SOP 508.09-att-2: Group Treatment Case Notes

Division:
Mental Health Services
Effective Date:
March 1, 2022
Reference Code:
VG20-0001
Topic Area:
508 Policy-MH Administration/Staff/Certification
PowerDMS:
View on PowerDMS
Length:
222 words

Summary

This is a standardized form (Attachment 2) used by Georgia Department of Corrections mental health staff to document group therapy sessions for incarcerated individuals. The form tracks attendance, group topics discussed, participant behavior and engagement, clinical assessments, and treatment progress on a monthly basis with quarterly evaluations. Mental health files containing these completed forms are retained in the offender's health record for 10 years after the completion of mental health services or sentence.

Key Topics

  • group treatment
  • case notes
  • mental health documentation
  • group therapy
  • incarcerated individuals
  • attendance tracking
  • behavioral assessment
  • quarterly evaluation
  • therapeutic progress
  • mental health services
  • group facilitator
  • clinical documentation
  • treatment planning

Full Text

SOP 508.09
Attachment 2

03/01/22

GEORGIA DEPARTMENT OF CORRECTIONS Facility: ________________________________________________

Mental Health Services Name: _________________________________________________

_Group Treatment Case Notes_ ID #:__________________________________________________

Group Name: ______________________________________ DOB: _________________________________________________

Month/Year: ______________________ Race: ________________________ Sex:_____________________

Date: _________ ATTENDANCE : Present Absent (circle the one applicable)
DATA : (Agenda: Group topics discussed) ____________________________________________________________________________________
____________________________________________________________________________________
_______________________________________________________________________________________________________________________

Date: _________ ATTENDANCE : Present Absent (circle the one applicable)
DATA : (Agenda: Group topics discussed) ____________________________________________________________________________________

_______________________________________________________________________________________________________________________

Date: _________ ATTENDANCE : Present Absent (circle the one applicable)
DATA : (Agenda: Group topics discussed) ____________________________________________________________________________________

________________________________________________________________________________________________________________________
_________________________

Date: _________ ATTENDANCE : Present Absent (circle the one applicable)
DATA : (Agenda: Group topics discussed) ____________________________________________________________________________________

________________________________________________________________________________________________________________________

Assessment For the Month: QUARTERLY EVALUATION
_Behavior Ratings:_ _LOW MED HI_ (Fill out last group of OMS cycle)

Seemed interested in the group [ ] [ ] [ ] TOPIC PROCESS
Shared emotions [ ] [ ] [ } _LOW MED HI_
Helpful to others [ ] [ ] [ ] Participation [ ] [ ] [ ]
Disclosed information about self [ ] [ ] [ ] Discussed Issues [ ] [ ] [ ]
Understood group topics [ ] [ ] [ ] Insight [ ] [ ] [ ]
Participated in group exercise [ ] [ ] [ ] Motivation [ ] [ ] [ ]
Showed listening skills/empathy [ ] [ ] [ ] Emotions Expressed [ ] [ ] [ ]
Offered opinions/suggestions/feedback [ ] [ ] [ ] Stays on task [ ] [ ] [ ]
Seemed to benefit from the session [ ] [ ] [ ] Objectives being met [ ] [ ] [ ]

TARGET SYMPTOMS SUGGESTIONS
0 1 2 3 4 5
______________________________________ [ ] [ ] [ ] [ ] [ ] [ ] _____ Individual Counseling _____ Evaluation for medication

______________________________________ [ ] [ ] [ ] [ ] [ ] [ ] _____ Other: __________________________________________

INDIVIDUAL (issues/contributions for the month) ____________________________________________________________________________________________

______________________________________________________________________________________________________________________________________

PLAN :_________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

Time of group: ___________ (Time Frame: [ ] 1 hrs. [ ] 2 hrs.) ______________________________________ _________________________________
(Facilitator) (Co-Facilitator)

Form no. M20-01-02

Retention Schedule: Completed forms shall be placed in the offender’s mental health file. At the end of the offender’s need for mental health services and/or sentence,
the mental health file shall be placed within the offender’s health record and retained for 10 years.

Attachments (5)

  1. Mental Health Cover Sheets and Mental Health Record Documentation (1,301 words)
  2. Group Treatment Case Notes (222 words)
  3. Records Inventory (123 words)
  4. Mental Health Diagnosis List (238 words)
  5. Group Attendance Roster (90 words)
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