NDIS Capacity Building Therapy Session Note:
Participant Details:
[document participant's name, NDIS number, and other relevant personal details] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)
Therapist Details:
[document therapist's name, professional title, and contact information] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)
Session Overview:
[describe the main focus of the session, including activities undertaken, techniques used, and any specific interventions applied] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)
Progress Towards NDIS Goals:
[document progress made towards each NDIS goal, including specific achievements, challenges faced, and any adjustments made to the therapy plan] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)
Participant's Feedback:
[document any feedback provided by the participant regarding the session, including their feelings, thoughts, and any concerns raised] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)
Therapist's Observations:
[document therapist's observations about the participant's engagement, performance, and any notable changes in behavior or skills] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)
Recommendations and Next Steps:
[outline any recommendations for future sessions, including specific goals, activities, or techniques to be focused on, and any homework or exercises for the participant] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)
Session Duration:
[document the start and end time of the session, and total duration] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)
Therapist's Signature:
[include therapist's signature and date of signing] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)
(Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information included in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely.) (Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)