PRC Individualized Group Note

[text name="Clt_name" default=" "][comment memo="Client Name"] arrived [select name="variable_1" value="on time|late|"] for group session [select name="variable_2" value="in person|via telehealth|"]. Patient was [select name="orientation" value="alert|lethargic|withdrawn"] and oriented[select name="variable_1" value="x1|x2|x3|x4"], Client [comment memo="how engaged was client in the activity"][select name="variable_12" value="was actively engaged|participated minimally|was attentive to peers and facilitator but did not participate|did not participate|was disruptive|"] in [comment memo="activity (ie. worksheet, film/documentary, role-paly, art activity, etc.)"][text name="group_activity" default=""].  Following the activity, the client was [comment memo="how engaged with client in the discussion"][select name="variable_12" value="was fully engaged|was attentive to peers but did not share|did not participate|was attentive and provided feedback and support however did not provide any personal insights|withdrawn|disruptive"] in the discussion related to [text name="discussion" default=" "][comment memo="discsusion topic"].  Client shared [textarea name="shared" default="What did client share/contribute to the group"].


Client appeared [select name="response" value="open|guarded|receptive|minimally receptive|unreceptive"] to discussing insights, thoughts, issues, or concerns related to [text name="group_topic" default=" "][comment memo="group activity/discussion topic"]. Client's mood appeared [checkbox name="Mood" value="euthymic|happy|anxious|depressed|agitated|angry|hopeless|excited|fearful|nervous|apathetic|irritable|dysphoric|euphoric"][checkbox memo="Other mood not listed" name="Other" value=""][conditional field="Other" condition="(Other).is('')"][text name="variable_1" default=" "][/conditional] with [checkbox name="affect" value="congruent|blunted|labile|appropriate|inapproropriate|flat"] affect. 


Writer will [select name="staff" value="follow-up|staff with clinical|staff with medical|assist client|provide support to client"] [textarea name="followupstaff" default="what are you doing as staff to support client"]. Client will [textarea name="variable_1" default="what is client's homework/commitment? What will client do/work on?"]