DAP Structure

Data: session themes, client statements, observed behavior, interventions, and skill practice.

Assessment: response to intervention, progress toward goals, risk, Dx status, and barriers.

Plan and Follow-Up

Focus	Documentation
Data	Session themes, patient statements, observed behavior, interventions delivered, and skills practiced. Patient report / themes: Observed behavior: Intervention / skill practice:
Assessment	Clinical impression, response to intervention, progress toward goals, risk, and barriers. Clinical impression: Progress / response: Risk status:
Plan	Homework, next focus, referrals or orders, safety actions, and appointment cadence. Next steps: Home practice: Follow-up:

Focus

Documentation

Data

Session themes, patient statements, observed behavior, interventions delivered, and skills practiced.

Patient report / themes:

Observed behavior:

Intervention / skill practice:

Assessment

Clinical impression, response to intervention, progress toward goals, risk, and barriers.

Clinical impression:

Progress / response:

Risk status:

Plan

Homework, next focus, referrals or orders, safety actions, and appointment cadence.

Next steps:

Home practice:

Follow-up: