HSV 594: Monthly Report and Log Information
Clinical Mental Health, Alcohol and Drug, Forensic Mental Health Students
Month:
Name: Course: HSV 593 HSV 594 ☑ HSV 595 HSV 596
Site: Serenity Recovery Centers
| Direct Service
Major Task |
Mon | Tue | Wed | Thu | Fri | Sat | Sun | Total |
| Individual
Counseling |
1.0 | 1.5 | 2.0 | 1 | 1.5 | 7 | ||
| Family/Couples
Counseling |
2.0 | 1.5 | 1.0 | 0.5 | 1.75 | 0.5 | 7.25: HSV 594: Monthly Report and Log Information | |
| Group
Counseling |
1.0 | 0.5 | 1.75 | 1.5 | 1.5 | 6.25 | ||
| Diagnostic
Interviewing |
1.5 | 0.5 | 0.5 | 0.5 | 0.75 | 0.75 | 4.5 | |
| Testing &
Assessment |
0.75 | 0.5 | 0.25 | 0.5 | 0.75 | 2.75 | ||
| Co-therapy | 0.5 | 1.5 | 0.75 | 0.5 | 0.25 | 1.5 | 5 | |
| Career
Counseling |
0.75 | 0.5 | 0.5 | 1.5 | 1.75 | 5 | ||
| Monthly Direct
Service Total |
37.75 | |||||||
| Indirect Service
Major Task |
Mon | Tue | Wed | Thu | Fri | Sat | Sun | Total |
| Observation | 1.0 | 1.5 | 1.0 | 1.0 | 1.5 | 0.5 | 6.5 | |
| Phone/Email | 0.5 | 0.5 | 1.0 | 0.75 | 0.5 | 3.25 | ||
| Referrals | 0.5 | 0.5 | 0.25 | 0.5 | 1.75 | |||
| Referrals/Case
Management |
1.0 | 0.75 | 0.5 | 1.5 | 0.25 | 4 | ||
| Notes | 2.0 | 1.5 | 1.0 | 1.75 | 1.0 | 1.0 | 8.25 | |
| Report Writing | 1.0 | 1.25 | 0.75 | 1.0 | 4 | |||
| Case
Consultation |
0.5 | 0.75 | 1.75 | 1.5 | 1.0 | 5.5 | ||
| Staff Meetings | 0.25 | 0.75 | 0.5 | 1.5 | 0.5 | 3.5 | ||
| Professional
Development |
1.0 | 1.0 | 0.75 | 0.25 | 1.0 | 4 | ||
| Monthly Indirect Service
Total |
40.75 | |||||||
| Indirect Service
Supervision |
Mon | Tue | Wed | Thu | Fri | Sat | Sun | Total |
| On-Site Individual
Supervision |
0.5 | 0.75 | 0.5 | 1.0 | 1.5 | 0.5 | 4.75 | |
| On-Site Group
Supervision |
1.0 | 0.5 | 1.0 | 0.75 | 1.0 | 0.25 | 4.5 | |
| Monthly Indirect Service Supervision
Total |
9.25 | |||||||
| Total Number of Hours | Month: | Overall for course |
| Direct | 37.75 | 37.75 |
| Indirect (includes supervision) | 50 | 50 |
| Total | 87.75 | 87.75 |
Other notes:
Summary of Worked Performed / Learning Opportunities
Please remember that your report must be 1-2 pages in length, and that you must incorporate at least 3 scholarly sources into your description that connects theory to practice. Please see the Monthly Report and Log link in the course for all requirements.
| Describe Activity | Population(s) Served | Frequency
of Activity |
Learning Goal
Addressed (#) |
| I facilitated weekly individual counseling sessions focusing on relapse prevention and emotional regulation. I also developed rapport, assessed motivation, and worked through behavioral change strategies. Moreover, I applied reflective listening and client-centered techniques. | Adults with co-occurring disorders | 4 | Through evidence-based approaches, I gained foundational counseling skills, including rapport building, active listening, and client engagement, which, according to Tennant et al. (2023), are essential in counseling. |
| I co-led group counseling sessions, addressing coping mechanisms, stress management, and building social support networks. Structured topics and open dialogue promoted participation, and I also practiced group dynamics and conflict resolution. | Adults in outpatient substance use programs | 3 | I developed group facilitation skills by applying theories of group development, cohesion, and therapeutic leadership. These skills are essential for a counselor (Malhotra et al., 2024). |
| I participated in weekly interdisciplinary staff meetings, collaborated with my supervisor and clinicians to discuss treatment plans, and integrated input from multiple professionals to tailor individualized care. | Adults with mental health and substance use needs | 2 | I gained experience in multidisciplinary collaboration and learned how coordinated care enhances treatment effectiveness. |
| Under supervision, I collected patient histories and symptom profiles to guide initial treatment formulation and improved clinical judgment through feedback and documentation review. I was also able to complete diagnostic assessments. | Adults entering treatment | 4 | I improved my ability to conduct assessments and formulate clinical impressions using DSM-5 criteria and structured intake techniques. |
| I developed and submitted case documentation, including progress notes and initial assessments. I also ensured accuracy and timeliness to support continuity of care. Additionally, I practiced clinical writing in a way that was consistent with professional standards. | Adult clients | 6 | This strengthened my clinical documentation skills, which were aligned with ethical and legal standards of professional counseling. According to Demsash et al. (2023), clinical documentation improves patient care and management.
