What do progress notes typically include?

Progress notes are a vital component in the documentation of an individual’s journey in mental health care or support services. They are designed to provide a clear, objective account of the interactions and experiences that occur between the peer specialist and the individual they are supporting.

By focusing on details about peer interactions and progress, progress notes serve to track the individual’s development over time. This includes documenting specific achievements, challenges, and how the individual is utilizing the support provided. The emphasis on measurable outcomes and observable behaviors allows for a better understanding of the individual's progress and areas where they may need additional assistance or support.

While personal opinions, general observations, and justifications of methods might be relevant in some contexts, they do not constitute the primary focus or purpose of progress notes. The goal is to maintain an objective record that facilitates ongoing assessment and planning for the individual’s journey toward recovery and self-management. This ensures that the information is useful not only for the peer specialist but also for any other professionals involved in the individual's care.