b’xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0Practicum xc2x96 Assessing Client Family ProgressLearning ObjectivesStudents will:xc2xb7 Create progress notesxc2xb7 Create privileged notes’

b’nxc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0Practicum xe2x80x93 Assessing Client Family ProgressLearning ObjectivesStudents will:xc2xb7 Create progress notesxc2xb7 Create privileged notesxc2xb7 Justify the inclusion or exclusion of information in progress and privileged notes (SEE ATTACHED SAMPLE OF PROGRESS AND PRIVILIGED NOTE)xc2xb7 Evaluate preceptor notesTo prepare:xc2xb7 Reflect on the client family you selected for the Week 3 Practicum Assignment (SEE ATTACHED WEEK 3 NOTE),xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0The Assignmentxc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0Part 1: Progress NoteUsing the client family from your Week 3 Practicum Assignment address in a progress note (without violating HIPAA regulations) the following:xc2xb7 Treatment modality used and efficacy of approachxc2xb7 Progress and/or lack of progress toward the mutually agreed-upon client goals xc2xa0xc2xa0xc2xa0(reference the treatment plan for progress toward goals)xc2xb7 Modification(s) of the treatment plan that were made based on progress/lack of xc2xa0xc2xa0xc2xa0progressxc2xb7 Clinical impressions regarding diagnosis and or symptomsxc2xb7 Relevant psychosocial information or changes from original assessment (e.g., xc2xa0xc2xa0xc2xa0xc2xa0marriage, separation/divorce, new relationships, move to a new xc2xa0xc2xa0xc2xa0house/apartment, change of job)xc2xb7 Safety issuesxc2xb7 Clinical emergencies/actions takenxc2xb7 Medications used by the patient, even if the nurse psychotherapist was not thexc2xa0xc2xa0xc2xa0one prescribing themxc2xb7 Treatment compliance/lack of compliancexc2xb7 Clinical consultationsxc2xb7 Collaboration with other professionals (e.g., phone consultations with physicians,xc2xa0xc2xa0xc2xa0xc2xa0psychiatrists, marriage/family therapists)xc2xb7 The therapistxe2x80x99s recommendations, including whether the client agreed to the xc2xa0xc2xa0xc2xa0recommendationsxc2xb7 Referrals made/reasons for making referralsxc2xb7 Termination/issues that are relevant to the termination process (e.g., clientxc2xa0xc2xa0xc2xa0xc2xa0informed of loss of insurance or refusal of insurance company to pay forxc2xa0xc2xa0xc2xa0xc2xa0continued sessions)xc2xb7 Issues related to consent and/or informed consent for treatmentxc2xb7 Information concerning child abuse and/or elder or dependent adult abuse,xc2xa0xc2xa0xc2xa0including documentation as to where the abuse was reportedxc2xb7 Information reflecting the therapistxe2x80x99s exercise of clinical judgmentNote: Be sure to exclude any information that should not be found in a discoverable progress note.xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0Part 2: Privileged Notexc2xb7 Based on this weekxe2x80x99s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment. (SEE ATTACHED WEEK 3 NOTE),In your progress note, address the following:xc2xb7 Include items that you would not typically include in a note as part of the clinical record.xc2xb7 Explain why the items you included in the privileged note would not be included in the client familyxe2x80x99s progress note.xc2xb7 Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why. ‘