SOP_NUMBER: 508.09-att-2
TITLE: Group Treatment Case Notes
REFERENCE_CODE: VG20-0001
DIVISION: Mental Health Services
TOPIC_AREA: 508 Policy-MH Administration/Staff/Certification
EFFECTIVE_DATE: 2022-03-01
WORD_COUNT: 222
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/667076
URL: https://gps.press/sop-data/508.09-att-2/

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

ATTACHMENTS:
  1. Mental Health Cover Sheets and Mental Health Record Documentation
     URL: https://gps.press/sop-data/508.09-att-1/
  2. Group Treatment Case Notes
     URL: https://gps.press/sop-data/508.09-att-2/
  3. Records Inventory
     URL: https://gps.press/sop-data/508.09-att-3/
  4. Mental Health Diagnosis List
     URL: https://gps.press/sop-data/508.09-att-4/
  5. Group Attendance Roster
     URL: https://gps.press/sop-data/508.09-att-5/

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FULL TEXT:
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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.