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What are progress notes in therapy?

In the simplest terms, progress notes are brief, written notes in a patient's treatment record, which are produced by a therapist as a means of documenting aspects of his or her patient's treatment. Progress notes may also be used to document important issues or concerns that are related to the patient's treatment.

What is the difference between a progress and process note?

The Difference between Progress and Process Notes Progress notes and process notes are known in the greater mental health lexicon, in general definition, as notes that describe treatment, diagnosis, testing and assessment (progress notes); and, notes that are used by the mental health professional that do not ...

How do you write therapeutic progress notes?

5 Tips for Writing Better Therapy Notes Be Clear & Concise. Therapy notes should be straight to the point but contain enough information to give others a clear picture of what transpired. ... Remain Professional. ... Write for Everyone. ... Use SOAP. ... Focus on Progress & Adjust as Necessary.

What is clinical note?

The clinical note is the primary tool used to document care, communicate plans [10, 11], and provide guidance for follow-up treatment and care. Gaps in the quality of clinical documentation could, therefore, adversely affect patient care and health care outcomes.

What are the different types of progress notes?

There are six types of progress notes available on the platform. Session Notes. Event Notes. Contact Notes. Supervision Notes. Documents. Treatment Summary.

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