SOP_NUMBER: 508.16-att-1
TITLE: Counselor Discharge Summary Note
REFERENCE_CODE: VG32-0001
WORD_COUNT: 156
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/353053
URL: https://gps.press/sop-data/508.16-att-1/

ATTACHMENTS:
  1. Counselor Discharge Summary Note
     URL: https://gps.press/sop-data/508.16-att-1/

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FULL TEXT:
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SOP 508.16
Attachment 1

5/9/18


GEORGIA DEPARTMENT OF CORRECTIONS Facility: ____________________________


Mental Health Discharge Progress Note Name: _____________________________


“ **Discharge Summary”** ID#: _______________________________


Date: ________________ DOB: ______________________________


Race: __________  Sex: ______________


**I. Data:** Purpose:   Discharge from Mental Health Services.


The treating psychiatrist/APRN _________________________ and/or Clinical
(name)
Director/psychologist ______________________ in collaboration with the Mental
(name)
Health Unit Manager __________________________ and the Mental Health Counselor
(name)
have decided to discharge this offender from the caseload. The offender was Level II

from ___________ to ___________ and (was/was not) on medication.
(date)             (date)               (circle)

The offender’s medication was discontinued _________________________________
(date)


**II. Assessment:**


Diagnosis: __________________  Unchanged/Changed as of____________________
(circle)                        (date)

Comments: ____________________________________________________________

**III. Plan: ___** ____Discontinue Mental Health Services_______________________________

________________________________________________________________________


Page ___ of ___ [ ] Attachment


Form no. M32-01-01

Retention Schedule: Completed forms shall be placed in the offender’s health file (medical – section 5). 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.