|
Signature of Student Date
Signature of Supervisor Date
References
Demsash, A. W., Kassie, S. Y., Dubale, A. T., Chereka, A. A., Ngusie, H. S., Hunde, M. K., Emanu, M. D., Shibabaw, A. A., & Walle, A. D. (2023). Health professionals’ routine practice documentation and its associated factors in a resource-limited setting: a cross-sectional study. BMJ Health & Care Informatics, 30(1), 1–7. https://doi.org/10.1136/bmjhci-2022-100699
Malhotra, A., Baker, J., & Mars, J. A. (2024). Group Therapy. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK549812/
Tennant, K., Butler, T. J. T., & Long, A. (2023). Active listening. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK442015/
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Question
Monthly Report and Log Information
Please note that there are nine monthly summary assignment links. This is ONLY if you take the entire nine months to complete your practicum. If you take only 3 months, then you would only submit monthly summary reports for three months. If you do not submit your report on time your grade will be reduced 5% per days late.
If you fail to submit the report you will receive the grade of 0. The total of the all the monthly summaries will be averaged and inputted in the weighted column at the time you complete the course. If you start your field placement on May 1, your monthly summary should be submitted June 1. The follow monthly report would be due on the 1st of each month.
A monthly report is required to document all hours completed. For example, if you work only 2 weeks during the last month of your field placement a monthly report is still needed and this last monthly report would cover your final days/weeks even if not a full month.
It is important to provide a detailed description of what you have been doing in these reports as it relates to your learning goals. It must be clear why you think the activity meets one of your learning goals. It isn’t enough to just state the activity but you must also provide some analysis as to how the activity has enabled you to meet the learning goal listed.

HSV 594: Monthly Report and Log Information
For example, if gaining group facilitation experience is one of your goals and you have the opportunity to run a group weekly, a detailed description would include your role and progress being made toward your learning goal.Your monthly reports should include the following:
- APA format. You may write in the boxes on the form or attach a separate page. Aim for 1- 2 pages for each report.
- Include your hours for the month and your total hours to date.
- A report of your monthly activities
- An explanation of how those learning activities support one or more of your goals
- A connection to the academic or counseling theory behind the activity. For example, if you are using CBT as a counseling technique, you might make a connection to the theory behind this technique and if this technique has been demonstrated to be effective with your population. In other words, make connections to the “why” behind the techniques or activities.
- Cite scholarly literature (textbooks, journal articles, etc.) to help support that connection from theory to professional practice. Your monthly report must have 3 scholarly references in each report.
- Your personal reflections on the activities. It is acceptable to use “I” and write in the first person on your reports.
- Each monthly report must be original. If you find yourself engaging in similar activities each month, then try to focus on exploring an aspect of the activity you did not summarize in the previous report.
- It is acceptable to also include your personal reflections and use “I” when describing the activities, but personal reflection should not be substituted for the academic connections from theory to practice.
Monthly Report Grading Guidelines
- Entries are completed monthly and submitted on time.
- Entries respond to the relevance of the designated activity to learning goal.
- Entries present facts, analysis, and reasoned interpretation.
- Monthly reports are legible, typed, clearly written using standard grammar, spelling and APA format.
- 3 scholarly references are included, making a solid connection and demonstrating scholarship.
- Monthly Report and Log for Clinical Mental Health Counseling, Alcohol and Drug Counseling, and Forensic Mental Health Counseling Students:
- PDF Monthly Report and Log for Clinical Mental Health Counseling, Alcohol and Drug Counseling, and Forensic Mental Health Counseling Students Monthly Report and Log for Clinical Mental Health Counseling, Alcohol and Drug Counseling, and Forensic Mental Health Counseling Students – Alternative Formats
Notes:
- field experience site:
- Name of Agency: Serenity Recovery Centers
- Full address: 1094 Poplar Avenue Memphis TN 38105
- Website: serenityrecovery.org
- Name of Agency: Serenity Recovery Centers
