Headings
Session information · Who attended · Presenting concerns · School and development · Family context · Interventions used · Response · Risk · Plan
When to use it
Use it for therapy with children and teens, where parents or caregivers often join part of the session. It adds school, development and family context that adult notes skip, and records exactly who was present for each part. Choose it over a family note when the child is the identified client.
Example
Fictional example
Session information
Individual session 6, 50 minutes, in office, with play materials.
Who attended
N.E., 9. Mother present for the first 15 minutes.
Presenting concerns
Crying and stomachaches on school mornings. Refused to get out of the car twice this week.
School and development
Third grade, reading at grade level. Teacher reports he settles within 20 minutes of arrival. Developmental milestones on time.
Interventions used
Drew a “worry monster” and practiced talking back to it. Taught belly breathing with a stuffed animal. Coached mother on a short, calm drop-off routine.
Risk
No safety concerns reported by child or mother.
Plan
Weekly sessions. Mother to use the new drop-off routine and track mornings on a sticker chart.