- (a) The partial hospitalization program shall have a policy and procedure mandating the chronological documentation of progress notes for clients admitted to the partial hospitalization program.
(b) Progress notes shall minimally address the following:
- (1) Person or persons to whom services were rendered;
- (2) Activities and services provided and as they relate to the goals and objectives of the treatment plan, including ongoing reference to the treatment plan;
- (3) Documentation of the progress or lack of progress, as defined in the treatment plan;
- (4) Documentation of the treatment plan's implementation, including client activities and services;
- (5) The client's current status;
(6) Documentation of:
- (A) The client's response to services;
- (B) Changes in behavior and mood; and
- (C) Outcome of services;
- (7) Plans for continuing therapy or for discharge, whichever is appropriate; and
- (8) Progress notes shall document progress daily.