BIRP Charting Notes - East Carolina University

BIRP Charting RCTX 3254 East Carolina University B.I.R.P. Notes More common in Psychiatric or Behavioral Health Settings Problem-oriented format B.I.R.P. Notes B “Behavior” I “Intervention” R “Response” P “Plan” “B” (Behavioral) Therapist observation, client state...

BIRP Charting RCTX 3254 East Carolina University B.I.R.P. Notes More common in Psychiatric or Behavioral Health Settings Problem-oriented format B.I.R.P. Notes B “Behavior” I “Intervention” R “Response” P “Plan” “B” (Behavioral) Therapist observation, client statements Subjective data about the client—what are the client’s observations, thoughts, direct quotes? Objective data about the client—what does the therapist observe during the session (affect, mood, appearance)? “I” (Intervention) methods used to address goals and objectives, observation, client statements “R” (Response) Client’s response to intervention and progress made toward tx plan goals and objectives “P” (Plan) Document what is going to happen next B.I.R.P. Example 6/12/20 B: Pt. was found crying, curled up in a chair off to himself.------------------------------------------------------ I: Pt. met with CTRS for 30 min. session on 6/10/20 to process emotions. Pt. offerred individual counseling and encouraged pt. to use journaling.- R: Pt. appropriately discussed missing his siblings and his concerns about their relationship. Review ITP for emotional processing goals.------------------ P: Staff will continue to encourage pt. to discuss emotions in individual sessions and use expressive journaling.---------------- David P. Loy, CTRS/LRT Let’s Practice in Lab Carl is a 42 yo Caucasian with an unspecified cognitive impairment. He has been incarcerated and is in a mental institution for treatment. HINT: Look for Behaviors that require INTERVENTION.