Documentation Standards
nProgress Notes Content
nStaff should be aware of the role in the reduction of a beneficiary’s mental health disability and/or improvement and report this information in the Progress Note.
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nBehavior:
nWhat specific behavior is the client displaying?
nIf the client expresses any type of feeling and/or emotions, please explain.
nIf the client is being unsafe, explain how the client is being unsafe.
nWhat is the client’s target behavior? Connect the situation to the client’s behavioral goals.
nDiscuss behavioral issues of concern or significance.