Noteworthy
These are the 3 times a day ALIS notes are to be completed before the next shift even if your shift overlaps into the next shift.
3pm; 11pm; 7am
When client leisure mileage is reset to 15 miles.
MONDAY
Being overly empathic, you risk absorbing your client’s feelings, thoughts, or experiences. The outcome is you become overwhelmed and exhausted.
COMPASSION FATIGUE
NSSI and suicidal behavior both can occur for the same person.
FACT: NSSI is distinctly different from suicide in that suicide is lethal self-harm, an action purposefully designed to end one’s life. NSSI is an action to reduce or eliminate psychological distress
MHRT is the abbreviation for this.
MENTAL HEALTH REHABILITATION TECHNICIAN
A summary describing significant points that occurred during your shift such as ED visits, client functioning, mood, responses to situations, concern or issues noted by the client, and communication follow up from staff or providers.
OBSERVATION NOTE
Three examples of non-leisure mileage outings and SHOULD BE recorded in Observation Notes unless specifically listed in the clients’ goals or quantitative care tracking.
Doctor's appointments, Med Management, DHS for check/bank to cash, Therapy, ED visit, Home Visit/ special trip
Even when a client disagrees about a boundary, over time he or she will learn to do this with staff.
TRUST OR RESPECT
Schizophrenia is a "split personality" or "multiple personality" disorder.
FICTION: Schizophrenia is a psychiatric disorder that can affect behavior, thinking, feelings, and functioning. Some of the most common symptoms are hallucinations and delusions. This isn’t the same as multiple personality disorder.
NSSI is the abbreviation for this.
NON-SUICIDAL SELF INJURY
A type of writing in care tracking notes should be free of opinion, judgement, and assumption.
OBJECTIVE WRITING
The format used when recording a client going to multiple leisure locations.
Where you left, went, miles in between
It is a natural curiosity, good conversation starter to get to know you when a client meets a residential counselor the first time. But it may burden the client or used to manipulate staff to meet their needs.
PERSONAL INFORMATION
Secrets between you and a client are different than client confidentiality.
FACT: Confidential information is shared with the team. Personal secrets compromise role boundaries.
RADAR is the abbreviation for this.
RECONIZE, ASSESS, DECIDE, ACT
The 4 important components used when recording notes for the clients progress on their goals.
GOAL, STRATEGY, RESPONSE, OUTCOME
SR trips for first aid supplies count as this type of mileage.
LEISURE
Giving or receiving gifts and food, or doing special favors, can blur the line between a personal relationship and a professional one. Sharing this is also crosses boundaries between client and staff.
Streaming services, such as HULU, DISNEY, etc.
Schizoaffective disorder is the same as schizophrenia.
FICTION: schizoaffective disorder incorporates schizophrenia symptoms with additional mood disorder symptoms. People diagnosed with schizophrenia don’t exhibit any symptoms of an underlying mood disorder.
PNMI is the abbreviation for this.
Private Non-Medical Institution
A recording of when documentation was done, not when the the observation was done. This should never be changed when recording an observation.
Date and Time
Any additional trips other than specified on their mileage protocol, should be recorded as leisure mileage i.e., client is allotted 1 trip for groceries and makes a 2nd trip for groceries The second trip would be recorded as leisure mileage.
EXCEPTION RECORDING NON-LEISURE TRIP
The actions of clients will trigger emotional reactions in professionals. It is normal to feel such emotions, but it is not helpful to express or act on emotional reactions. Focusing on the needs of those you support, rather than this.
PERSONALITIES
Schizophrenia makes people lazy.
FICTION: Avolition is a total lack of motivation you can't start or finish even simple, everyday tasks
- Willing, but UNABLE to harness the mental and physical energies to move forward
MOAS is the abbreviation for this.
MODIFIED OVERT AGGRESSION SCALE