SOP_NUMBER: 508.44-att-3
TITLE: Summary of Monthly Progress in the ITF (Attachment 3)
DIVISION: Unknown
TOPIC_AREA: 508 Policy-MH Evaluations/Screenings/Treatment
WORD_COUNT: 138
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/738978
URL: https://gps.press/sop-data/508.44-att-3/
SUMMARY:
This is a monthly progress report form used to document an inmate's progress while enrolled in an Intensive Treatment Facility (ITF) program. The form captures the inmate's program phase, level of progress, participation quality in treatment activities, any learning experiences or disciplinary issues, and staff observations. The completed form is signed by ITF counselors, the Mental Health Unit Manager, and Clinical Director, then retained in the inmate's mental health record.
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
ATTACHMENTS:
1. Addiction Severity Index Summary Assessment
URL: https://gps.press/sop-data/508.44-att-1/
2. Integrated Treatment Programs 4 Quadrant Assignment (Attachment 2)
URL: https://gps.press/sop-data/508.44-att-2/
3. Summary of Monthly Progress in the ITF (Attachment 3)
URL: https://gps.press/sop-data/508.44-att-3/
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FULL TEXT:
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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 __ No**Disciplinary 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.