Description
Treatment planning books are not necessary to write effective documentation. They are developed to address a specific diagnosis rather than the person you are treating. They can be helpful in providing clinical language.
But…
- too much jargon can be a distraction and
- relying on these books can dictate your treatment rather than describe the treatment you provide.
This makes individualized treatment plans and progress notes sound canned. No one likes the canned approach, including insurance companies. They want to you to treat a person and not a diagnosis.
These Open Ended Prompts help you think about your treatment in ways that directly relates to the client. Keep this list of prompts and interventions by your keyboard or on your computer screen while writing your notes. Many interventions can apply to multiple prompts and techniques.
