Headings
Goals · Intervention · Response · Plan
When to use it
GIRP opens every note with the treatment plan goal the session worked on. That makes the link between each visit and the plan easy for an auditor or payer to follow. It suits goal-based work with a clear target, such as exposure, and differs from BIRP by starting from the goal, not the behavior.
Example
Fictional example
Goals
Goal 2: M.O., 48, will drive on the interstate for 20 minutes without exiting, in support of returning to his regional sales route.
Intervention
Reviewed his exposure log. Planned the next step in his hierarchy: one exit of highway driving with his wife as passenger. Rehearsed paced breathing and coping statements for the on-ramp.
Response
Log shows three drives on the frontage road this week, anxiety peak 6 out of 10, down from 9. Stated he is “nervous but ready.” Anticipatory anxiety rated 5 out of 10 at end of session.
Plan
Complete the one-exit drive three times before next week and record peak anxiety each time. Next session sets the two-exit step.