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DAP Notes for Children: Example and Template

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Overview

Short answer: a DAP note for a child client records the session in three parts. Data: who was present, what the child said or showed (for example with a feelings chart or drawing), what the caregiver reported (attributed to them), what you observed, any measure scores and the play-based or skills-based intervention you used. Assessment: your clinical judgment about progress toward goals, what is maintaining the problem at home or school, and safety. Plan: the child’s practice task, the caregiver’s task and the next session.

Young children often can’t describe feelings in adult terms, so record how they communicated (a 0–5 feelings thermometer, a drawing, a puppet) and concrete behaviors you could count, such as minutes to calm down or coping steps used. Caregivers usually carry much of the change between sessions, so record the coaching you gave and how they responded. Consent and parental access depend on applicable law, age and who consented to treatment. Under HIPAA, a parent is usually the minor’s personal representative, but exceptions can apply to minor-consented care, a parent-agreed confidential relationship, or abuse or endangerment. Check the rules for this treatment and record who consented, who may access the record, and the confidentiality agreement and its legal limits at intake.

What to document in a child DAP note

What to document in each DAP section for child clients, with fictional example wording
SectionWhat to documentExample wording
DataWho was present and for how long“Child (8) seen for 45 minutes; mother present for the first 10 and last 10 minutes.”
DataWhat the child said or showed“Pointed to 4 of 5 on the feelings thermometer when talking about bedtime; drew the ‘scared feeling’ as a storm cloud.”
DataThe caregiver’s report, attributed to them“Mother reported the child slept in her own bed on 3 of 7 nights (0 of 7 at intake).”
DataObservations, measures and the intervention used“SCARED parent report, separation anxiety subscale 8 (12 at intake). Practiced ‘balloon breathing’ with a puppet; child led it twice without prompting.”
AssessmentProgress toward goals and what maintains the problem“Separation anxiety decreasing with gradual exposure; repeated returns to the child’s room after lights out still maintain bedtime distress.”
AssessmentSafety, in child-appropriate terms“Child said she feels safe at home and at school; mother reports no safety concerns.”
PlanChild’s task, caregiver’s task, next session“Child: balloon breathing at bedtime. Mother: one goodnight check after 5 minutes, then praise in the morning. Next session in 1 week.”

Screen for suicide and self-harm risk in a way that fits the young person’s age, and talk with them alone for part of the session when appropriate. If they report suicidal thoughts or self-harm, assess and record current thoughts, plan, intent, preparatory behavior, past attempts, access to means (including firearms and medications at home), protective factors, your risk formulation, the safety plan and who was told. If anything suggests abuse or neglect, follow your state’s mandated-reporting law and your agency’s policy, and record what was said and the report you made. The 988 Suicide & Crisis Lifeline takes calls and texts at 988; for imminent danger, call 911 or go to the nearest emergency department.

How to Document DAP Notes for Children

Data

Combine subjective reports and objective observations into a single data section

When documenting the Data section for children, record the child’s self-reported symptoms, presenting concerns, and any observed triggers, as well as descriptions of mood and affect during the session. This section captures the raw clinical information communicated by or observed in the child.

  • Child’s own description of feelings or symptoms expressed in age-appropriate language
  • Specific situational or environmental triggers identified by the child or caregiver
  • Observed mood states and affect during play, conversation, or activities
  • Caregiver’s report of recent behavioral changes or challenges
  • Noted changes in sleep, appetite, or energy levels reported by child or caregiver

Assessment

Provide clinical analysis, treatment progress, and diagnostic considerations

In the Assessment section for children, document clinical observations, therapeutic techniques and modalities employed, as well as impressions regarding the child’s progress and diagnostic considerations. Note the child’s engagement and reaction to interventions.

  • Clinical observations of child’s behavior, attention, and emotional regulation during the session
  • Therapeutic approaches or play-based techniques utilized and their effectiveness
  • Impressions related to developmental level and diagnostic criteria met or considered
  • Evaluation of progress toward treatment goals based on child’s response and clinical judgment
  • Child’s verbal and nonverbal reactions to therapeutic interventions and rapport established

Plan

Document next steps, interventions, and follow-up scheduling

The Plan section for children outlines the next steps in treatment, including homework assignments, any necessary modifications to the treatment approach, referrals to other professionals, and scheduling of future sessions.

