Recreational Therapy Progress Note (DARP)

Patient: [name and MRN/ID]

Date/Time: [date and time of service]

Location: [unit / gym / community setting / other]

Service: [individual RT / group RT / co-treat / outing / other] | Duration: [total minutes or start/stop time per facility policy]

Provider: [clinician name and credentials]

(If the session did not occur, complete the block below and omit the Focus and DARP sections.)

Attendance status: [refused / no-show / canceled / unable to attend / other] — [reason if known]

Outreach and plan: [engagement attempts, alternatives offered, safety checks if indicated, and plan for next contact or rescheduling]

(If the session occurred as scheduled, delete the above block.)

Focus

[Problem, need, or goal addressed with linkage to treatment plan or ITP goal if available]

(If multiple distinct foci were addressed, duplicate the entire Focus + DARP block for each.)

Data

[Encounter-specific subjective and objective information relevant to the focus: key patient statements, observable presentation, and participation context] (Use direct quotes for high-impact remarks. For group sessions, describe the individual patient's presentation; avoid generic group statements. Do not repeat historical information documented elsewhere.)

Action

[Skilled RT intervention(s) provided: therapeutic technique and what the therapist specifically did, dosage/intensity, prompts/assistance level, adaptations, and any risk management or coordination steps] (If the patient refused or the intervention did not occur, document engagement attempts and barriers. For co-treatment sessions, clearly delineate RT-specific actions.)

Response

[Observable patient response tied to the focus and goals: engagement quality, behavioral change, skills demonstrated, and measurable indicators when available] (Use behavioral, observable language—avoid vague terms without concrete anchors. Note barriers or adverse responses and any in-session adjustments. For group sessions, make the response patient-specific.)

Plan

[Future-facing next steps: continuation/modification/discontinuation of approach, next session targets and progression, homework or carryover activities, RT-relevant safety plan elements, coordination needs, and next scheduled contact if required] (Include only future-facing steps; do not list actions completed today.)

(For additional foci addressed in the same encounter, repeat: Focus → Data → Action → Response → Plan.)