What do session notes typically include?

Session notes are intended to provide a concise and accurate record of an intervention or therapy session. They typically include essential details such as the date and time of the session, which serve to document when the interaction took place. This is critical for maintaining an organized record for both practitioners and clients, facilitating the tracking of progress over time, and ensuring continuity in care.

Including the date and time allows for effective scheduling and follow-up, while also providing context for the notes taken during that particular session. This information is fundamental to any clinical documentation as it aligns with professional standards and requirements for record-keeping in therapeutic settings.

In contrast, while client histories, background research, and theoretical frameworks can be valuable in developing treatment plans or understanding client needs, they are not standard contents of session notes. Session notes focus primarily on the session itself, making the date and time vital for clarity and organization.