The Recovery Council, Inc.
CLIENT NAME / ID# _______________________________________________________________________________ Date of Service Delivery Length of Service Delivery Time of Service DeliveryGoals addressed: ___________________________________________________________________________________Service provided: w/clientw/o clientType of service:individualgroupService description:___Assessment of psychiatric, physical, health, housing, income support and vocational needs___Crisis support, development of crisis management plan, and/or crisis stabilization___Education and training to manage impact of psychiatric symptoms on school/home/work functioning___Employment readiness interventions to address psychiatric deficits which impact employment___ISP development, review, or revision___Interventions to address deficits in social, communication, and/or interpersonal/conflict skills___Mental illness, recovery, and wellness management education and training to client and/or family___Restorative interventions to improve independent living skills___Teaching consumer how to advocate for him/herself___Teaching methods to acquire psychiatric monitoring and symptom management skills___Teaching to develop skills to access needed services, support systems and resources for him / herself___Teaching to develop stress and anger management skills___Teaching/providing assistance in skill-building to develop psychiatric support systems___Other, please specify:Is activity medically necessary as documented in mental health assessment and authorized by ISP? Yes NoBrief description of service(s) provided:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Was progress made? YesNo. If yes, Client Reports: ____________________________________________________________________________________________________________________________________________________Did client report significant changes or events? YesNo.If yes, describe.____________________________________________________________________________________________________________________________________________________________________________________________________________________________________Were significant changes and events (above) reported to primary counselor?YesNo. , explain_________________________________________________________________________________________________________________Are modifications to treatment goals recommended? YesNo. If yes, specify recommended changes.______________________________________________________________________________________________________________________________________________________________________________________________________________ ................
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