Part 1: Progress Note Using the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following: • Treatment modality used and efficacy of approach • Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the treatment plan for progress toward goals) • Modification(s) of the treatment plan that were made based on progress/lack of progress • Clinical impressions regarding diagnosis and or symptoms • Relevant psychosocial information or changes from original assessment (e.g., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job) • Safety issues • Clinical emergencies/actions taken • Medications used by the patient, even if the nurse psychotherapist was not the one prescribing them • Treatment compliance/lack of compliance • Clinical consultations • Collaboration with other professionals (e.g., phone consultations with physicians, psychiatrists, marriage/family therapists) • The therapist’s recommendations, including whether the client agreed to the recommendations • Referrals made/reasons for making referrals • Termination/issues that are relevant to the termination process (e.g., client informed of loss of insurance or refusal of insurance company to pay for continued sessions) • Issues related to consent and/or informed consent for treatment • Information concerning child abuse and/or elder or dependent adult abuse, including documentation as to where the abuse was reported • Information reflecting the therapist’s exercise of clinical judgment Note: Be sure to exclude any information that should not be found in a discoverable progress note. Part 2: Privileged Note Based on this week’s 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. In your progress note, address the following: • Include items that you would not typically include in a note as part of the clinical record. • Explain why the items you included in the privileged note would not be included in the client family’s progress note. • Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why.