to current family situation| Client is meeting treatment goal objectives"]
[checkbox name="stageOfChange" value="Client seems unaware that a problem exists| Client has no intention of making changes at present| Client is aware that a problem exists, but has not made a commitment to making changes| Client is aware that a problem exists| Client has identified changes he/she would like to make| Client has not identified changes he/she would like to make| The client believes these changes are important| The client is confident that he/she can make the identified changes| The client lacks confidence that he/she can make the identified changes| The client is ready to make the identified changes| The client is not ready to make the identified changes| The client is actively making the identified changes| The client has sustaied the changes he/she has made| Client has fallen back into old patterns of behavior"]
[checkbox name="tx-assessment" value="There are no current outstanding therapeutic issues or concerns.| Resistance to treatment recommendations remains a significant concern.| The client's help-rejecting behaviors remain a significant therapeutic concern.| The client's current regressive state is a significant concern.| Treatment continues to show good evolution and development.| Treatment to continue as indicated."]
[comment memo="Progress towards goals:"][textarea name="goal_progress" default=" " rows="3"]
[comment memo="Barriers to treatment/participation:"][textarea name="goal-progress" default=" " rows="3"]
[comment memo="Client Insight:"][textarea name="insight" default="" rows="3"]
[comment memo="Reflective Capacity:"][textarea name="reflective" default=" " rows="3"]
[comment memo="Other:"][textarea name="other" default=" " rows="3"]

PLAN:
Going forward, this writer will work on [checkbox name="plan" value="Support of the client's self-exploration and understanding|Support of the client's capacity for thought and reflection| Therapeutic work on building and maintaining self-esteem and self-confidence|Therapeutic work on building and maintaining self-care| Therapeutic interventions aimed at helping with target behaviors and difficulties| Addressing problematic coping strategies and mechanisms| Continued exploration of meaning and significance of client's difficulties in light of past relational patterns and underlying beliefs|Better understanding the impact of the client's traumatic history on present day relationships and experiences| Helping the client gain greater awareness, understanding, and expression of underlying emotions| Crisis management and supportive assistance|Planning for termination of the treatment| Continued provision of IPV-FAIR treatment| Continued provision Fathers for Change intervention| Continued provision Mothers and More intervention| To continue with comprehensive assessment| To continue administering post-assessments|This is the last session with client due to discharge from program"] with the client.
[comment memo="Upcoming Intervention:"]This writer will focus on the following IPV-FAIR intervention:[text name="upcoming-intervention" default="" size="75"]
Next Appointment:[text name="next-appt" default="" size="75"]
DATA:
This writer provided the following services to the client during this appointment: (check all that apply)

This writer worked on the following component(s) of Fathers For Change with the client:(choose all that apply)

To your knowledge were there any incidents of IPV since the last appointment?
Were there any DCF reports made or children removed since the last appointment?
Please describe this Client’s current living situation
Did partner participate in this session?
Did child/children participate in this session?
What referrals did you make to another agency or a community resource for this client?
ASSESSMENT:
Client Participation and response to intervention:


Progress towards goals:
Barriers to treatment/participation:
Client Insight:
Reflective Capacity:
Other:

PLAN:
Going forward, this writer will work on with the client.
Upcoming Intervention:This writer will focus on the following IPV-FAIR intervention:
Next Appointment:
Result - Copy and paste this output: