DAP Session Note Template Type of Session: Nature of Contact: X Individual X Scheduled Appoint. Group Walk-in Couples Emergency Family Client Name: Jane Doe Session Date: February 12, 2016 Session Number: 1
Student Name: Date:
DAP Session Note Template
Type of Session:
Nature of Contact:
X
Individual
X
Scheduled Appoint.
Group
Walk-in
Couples
Emergency
Family
Client Name: Jane Doe
Session Date: February 12, 2016
Session Number: 1
Data
Based on the DAP format, the Data section should provide information about what happened during the session, including client-reported information (such as presenting problem or symptoms), client’s report of SI/HI and substance use information, counselor-observed behaviors and emotions, the topics of discussion and their sequence, the client’s reported reactions, interventions used, and any discussion related to homework.
Enough information should be provided so that another professional (including your supervisor) can follow exactly what happened during the session. Remember- if it isn’t documented, it didn’t happen… which can have important implications in terms of liability when others evaluate the quality and thoroughness of the services provided.
Assessment
Provide the counselor’s clinical impressions from the session, including the interpretation of counselor-observed behaviors and emotions (including mental status info.), diagnosis (including any provisional considerations), prognosis, conceptualization of the client’s issues (which may align/contrast with client’s view/insight), evaluation of SI/HI risk, and any testing results.
Plan
Any plans or recommendations relating to the future of treatment are stated, including the next session’s appointment, any referrals, or homework assignments agreed to be completed. Items listed here were either already discussed in session or, if not critical, will happen at or before the very next session.
____ ____________________________
Counselor-in-training Signature Supervisor Signature
Rv. Spring 16 1
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