Family therapy

Group Therapy Progress Note

American Psychological Association | Division 12 http://www.div12.org/ 1

Client: __________________________________________________ Date: ___________ Group name:________________________________________________ Minutes:________ Group session # ______ Meeting attended is #:______ for this client. Number present in group _____ of _____ scheduled Start time:________ End time: ________

Assessment of client

1. Participation level: ެ Active/eager ެ Variable ެ Only responsive ެ Minimal ެ Withdrawn

2. Participation quality: ެ Expected ެ Supportive ެ Sharing ެ Attentive ެ Intrusive

ެ Monopolizing ެ Resistant ެ Other: _____________________________________

3. Mood: ެ Normal ެ Anxious ެ Depressed ެ Angry ެ Euphoric ެ Other: _______________

4. Affect: ެ Normal ެ Intense ެ Blunted ެ Inappropriate ެ Labile ެ Other:_______________

5. Mental status: ެ Normal ެ Lack awareness ެ Memory problems ެ Disoriented ެ Confused

ެ Disorganized ެ Vigilant ެ Delusions ެ Hallucinations ެ Other:__________________

6. Suicide/violence risk: ެ Almost none ެ Ideation ެ Threat ެ Rehearsal ެ Gesture ެ Attempt

7. Change in stressors: ެ Less severe/fewer ެ Different stressors ެ More/more severe ެ Chronic

8. Change in coping ability/skills: ެ No change ެ Improved ެ Less able ެ Much less able

9. Change in symptoms: ެ Same ެ Less severe ެ Resolved ެ More severe ެ Much worse

10. Other observations/evaluations:________________________________________________________

In-session procedures: � _______________________________________________________________________________

� _______________________________________________________________________________

� _______________________________________________________________________________

� _______________________________________________________________________________

� __________ _____________________________________________________________________

Homework: 1.

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3.

Other Comments: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Signatures Date