Writing an ITP for BrICC Initial ITP due 9:00 a.m. Monday Writing an ITP for BrICC Winter 2019

agenda Background Information How to report formal assessments Initial ITP vs Final ITP Goals: LTGs and STOs Comments and Impressions Recommendations

Background information See BrICC Documentation Checklist and “What Works What Doesn’t” on InfoCDS You may refer to prior ITPs for background info on your client; however, make sure to edit: Take out information that is no longer important/does not need to be repeated each term Add new relevant information

The last paragraph of the Background Information section should tell the story of: How were goals for the current term selected for this client? How was the treatment approach selected? What makes this treatment approach appropriate for this client compared to other possible approaches? How will the goal progress be measured, and why was this method of measuring progress selected as appropriate for these goals and this client?

No “Current Assessment RESULTS” section Do not include a separate section for CURRENT ASSESSMENT RESULTS. 1) No formal assessment this term no assessment results in ITP 2) A formal assessment at the beginning of this term for treatment planning purposes last paragraph of Background Information section Why was it given? What were the findings? How were they relevant to treatment planning? 3) A formal assessment at the end of the term to measure progress Summarize briefly in the status section of the goal pertaining to that domain. Any detailed score report you decide to include in the ITP goes in an Appendix at the end of the ITP

Initial ITP Final ITP Header Background Information Summary of Progress Goals – LTGs and STOs Baselines for LTGs and STOs Header Background Information Summary of Progress Goals – LTGs and STOs Baseline and status Achieved or In Progress Comments and Impressions Recommendations

Long term goal (LTG) Should be measurable (can be measured using a GAS) Should be measured by impact data – how treatment is impacting everyday functioning in activities of daily living Should include a baseline measurement Example: BESU will increase her ability to independently navigate while driving by utilizing an external aid of a GPS smartphone application as measured by weekly GPS tracking log. Please see Appendix for Goal Attainment Scale (GAS). Note: the full GAS goes at the end of the ITP in an Appendix.

Short term objective (STO) Usually measured by objective session data It is expected that achieving the STOs will help lead to improvement in the LTGs outside of the session in everyday contexts Each one needs a baseline The baseline should be written using the exact same criteria as the goal language—nothing about how the task is set up or measured should be different.

Example STO MADA will increase his accuracy in performing the steps necessary to open, edit, and save documents on his laptop with a visual aid (i.e., a list of steps) by completing 4 out of 6 steps needed to work on his compilation of eight short stories without verbal cues in the clinic setting as measured by the clinician.   Baseline: On 5/16/17, MADA completed 1 out of 6 steps with a visual aid and without verbal cueing.

Goal writing worksheet Choose a client and write the client code at the top Try filling it out Can discuss with peers and supervisors Share with the group Any suggestions for improving this worksheet—please email Heidi.

Comments and impressions ***FOR THE FINAL ITP ONLY*** Enough information to allow the reader to determine: Did they make progress? Did the selected treatment approach turn out to be a good fit for this client? Why/why not? If not, how should the approach be changed or modified next term? Does it “connect the dots”? Does it make sense and tell a logical story of your work with the client this term?

***FOR THE FINAL ITP ONLY*** recommendations ***FOR THE FINAL ITP ONLY*** A numbered list Should follow logically from what you discussed in the preceding sections Like the “Plan” section of a SOAP – what to do NEXT TERM At the end of the term, communicate with the next clinician about how to implement your recommendations!

DISCUSSION 1.) What did you learn last term about writing ITPs that applies or doesn’t apply to BrICC ITPs? Discuss 2.) If you are struggling with an aspect of ITP writing, which resources do you think will be most helpful for you?