What should be included in the session summary?

Including procedures used, observations, and behavior data in the session summary is crucial for several reasons. This information provides a clear account of what occurred during the session, enabling others to understand the specific strategies implemented and their effectiveness. Observations can highlight the client's engagement levels, responsiveness, and any notable behaviors, while the behavior data quantitatively measures the client's progress and areas needing improvement.

Such detailed documentation supports continuity of care and ensures that all team members are informed about the client's development. It also allows for informed decision-making regarding future interventions and adaptations to the treatment plan, based on the client's current performance and needs. Additionally, comprehensive session summaries contribute to accountability and the ability to track progress over time, which are essential elements in evidence-based practice.