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Reviews That Actually Change the Plan

Module 7: Writing Rehabilitation Plans That Work · Lesson 3 of 3

10 min Back to module

Story opener

Thursday, 4:40 p.m. A participant is sitting across from you, your supervisor wants three notes before you leave, and the answer you need is not in any binder on the shelf. This lesson is the part of the job nobody handed you in orientation.

Learning objectives

  • Be able to each objective gets an explicit disposition and rationale
  • Be able to bring prompting and completion data to every review

Lesson

A review is a decision point, not a paperwork event.

For each objective decide: achieved, continue, revise, or discontinue, and record the reason. Copy-forward reviews are visible to auditors and useless to participants.

Bring data. Attendance, completion rates, and prompting levels turn an opinion into a defensible decision.

Maryland guidance & authority labels

Every statement below is labeled so you know what is binding regulation, what is only proposed, what is professional guidance, and what is our house standard.

  • COMAR — current

    Each plan must contain individualized, measurable objectives tied to the participant's goal, with defined interventions, frequency, and review dates.

  • Internal best practice

    If two participants' plans could be swapped without anyone noticing, neither plan is individualized.

Common mistakes

  • Describing what you did without describing what the participant did.

    Do this instead — Record the intervention and the participant's observable response to it.

  • Treating regulation as a filing chore separate from practice.

    Do this instead — Let the required elements shape the session itself, so documentation writes itself.

Practical examples

Practical example

Instead of 'met with participant to discuss goals,' write: 'Reviewed the transportation objective; participant identified the #22 route unassisted and named one back-up plan. Verbal prompt needed once. Next session: practice the transfer at Mondawmin.'

Key takeaways

  • Each objective gets an explicit disposition and rationale
  • Bring prompting and completion data to every review

Reflection prompts

  1. 1Which part of this lesson describes something you are already doing differently in practice?
  2. 2What would an auditor see in your last five notes that contradicts this standard?

Bring your answers to supervision — the case-study workspace in this module saves written notes to your account.

Knowledge check

4 questions drawn from a bank of 7 · 75% to pass · instant feedback on every answer

1. How should you treat this statement? "If two participants' plans could be swapped without anyone noticing, neither plan is individualized."

2. Which additional point does "Reviews That Actually Change the Plan" emphasize?

3. At review, an objective with no progress and no barrier analysis should be:

4. Which statement is a key takeaway from "Reviews That Actually Change the Plan"?

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