Group Therapy

1. Date of group:

1. Patient Initials:
2. Start time: End Time:
3. CPT Code:
4. Group name:
5. Number of attendees:
6. Number of those who did not attend:
7. Number of those leading the group:
8. Behaviors observed in the group:
9. Observations of members in the group:
10. Stressors/extraordinary events/new issues presented during group:
11. Goals/objectives addressed during the group

13. Strategies to Achieve Goals(Explanation of services provided)

1. Responses of members to group interventions, be specific.

• Describe how the session has helped move the group closer to, further away from, or had no discernible impact on meeting goals/objectives. If no progress is made over time, this section should address how the group leader intends to change his/her strategy.

15. Suicidal ideas or Intentions Suicidal Ideations observed by group?

1. Person response to interventions and progress toward goals and objectives during group

17. Appearance and Behavior:
18. Suicidal Ideations observed by patient

Future Plan/additional information:           \
 
No APA format needed