Vocational Horticultural Therapy Progress Note (Job Skills/Productivity)

Date of Service: [Date of service]

Participant: [Participant name or ID]

Service Location: [greenhouse / garden / farm stand / community placement / other]

Session Type: [individual / group]; [on-site / community-based]

Clinician: [Name and credentials]

Time: [Start–Stop or total minutes]

Vocational Focus & Safety

[Connection to current vocational plan goals and targeted domains] (Briefly link today's session to active vocational goals such as productivity/pace, work quality, safety compliance, task initiation, following directions, independence/support fading, or transferable job skills.)

[Active restrictions or precautions relevant to horticultural work] (Only include if applicable.)

PPE Compliance: [Observed compliance or noncompliance details]

Tool/Equipment Safety: [Adherence to safety procedures]

Environmental Precautions: [Hazards identified and mitigations addressed]

Safety Events: [No incidents or near misses observed or reported / Incident or near miss description with immediate response and preventive plan] (If none occurred, use the exact phrase: "No incidents or near misses observed or reported.")

Participant-Reported Factors: [Symptoms, context, or subjective experience affecting performance, with selective direct quotes when meaningful] (Only include if reported.)

Session Performance

(Create a Task block for each distinct task performed. Omit lines not applicable to the task. If data were not collected for an applicable item, briefly explain why.)

Task: [Task name with work context and expected standard]

• Modifications/Adaptive Tools: [Accommodations or adaptive equipment used]
• Productivity: [Units completed, rate, or percentage of expected quota]
• Quality/Accuracy: [Error count or type, rework needed, quality check outcomes]
• Work Behaviors: [Initiation, sustained attention, organization, following directions, problem-solving]
• Independence & Cueing: [Independent / Supervision / Standby assist / Min assist / Mod assist / Max assist]; [none / rare / occasional / frequent / constant] cueing; [verbal / visual / gestural / modeling / checklist]
• Safety Compliance: [Task-specific safety behaviors observed]
• Skilled Interventions: [What was done, why it was needed, and immediate participant response] (Examples: task grading, structured teaching, behavioral strategy, tool adaptation, safety training, support fading.)
• Transferable Skills: [Job skills demonstrated or trained] (Examples: time management, SOP adherence, quality self-check, supervisor communication, adaptability.)
• Completion Status: [Completed / Not completed—time-limited / participant choice / safety stop / fatigue]

Assessment

[Clinician interpretation of today's performance with progress toward vocational goals] (Compare to prior performance when available: improved/unchanged/declined with evidence. Interpret readiness for increased independence or placement. Identify barriers and facilitators. If safety noncompliance occurred, state risk level and mitigation. Conclude with justification for continued services.)

Plan

• Next Session Focus: [Tasks and skills to be practiced]
• Support-Fading Plan: [Specific measurable criteria for fading supports] (Example: "Fade labeling checklist once accuracy ≥95% across 2 sessions.")
• Safety Plan Updates: [Changes or reinforcement needed] (Only include if applicable.)
• Coordination: [Communication with case manager, vocational counselor, employer, or other team members] (Only include if applicable.)
• Placement/Transition Actions: [Job sampling, community visits, interview practice, work portfolio contributions] (Only include if applicable.)

Author Signature: [Name, credentials, date/time]

Co-Signature: [Name, credentials, date/time] (Only include if required by program policy.)