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Progress notes are written in a variety of formats and detail, depending on the clinical situation at hand and the information the clinician wishes to record. One example is the SOAP note , where the note is organized into S ubjective, O bjective, A ssessment, and P lan sections.
The Outcome Questionnaire 45 (OQ-45), created by Gary M Burlingame and Michael J. Lambert at Brigham Young University, is a 45-item multiple-choice self-report inventory used to measure psychotherapy progress in adults patients.
An admission note is part of a medical record that documents the patient's status (including history and physical examination findings), reasons why the patient is being admitted for inpatient care to a hospital or other facility, and the initial instructions for that patient's care.
The assessment and plan (abbreviated A/P" [1] or A&P) is a component of an admission note. Assessment includes a discussion of the differential diagnosis and supporting history and exam findings. The plan is typically broken out by problem or system. Each problem should include: brief summary of the problem, perhaps including what has been done ...
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The professional practice of behavior analysis is a hybrid discipline with specific influences coming from counseling, psychology, education, special education, communication disorders, physical therapy and criminal justice. As a discipline it has its own conferences, organizations, certification processes, and awards.
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