Brief ABA Therapy Session Notes

Provider Name: [insert provider name] (only include provider name if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) Date: [insert date of session] (only include date if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) People present: [list the individuals present during the session] (write as a single line or brief list separated by commas; include only if people present have been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) Client’s Clinical Status: [describe the client’s status prior to or at the beginning of the session] (write as a short paragraph using objective clinical language; include only if client status has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) Activities/Services Client Participated in: [describe the activities or services the client participated in during the session] (write as full sentences in paragraph format; include only if session activities or services have been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) Goals Worked On: [identify the behavior goals or skill targets that were addressed in the session] (write in full sentences using measurable, objective language; include only if goals worked on have been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) Summary of Behaviors Observed: [summarise the client’s behavior during the session] (write as a paragraph in full sentences; cover antecedents, behaviors, consequences, and patterns observed if mentioned; include only if behaviors observed have been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) Summary of Techniques Used: [summarise the ABA techniques and interventions used during the session] (write in paragraph format using full sentences; include only if techniques used have been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) Additional Information: [include any other relevant notes or contextual factors influencing the session] (write in full sentences or short paragraph; may include information about routine changes, sleep, food, environment, caregiver input etc.; include only if additional information has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) (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 include 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 the relevant information from the transcript.)