Reports Flashcards
This type of report summarizes results of a diagnostic evaluation, gives background and case history and makes recommendations
Diagnostic Report
What are “all” areas assessed during a complete diagnostic evaluation?
Hearing Speech Production Voice Fluency Language Other
This report documents special education and related services to be received by individuals with special needs in the public school system
Individualized Education Plan (IEP)
Age range for individuals with an IEP
3-21 years old
Components of an IEP
- Baselines
- Goals/Objectives
- Services
- Placement
- Length of Services
- Adaptations and Other Accommodations
How often must an IEP be reviewed by the team?
Yearly
Plan for providing services for children with special needs and their families from birth to 3 years of age
Individual Family Service Plan (IFSP)
This government body mandates IFSPs and ISPs
Department of Economic Security, under Medicaid
Components of an IFSP
- Present level of Performance
- Goals and Objectives
- Recommended Services
- Dates and Length of Services
- Family’s Needs
- Transition Plans
Plan designed for individuals over 3 years old who are identified as having special long-term care needs.
Individual Service Plan (ISP)
Plan that is used to transition from IFSP
ISP
This plan is what must be presented to an insurance company to determine eligibility
Therapy Plan
This report includes a description of the problem, Goals and Objectives, Methods to be used, and EBP to support chosen methods
Therapy Plan
This type of progress notes are often used in medical settings.
SOAP notes
SOAP
Subjective (your opinion)
Objective (data gathered)
Assessment (interpret changes in data & progress)
Plan (pursuant to assessment results, propose new targets; continuation/change in therapy)
This report summarizes the treatment that has been provided and may include a chart of goal attainment. It is not necessarily a discharge from services.
Treatment/Discharge Report
This report is written after a session to summarize what was done.
Progress Notes (SOAP)
What should be included in a Therapy Plan?
Description of Problem
Goals and Objectives
Methods to be Used
EBP to support chosen methods
What are the main distinctions between an IFSP and an ISP?
IFSP=birth to 3 years, includes family needs and focuses on special services needed
ISP=3 years or older, long-term care needs, focuses on adult individual, may include plan for housing, employment, medication, etc.
What are some key reasons why reports are important and necessary?
An ongoing record of services received (when providers change)
A resource for other service providers
Eligibility for social assistance and insurance claims
Save time; avoidance of duplicated efforts and/or wasting time with methods that have already been unsuccessfully attempted
