Section 1: Introduction A. About This Course B. Learning Objectives Section 2: All about Progress Notes A. Meet Larry B. Why Are Progress Notes Important? C. Proper Documentation D. The Intelligent Progress Note E. Noisy Notes F. Compliance Rules G. Remember Larry and Laura? H. Review I. Summary Section 3: Methods of Progress Note Writing A. Variety B. The SOAP Note C. Subjective D. Objective E. Assessment F. Plan G. The IGBIRP Method H. Introduction (I) I. Goal/Objective (G) J. Behavior (B) K. Interventions (I) L. Response (R) M. Plan (P) N. The D.A.P. Progress Note O. Data P. Assessment Q. Plan R. General D.A.P. Note Considerations S. More about General D.A.P. Note Considerations T. Review U. Summary Section 4: Visualizing the Process A. Meet Sarah B. Basic Clinical Loop C. Selecting Objectives D. Selecting Interventions E. Review F. Summary Section 5: Useful Tips for Charting A. Preparation Is Important! B. More Preparatory Guidelines C. Useful Questions to Ask Before Charting D. Progress Note Billing E. Review F. Summary Section 6: Conclusion A. Summary B. Congratulations C. Course Contributor D. Resources E. References
Naju Madra, M.A. is an internal subject matter expert and clinical content writer for Relias' Behavioral Healthcare library. She earned her Master's degree in Psychology with specific study in neuropsychological assessment for children with Fetal Alcohol Spectrum Disorders. She brings with her a wealth of experience in clinical assessment, along with expertise in large-scale clinical research project management, recruitment, training, as well as in-person and web-based curriculum development.
In addition to scholarly activities such as writing manuals and preparing manuscripts for peer-reviewed journals, Ms. Madra has over 15 years of behavioral healthcare experience ranging from crisis counseling and job coaching for individuals with severe mental illness and co-occurring disorders, to community college instruction, and trauma specialist at the Veterans Health Administration. In her current role, Ms. Madra has contributed authorship to over 100 behavioral healthcare course offerings for both licensed and non-licensed professionals in the Health & Human Services market.Disclosure: Naju Madra, M.A. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.