1
The specific activity/skills training service provided to the client (i.e. coaching, role play, referral, etc.)
2
(level of) quality of involvement during client contact
3
Assessing the overall situation using both objectivity and subjectivity.
4
The history of the issue from the point-of-view of the client.
5
The observations of the case worker.
6
Motivating client as well as regarding them as a valuable source of achieving objectives.
7
Client's reactions to interventions and progress made toward goals.
8
The subjective and objective data about the client.
9
Issue listed on client's treatment plan and the reason for the contact with the client.
10
The reason for the contact with the client.
11
A clear, concise summary of the outcomes of the client visit.
12
Addressed during client contact - also included is the treatment goal related to the topic.
13
What will be done to resolve the issue and monitor progress of the client.
14
The purpose of the contact with the client.
