SOP 508.44-att-3: Summary of Monthly Progress in the ITF (Attachment 3)
Summary
Key Topics
- ITF progress report
- intensive treatment facility
- monthly progress note
- mental health program phases
- treatment participation
- program evaluation
- inmate mental health record
- therapeutic progress tracking
- behavioral observation
- discharge planning
Full Text
508.44
Attachment 3
10/19/2023
PROGRESS NOTE
Summary Report of Monthly Progress in the ITF
Facility:____________________________ Date of Summary:_______________
Name:______________________________ GDC#:________________________
DOB:______________________________ Race:_________________________
Judge:_____________________________ Chief PO: _____________________
|Month|Col2|
|---|---|
|
|Program Phase: I II III IV
|
|
|Level of Progress: __Above Standard Level ___ Standard Level ___ Below Standard Level|
|
|Participation Quality: __ Appropriate ___ Attentive ___Sharing ___ Gave Feedback
___ Received Feedback __ Supportive ___ Monopolizing ___ Resistant
___ Argumentative __ Other: ____________________________________________
|
|
|Learning Experiences:__ Yes __ NoDisciplinary Reports: __Yes __ No|
|
|Summary of Progress:
|
|
|Staff Issues/Concerns:
|
|
|Discharge Needs:
|
|
|Plan:
|
ITF Counselor: ______________________________________ Signature: _________________________________
(print name)
Mental Health Unit Manager: __________________________ Signature: _________________________________
(print name)
Clinical Director: _____________________________________ Signature: _________________________________
(print name)
Revised 6/2020
Retention: Attachment 3 will be placed in the offender’s mental health record, section one (1). At the end of the offender’s need for mental health
services and/or sentence, the mental health record will be placed within the offender’s health record and retained for 10 years.