Group Therapy Progress Note (Pediatric Psychology)

Date of Service: [Date]

Patient: [Patient identifier]

Provider(s): [Facilitator name and credentials; include co-facilitators if applicable]

Service: [Group name and session number, e.g., Session # of #]

Location/Modality: [Clinic name] [in-person / telehealth]

Duration: [Total face-to-face minutes; note partial attendance if applicable]

Group Size: [Number of participants present]

Caregiver Present: [Yes / No] (If yes, note relationship and whether present for full or partial session.)

Group therapy consent and confidentiality limits reviewed; assent obtained. (Include only if this is the patient's first group session or confidentiality was formally reviewed today; otherwise omit this line entirely.)

Group Session

[Session topic and focus] [Skills taught or practiced] [Brief description of activities or format] (Summarize in 2–3 sentences. Refer to other participants as "peers," "another group member," or "the group"—never include other members' names.)

Individual Participation & Response

[Attendance and engagement level] [Patient subjective report and check-in items relevant to goals] [Homework status: completed / partially completed / not completed / not assigned, with brief details] [Observed affect, behavior, regulation, and interaction style] [Response to interventions: what was helpful vs. difficult; observable change or practice attempts] [Progress toward individualized treatment goals] (Write a concise, individualized narrative paragraph. Include brief clinically relevant quotes when useful. Do not infer or assume details not explicitly stated. Do not name other group members.)

Safety

[Safety status] (Use a succinct statement such as "Denies SI/SH/HI today" or "No acute safety concerns identified." If any concern is present, expand to include: precipitating factors, risk domains assessed, protective factors, actions taken, caregiver notification details, safety plan status, and disposition. If safety was not assessed due to session format, note "not assessed" with brief reason.)

Assessment

[Clinical impression linking observed participation and symptoms to treatment goals] [Functional impact on school, sleep, activities, or adherence as relevant] [Risk impression if clinically indicated] (Limit to 2–4 sentences.)

Plan

• Practice assignment: [Specific skill to practice; frequency; context for when/where to practice] (Be concrete and measurable.)
• Barriers and supports: [Anticipated obstacles; caregiver prompts or reminders; environmental supports]
• Next session: [Date or timing of next group session]
• Coordination: [Communication with medical team, school, or other providers] (Include only if applicable.)
• Escalation instructions: [Crisis resources and follow-up plan] (Include only if safety concern identified.)

(Omit items that do not apply rather than leaving placeholders. Never auto-fill safety status, participation details, or homework completion.)