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Progress Notes are the part of a medical record where healthcare professionals record details to document a patient's clinical status or achievements during the course of a hospitalization or over the course of outpatient care. [1] Reassessment data may be recorded in the Progress Notes, Master Treatment Plan (MTP) and/or MTP review. Progress ...
A form of treatment for many mental disorders is psychotherapy. Psychotherapy is an interpersonal intervention, usually provided by a mental health professional such as a clinical psychologist, that employs any of a range of specific psychological techniques. There are several main types.
As the field of psychotherapy grew, standardized note-taking practices emerged to promote consistency and improve the quality of patient care. One major advancement was the introduction of SOAP notes in the 1960s, developed by Dr. Lawrence Weed to structure clinical notes in four categories: Subjective, Objective, Assessment, and Plan. This ...
Narrative therapy embodies a strong appreciation for the creation and use of documents, as when a person and a counsellor co-author "A Graduation from the Blues Certificate", for example. [25] In some instances, case notes are created collaboratively with clients to provide documentation as well as markers of progress.
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Integrative psychotherapy is the integration of elements from different schools of psychotherapy in the treatment of a client. Integrative psychotherapy may also refer to the psychotherapeutic process of integrating the personality : uniting the "affective, cognitive, behavioral, and physiological systems within a person".