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In this document you will find some sample session notes, a session note cheat sheet, an edited session note! Summary of Client's response: Cindy appropriately responded to the fading of prompts across various programs during the session and independently engaged in tacts of objects, joint attention, and Response to name in the home environment. When the instruction, “Time to go potty” was issued Cindy engaged in a 3 min. Tantrum. Extinction procedures were implemented and Cindy stood up after the 5th repeated instruction and transition to bathroom. Cindy independently removed clothing and successfully used the toilet. Cindy responded to implementation of various body part exemplars to include doll, poster, and self when targeting generalization of mastered skills.
Summary of Client's progress: Cindy continues to make progress in tact objects program. He required a prompt on the first trial but then responded correctly across all additional trials to equal 90% accuracy. Joint attention continues to increase in the natural environment and client responded after fading gesture prompt with 70 accuracy. This is an increase from yesterday’s performance of 50%. Cindy continues to require prompts for response to name however he has shown an increase in responding as well as generalization across person. Today’s percent of 33% is an increase from yesterday’s score of 25%. When the instruction, “Time to go potty” was issued Cindy engaged in a 3 min. tantrum. This was the only tantrum during the session and is a reduction in duration in comparison to the last session which equated to a tantrum duration of 18 minutes. Cindy has mastered a total of 20 body part tacts. This is an increase from last weeks total of 15 and today he correctly generalized across various stimuli. Provider Signature: Supervisor Signature: Susan Jordan
Summary of client's response: Describe how the beneficiary responded within the current session given the implementation of the treatment plan goals. Include strengths as well as an explanation of barriers to progress -This is where the bulk of writing should be. Write as many sentences to describe the client's response to the RBT implementation of techniques. Write a few snipets about these techniques on a separate session note to later copy and paste into Central Reach Summary of client's progress: Discuss mastery of exemplars, programs, and overall progress within the current session or as compared to the prior session. -This is where the bulk of writing should be. Write as many sentences to describe the client's progress between sessions. You may quantify (i.e, use numbers, percentages or opportunities) in this section. This is more of a comparison section from previous sessions to today. -Provider Signature: You sign here -Supervisor Signature: Add your supervisor's name for the specific client, DO NOT sign for your supervisor.
Be more specific i.e. Client said "Hi! Lets go play!" and immediately led RBT to the room. Client showed RBT her makeup set, and engaged in play with the marbles saying "Look what I have!" She easily transitioned into the learning environment and was engaged as soon as the session began. Session Note Example Edit:
- CLINICAL STATUS: Client did not exhibit any maladaptive behaviors upon arrival. Client immediately asked for toys and led RBT to the room and showed her all her toys. This is good! You can talk a little more about how you implemented pairing or differential reinforcement etc.
- ABA TECHNIQUES: Session focused on pairing RBT with client. Differential reinforcement was provided for full sentence mands. Prompted mands were not reinforced, item was granted once client manded using targeted language. Token board and access to tangible were reinforcers. I would try to make this the longest part of your note, think about it like cause and effect. "When RBT did this, Client did this" i.e. RBT provided verbal praise saying "Good job Client!" and Client responded by screaming, smiling and jumping up and down. Client engaged in play with RBT as evidenced by her singing along, telling RBT "it's your turn!" and asking to continue to play social games. You should also discuss Client's response to programs during the session. i.e. Client responded well to a full echoic prompt while targeting basic mands and the prompt was able to be faded out across successive trials. She independently engaged in the mand "play the video" while watching an incredibles clip on youtube.
- RESPONSE TO TREATMENT: Client responded with smiles when vocally praised. Client also responds positively to music/singing by dancing and singing along, pairing with RBT. I like that you specifically said 8 times in the last hour! For the second part, remember that the "what is mom/dad/sibling doing?" is the SD for the program, not a prompt. A correct response for this program is for the client to say the action when asked what the other person is doing. In this section you can also talk about any behaviors even if they did not occur i.e. "Client did not engage in any protest or tantrum responses which is a decrease from the previous session."
- Client manded using full sentence verbal language 8 times in the last hour. She was able to independently identify the RBT doing the motion of "twisting", 100% of the time when prompted "what is she doing".
Summary of Client’s Progress: A. has mastered a total of 10 compliance targets and systematic prompts are being faded for current target: STOP. Today, A. independently responded correctly to “STOP” without a prompt in 3 out of 10 trials. This is a progress from yesterday which was 100% prompted. RBT began to modify schedule of reinforcement based on previously recommendation from BCBA for toilet training. Started using VR 2 schedule. A. had 0 toileting accidents and 4 successes. Accidents continue to decrease across all sessions. Provider Signature: Supervisor Signature: Susan Jordan
