S.D. Admin. R. 67:62:08:13

Current through Register Vol. 51, page 67, December 16, 2024

Section 67:62:08:13 - Group therapy progress notes

One progress note can be used for each group therapy session, if the note includes specific information for each client participating in the group. Group progress notes must include:

(1) Information identifying each client receiving services, including the client's name and unique identification number;

(2) The date, location, time met, units of service of the counseling session, and the duration of the session;

(3) The service activity code or title describing the service code or both;

(4) A brief assessment of each client's functioning;

(5) A description of what occurred during the session, including the specific action taken or plan developed to address unresolved issues to achieve identified treatment goals or objectives;

(6) A brief description of what each client and the provider plan to work on during the next session and any work that may occur between sessions, if applicable; and

(7) The signature and credentials of the staff providing the service.

S.D. Admin. R. 67:62:08:13

43 SDR 80, effective 12/5/2016; 50 SDR 063, effective 11/27/2023

General Authority: SDCL 27A-5-1.

Law Implemented: SDCL 27A-3-1, 27A-5-1(2)(3)(5).