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Clinical Documentation and STIPS Case Note

For your initial post to this discussion, develop a case note about a client session you recently completed. Use the Signs and Symptoms, Topics of Discussion, Interventions, Progress and Plan, and Special Issues (STIPS) format as presented in the Prieto and Scheel’s 2002 article, “Using Case Documentation to Strengthen Counselor Trainees’ Case Conceptualization Skills.” Maintain confidentiality by altering all names or specific identifying information.

Before posting, review your STIPS case note for errors. Note any clinical documentation errors that detract from the validity of the information. Describe what errors you discovered in your clinical writing and how you might begin to improve those areas. In addition, identify areas where your documentation meets professional standards for clarity, accuracy, and writing skills.

Your post and responses are expected to be substantive in nature and to reference the assigned readings, as well as other theoretical, empirical, or professional literature to support your views and writings. Reference your sources using standard APA guidelines.

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