shaun.burke
05-11-2020, 10:16 AM
I need to enter data into the demographics table, the TXgoals table, and the Interventions table so into the form so that I can have staff
add, delete, and modify goals and interventions into DailyServices and DailyInterventions tables.
I probably am not going about this right, so here is a run down of what I'm trying to do. Our agency provides support to students with
emotional disturbance in a classroom setting. There are typical multiple services provided throughout the daily based on the
needs of the student. We bill in 15 minute increments for those services but we can be working with a student for 15 minutes
or for several hours, based on the need of the student. We need to be able to document the services provided and provide data on the
effectiveness of treatment. A progress note will have the date, start / end time, the service type, that class / activity that was
occurring during the service and the service being provided. We need to be able to document which interventions from the
student's treatment plan we used during the time we provided services. We then need to give the purpose of the intervention
why the service is being provided), Response (the response of the student to the intervention, and the Plan (What happens next
based on the results of the intervention). We need to be able to state whether the intervention was effective or not.
Here's an example
Let's say I'm working with Johnny. I worked with him during Math class from 7:40 AM - 8:20 AM to stay on task. He was avoiding doing
his work, talking to those around him, drawing on his notebook, or making disruptive noises. I tried tried to redirect him to focus
which led him to tell me to "f-off." I then used environmental structuring (I sat next to him), which led him to escalate and get louder.
I then reminded him of his skills and encouraged him to use impulse control strategies, which led him to apologize and get on task. So,
during Math from 7:40 - 8:20 I used 3 different interventions for his Staying on Task treatment goal. I need to document that in a
progress note and track the data from that and see trends (is misbehaviors during a particular time of day, particular class. Is there
an intervention that tends to be more effective, is there one that doesn't work...etc).
So, here is the logic in what I set up. There needs to be a demographics sheet that identifies the students. I then need a sheet for
the treatment goals, measurable objectives, and the interventions. I put the interventions in a separate worksheet because there are
several interventions per treatment goal. I then have 2 separate sheets for the progress notes data entry, one for the daily services
being provided, when they are being provided, and the purpose, response, and plan for the interventions used during that time. I then
put the daily interventions in a separate sheet because I didn't know how to put multiple interventions per services all in one sheet.
Finally, I put in a daily summary worksheet because one of the programs uses a daily summary rather that a Purpose/Response/Plan for each
Service provided. That program still has several services throughout the day but only needs to document the day overall.
I still need to build the progress note report itself as well as an encounter report. I also haven't built any of the reports for overall
progress.
I am having a hard time pulling from the separate sheets of Demographics, Tx goals, and interventions to be able to add into the daily services, daily interventions, and daily summary worksheets. I am also having a hard time thinking about the most efficient way to create the daily progress notes
I have reattached the file with all of the sheets. .
add, delete, and modify goals and interventions into DailyServices and DailyInterventions tables.
I probably am not going about this right, so here is a run down of what I'm trying to do. Our agency provides support to students with
emotional disturbance in a classroom setting. There are typical multiple services provided throughout the daily based on the
needs of the student. We bill in 15 minute increments for those services but we can be working with a student for 15 minutes
or for several hours, based on the need of the student. We need to be able to document the services provided and provide data on the
effectiveness of treatment. A progress note will have the date, start / end time, the service type, that class / activity that was
occurring during the service and the service being provided. We need to be able to document which interventions from the
student's treatment plan we used during the time we provided services. We then need to give the purpose of the intervention
why the service is being provided), Response (the response of the student to the intervention, and the Plan (What happens next
based on the results of the intervention). We need to be able to state whether the intervention was effective or not.
Here's an example
Let's say I'm working with Johnny. I worked with him during Math class from 7:40 AM - 8:20 AM to stay on task. He was avoiding doing
his work, talking to those around him, drawing on his notebook, or making disruptive noises. I tried tried to redirect him to focus
which led him to tell me to "f-off." I then used environmental structuring (I sat next to him), which led him to escalate and get louder.
I then reminded him of his skills and encouraged him to use impulse control strategies, which led him to apologize and get on task. So,
during Math from 7:40 - 8:20 I used 3 different interventions for his Staying on Task treatment goal. I need to document that in a
progress note and track the data from that and see trends (is misbehaviors during a particular time of day, particular class. Is there
an intervention that tends to be more effective, is there one that doesn't work...etc).
So, here is the logic in what I set up. There needs to be a demographics sheet that identifies the students. I then need a sheet for
the treatment goals, measurable objectives, and the interventions. I put the interventions in a separate worksheet because there are
several interventions per treatment goal. I then have 2 separate sheets for the progress notes data entry, one for the daily services
being provided, when they are being provided, and the purpose, response, and plan for the interventions used during that time. I then
put the daily interventions in a separate sheet because I didn't know how to put multiple interventions per services all in one sheet.
Finally, I put in a daily summary worksheet because one of the programs uses a daily summary rather that a Purpose/Response/Plan for each
Service provided. That program still has several services throughout the day but only needs to document the day overall.
I still need to build the progress note report itself as well as an encounter report. I also haven't built any of the reports for overall
progress.
I am having a hard time pulling from the separate sheets of Demographics, Tx goals, and interventions to be able to add into the daily services, daily interventions, and daily summary worksheets. I am also having a hard time thinking about the most efficient way to create the daily progress notes
I have reattached the file with all of the sheets. .