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Tools for mental health therapists in private practice

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PSYBooks Manual

Chapter Three

Add Notes > Treatment PlanCharts

What this is

The Treatment Plan is meant to be used in conjuction with Progress Notes, although each can be used as a stand-alone tool if you prefer. Treatment Plans are mostly structured - which means you fill them in primarily with checkboxes and select boxes instead of having to type everything from scratch.

What it looks like

The Treatment Plan is accessed here:

Treatment Plan

Where this is

Open a client's chart by clicking their name in the table on the Charts page. Then navigate to the Notes section of the chart by clicking the Notes tab. The link to the Treatment Plan is in the Add Notes section on the top right.

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Although the form for the Treatment Plan may seem long, since it's a structured form, it can be filled out quickly. The Treatment Plan form looks like this:

Treatment Plan

Since the Treatment Plan and Progress Notes were designed to be used together, the values you enter in the Treatment Plan will be used to pre-populate subsequent Progress Notes. The sections of the Treatment Plan, which are almost identical to the sections of the Progress Note, will be discussed separately below:

  • Diagnoses

    The Diagnoses section of the Treatment Plan looks like this:

    Treatment Plan

    If you had already added a session with a diagnosis before opening the Treatment Plan, the diagnosis you used in the session would be listed here. However, you're free to change it at any time. The next time you add a session, if the diagnosis on the current Treatment Plan is different from what you last used for a session, you'll be asked if you want to change it.

  • Symptoms & Problem Areas

    The Symptoms & Problem Areas section of the Treatment Plan looks like this:

    Treatment Plan

    You can fill in your client's symptoms and problem areas in the textarea. The orange plus icon on the left allows you to open additional textareas if your client has more than one type of symptom you want to report separately. PSYBooks keeps track of all of the values you've written in

    • The Plus Icon

      The orange Plus icon will open a new textarea where you can write additional symptoms and/or problem areas.

    • The History Icon (alarm clock)

      The History icon opens a small window where you can see values you've entered in this field in previous Treatment Plans.

  • Goals & Objectives

    The Goals & Objectives section of the Treatment Plan looks like this:

    Treatment Plan

    Goals and objectives you enter here will be carried to the Progress Note form where you can report your client's progress toward the goals you set here.

    • The Plus Icon

      There are two orange Plus icons in this section. The one on the Goal line to the left of the alarm clock opens new fields where you can write additional goal/objective pairs. The one to the right of the Objective textbox allows you to write more than one objective for any goal.

    • The History Icon (alarm clock)

      The History icon opens a small window where you can see values you've entered in this field in previous Treatment Plans and Progress Notes.

  • Strategies & Interventions

    The Strategies & Interventions section of the Treatment Plan looks like this:

    Treatment Plan

    The items in the list can save you some time by allowing you to just check boxes instead of having to type. PSYBooks provides samples of possible mental health strategies & interventions but you're free to edit the list with the Edit Strategies & Interventions tool discussed below:

    • Edit Strategies & Interventions Tool

      The pencil icon next to the title "Strategies & Interventions" is a tool that allows you to edit the list. The tool looks like this:

      Edit Intervention List tool

      Clicking it opens this form:

      Edit Intervention List form

      You can edit or delete items from this list. Deletions are permanent but you can always add an item again with the Add New Intervention tool at the top of this form. There is only one Strategies & Interventions list in PSYBooks but that list is accessed by both the Treatment Plan and the Progress Note. That means that any changes you make on the Treatment Plan Strategies & Interventions list will carry to the Progress Note list and vice versa.

    • Add New Intervention Tool

      Clicking the Add New Intervention tool at the top of the Edit Strategies & Interventions List form opens a section where you can add a new intervention to the list. It looks like this:

      Add New Intervention tool

  • Additional Notes & Info

    The Additional Notes & Info section of the Treatment Plan looks like this:

    Add New Intervention tool

    This section of the Treatment Plan is an unstructured portion of the form with a textarea where you can write whatever you wish. This area also contains some additional fields (Recommendation and Frequency of Treatment), the Mark as Important tool and the signature block.

  • How the Treatment Plan is displayed on the Notes page

    Since the Treatment Plan is a long form, it's displayed on the chart's Notes tab as a closed link like this:

    Treatment Plan

    You can open it to read by clicking the Treatment Plan link or the Edit Note tool on the right.