CLIENT PROGRESS NOTES
[Date 06/26/71 DX Payor
MENTAL STATUS
[Appaarcaoet
| PP poor hygiene A disheveled __ inappropriate attire __well-groomed
place _time gf situation
| afaervorenea _—disorjgntedincoherent sf confused ___ impaired judgment ,__ impaired insight
cory tnsleneniise Vabart sera licay ra sbeareal uerenietsa remem
A fengenval peychomotor retardation —afweight loaa weight guin tearfulnens
Speech:
fal peat gle gf montanes preemie
Behavior:
cooperative, uncooperative __ threatening __aginted __ agyreseire
Mood Affect:
“congruent __blunted/flat ___labile of depressed/sad Wf anxious ___ irritable __ angry
fostle —_Taiense caf hopelese/helplese af worthless _—anhcdonia —euthymic —_ eephoria
oe
“Pic " _nypersomnia __ nightmares __decreased libido __ increased tbido af fatigue
orl wus 2" socteced wots eatte pacieioros = oa tagsionantin aly neni
Thought Content:
Peru etn sf wuicidl dato of itint __losening of endian fig of ean
plan/means___ ‘aitempts
GESSURS aaliayc von. cise aot
Sa ere
Deseription of plan of dies
Professional intervention services: __ Social Worker __Nutritionist __Nurse of Other specialist
None needed reece node plese describe gus therapy GX A Wee
Transportation needed yes no _ If yes please describe purpose, type needed, and arrangements:
Referral to community service
"Linen health af sabotance abuse domestic violence shelter __ECt___parenting classes
—tnedical "educational assistance _—child care "~~ homeless seivces _~ financial aid
"Senior citizen services food/clohing "childbirth dasees no services needed
Describe services needed: Dawiomt is fo Nave diet mowiteved aud iS fo have
Describe coordination with medical care providers: eter aug tests
Deseribe coordination with mental health professional: