Treatment Planning & Documentation (SMART Goals, Progress Notes)
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SMART Goals
All treatment goals should be SMART:
| Component | Definition | Example Element |
|---|---|---|
| Specific | Clear, well-defined target behavior | "produce /s/ in word-initial position" |
| Measurable | Quantifiable criterion | "with 80% accuracy" |
| Achievable | Realistic and attainable | Within client's ability given current level |
| Relevant | Meaningful to client's life/function | Targets functional communication |
| Time-bound | Has a defined timeline | "within 6 months" / "by the next IEP review" |
Goal Writing Formula
[Client] will [specific behavior] [context/condition] [criterion] [time frame].
Examples:
- "Client will produce /r/ in all word positions in structured conversation with 80% accuracy over 3 consecutive sessions."
- "Client will follow 2-step directions in the classroom with 90% accuracy by the annual IEP review."
- "Client will use a sentence strip on AAC device to make 3-word requests during snack time with 80% accuracy within 12 weeks."
High-Yield: Goals must be observable and measurable. Avoid vague terms like "improve," "understand," or "demonstrate knowledge of." Use action verbs: produce, use, identify, follow, respond, initiate, maintain.
The rest of this outline 6
- Goal Hierarchies
- Documentation Types
- Billing & Documentation Requirements
- Discharge Planning
- Documentation Red Flags (What NOT to Do)
- Sources to Know
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