This type of plan focuses on the client’s goals, preferences, and voice.
What is person-centered?
This is how often assessments are typically updated at minimum.
What is annually?
Documentation should be completed within this timeframe.
What is 24 hours?
This is required when working with clients and their information.
What is confidentiality?
“Give an example of a measurable goal.”
Client will reduce symptoms of anxiety as evidenced by a decrease in self-reported anxiety levels from 8/10 to 4/10 or lower on a weekly basis within 12 weeks.
Goals should always be this to track progress clearly.
What is measurable?
Name one key area included in an assessment.
What is mental health / physical health / housing / supports (any correct area)?
This part describes what the staff actually did.
What is the intervention?
This involves regular communication with the treatment team.
What is coordination of care?
“Rewrite this statement to be objective.”Client is doing better and seems more stable lately.
Client reports mood improved from 3/10 to 6/10 over the past two weeks, denies suicidal ideation, and has attended 3 out of 3 scheduled meetings. Client also reports using coping skills (dep breathing, journaling) at least 4 times per week.
This connects directly to the goal and outlines steps to achieve it.
What is an objective?
This must happen if there is a major change in the client’s condition.
What is update the assessment?
This part describes how the client reacted.
What is the client response?
This helps staff improve skills and receive guidance.
What is supervision?
“Name two components of a strong progress note.”
Objective, measurable observations and Interventions and client response
This should be updated when goals are achieved or needs change.
Wellness plan?
This type of information is based on facts, not opinions.
What is objective information?
This ensures notes are factual and not judgmental.
What is objective documentation?
This should be documented when unable to reach a client.
What are outreach attempts?
This ensures documentation is timely, accurate, person-centered, and supports continuity of care.
What is quality documentation / compliance with standards?
This ensures services match what the client actually needs and wants.
What is alignment with assessment and client input?
This ensures the assessment leads to appropriate services.
What is accuracy and completeness?
This connects the service provided back to the client’s goal.
What is linking to the treatment/wellness plan?
This approach focuses on respect, dignity, and client choice.
What is person-centered care?
This ensures documentation is timely, accurate, person-centered, and supports continuity of care.
What is quality documentation / compliance with standards?