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LEGEND:
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Link to a PDF document
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Link to non-CDC Web site
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Adobe
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Download the Reader.
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| Part 4: HIV Risk Reduction Counseling |
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| D. Documenting client sessions
Documenting your sessions as soon as possible after the session is over is extremely important –
- Keeps track of the content of your sessions, including new info and outcomes
- Helps you and your clients identify successes and barriers
- Tracks the development of and changes in your clients’ prevention planning
- Tracks the referrals you make for your clients and the outcomes of those referrals
There are several uses for the data you collect in documenting your sessions. Most of the data you collect should be for managing the work with your clients. Some of these data will also be used for reporting; at least, there should be some overlap with these two types of data uses. Much of the data you collect will be useful for monitoring your program as well as your clients’ progress and for program evaluation.
You should document –
- Reduction or elimination of your clients’ risk behaviors
- Your clients’ utilization of referrals
- Disclosure of risk behaviors over time
- Revisions to the prevention plan as new information is gathered and new priorities are set
- New goals or objectives toward risk reduction
- Small action steps to reach objectives
- Problems encountered as prevention plan unfolds; that is, progress and successes with goals, objectives, or action steps and barriers to risk reduction faced by your clients
| A sample case notes template is in
Appendix F1, and instructions for the case notes template is in
Appendix F2. A sample session activities and content template is in
Appendix G. |
Go to section 2 part 5
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