Using treatment plan for a reference, write a clinical progress note using progress, intervention, response, plan method. Write each section in paragraph form.  Adam was not willing to engage much but did reporte that he is doing ok and did not have any overall concerns.  He stated he didn't have anything he wished to discuss and stated "It is what it is".  Adam will experience a reduction in the severity of auditory hallucinations, disorganized speech, and catatonic behavior, as evidenced by a decrease in the frequency and intensity of these symptoms and an improvement in emotional expression over the next six months. This improvement will be measured by regular clinical assessments and symptom rating scales, leading to enhanced daily functioning and better engagement in therapeutic activities. 
Implementation
07/31/2024
Target
01/31/2025
 	Objective	Dates
	A
 	
Increase Adam’s ability to engage in daily activities and social interactions, as evidenced by improved participation in at least two structured activities per week and more consistent interaction with peers or family members. 
Start
07/31/2024
Target
01/31/2025
 	Intervention	Modality
	A
 	
Develop a structured daily schedule that includes at least two planned activities each week, such as joining a community group, participating in a hobby, or attending social events. This intervention aims to encourage routine engagement and social interaction. Regular check-ins will be scheduled to monitor adherence to the schedule and adjust activities based on Adam’s preferences and responses. 
Individual Therapy
	B
 	
Provide targeted social skills training to help Adam improve his ability to interact with others and manage social situations. This training will focus on communication skills, appropriate social behaviors, and coping strategies for managing discomfort in social settings. Role-playing exercises and guided practice during sessions will help Adam build confidence and competence in social interactions. 
Individual Therapy
	2
 	
Adam will achieve and maintain sobriety for at least six months, as evidenced by attending a minimum of two support group meetings per week, completing a substance use recovery program and remaining free of substance use per self-report and report of staff. 
Implementation
07/31/2024
Target
01/31/2025
 	Objective	Dates
	A
 	
Adam will develop and implement a structured daily routine that includes engaging in at least 30 minutes of physical activity and practicing mindfulness exercises five days a week, as evidenced by self-reported adherence and a weekly check-in with his therapist. 
Start
07/31/2024
Target
01/31/2025
 	Intervention	Modality
	A
 	
Work with Adam to create a daily schedule that incorporates physical activities and mindfulness practices. This includes setting specific times for exercise, such as jogging or attending a fitness class, and mindfulness practices like meditation or deep-breathing exercises. Review the schedule weekly to ensure adherence and make adjustments as needed. 
Individual Therapy
	B
 	
Engage Adam in individual therapy sessions focused on developing coping strategies and addressing triggers for substance use. Incorporate motivational interviewing techniques to reinforce his commitment to sobriety and adherence to the new routine. Use these sessions to evaluate his progress and provide feedback on how the structured routine is impacting his overall well-being.