  • Specific, developmentally appropriate homework or practice activities assigned to child or caregiver
  • Adjustments to therapeutic techniques or session structure based on current assessment
  • Referrals made for additional services such as occupational therapy, speech therapy, or psychiatric evaluation
  • Plans for caregiver involvement or family sessions to support child’s progress
  • Scheduling details for upcoming sessions and any anticipated changes in frequency or duration

SOAP Notes for Children

Alternative format for documenting children

BIRP Notes for Children

Alternative format for documenting children

Progress Notes for Children

Alternative format for documenting children

SIRP Notes for Children

Alternative format for documenting children

GIRP Notes for Children

Alternative format for documenting children

PIE Notes for Children

Alternative format for documenting children

Child DAP note example

Fictional documentation example, not treatment guidance. Every detail is invented. Adapt it to the session you actually provided and your organization’s requirements.

Data: Fictional 8-year-old client, session 4 of outpatient therapy for separation anxiety disorder (F93.0), 45 minutes in person. Mother present for the first and last 10 minutes; child seen alone for 25 minutes. Treatment-plan goals: (1) child sleeps in her own bed on at least 5 of 7 nights; (2) separates at school drop-off within 5 minutes; (3) child uses a coping step when scared. Mother reported the child slept in her own bed on 3 of 7 nights (0 of 7 at intake), cried at drop-off on 2 of 5 mornings (5 of 5 at intake), and still calls for her 4–6 times after lights out. Child pointed to 4 of 5 on the feelings thermometer when talking about bedtime and drew the “scared feeling” as a storm cloud that “gets smaller when Mom says goodnight properly.” Separated from her mother in the waiting room after a brief hesitation. Stayed with play tasks for about 15 minutes at a time and needed two prompts to return to the task. Practiced “balloon breathing” with a puppet and led it twice without prompting. SCARED parent report, separation anxiety subscale 8 today (12 at intake). In the last 10 minutes, coached the mother on a bedtime plan: one goodnight check after 5 minutes, calm short replies, and praise in the morning.

Assessment: Separation anxiety is decreasing with gradual exposure and caregiver coaching (own bed 0 to 3 nights; drop-off crying 5 to 2 mornings; SCARED subscale 12 to 8). Goal 1 is partly met and goal 3 is emerging (the child used balloon breathing on her own in session). Drop-off crying is less frequent, but progress toward goal 2’s five-minute separation target cannot be determined because separation duration was not recorded. Repeated returns to the child’s room after lights out appear to maintain bedtime distress. Child said she feels safe at home and at school; mother reports no safety concerns and no changes at home.

Plan: Continue weekly sessions with caregiver coaching at the start and end. Child: balloon breathing at bedtime with the puppet, and a sticker for each night in her own bed. Mother: one goodnight check after 5 minutes, then calm short replies and morning praise; record nights in own bed and minutes to separate at each school drop-off on the chart. Repeat the SCARED parent report in 4 weeks. Next session in 1 week; review the chart and add the next bedtime step.

Tips for DAP Notes for Children

1. Record how the child communicated

Note the tool the child used (a feelings thermometer, drawing or puppet) and what they showed, alongside anything they said in their own words.

2. Separate child and caregiver reports

Write “Child said…” and “Mother reported…” as separate statements, and record how long the caregiver was in the room.

3. Count what you can

Nights in own bed, mornings without crying, minutes to calm down and coping steps used are easy to compare from session to session.

4. Name the play-based technique

Write what you did and why, for example “practiced balloon breathing with a puppet to teach a calming step,” not just “play therapy.”

5. Write the caregiver’s task

Record the coaching you gave, how the caregiver responded, and the specific routine they agreed to try at home.

6. Keep safety in view

Ask age-appropriate safety questions, record the answers, and follow your state’s mandated-reporting law if anything suggests abuse or neglect.

Documentation Considerations for DAP Notes for Children

Use Developmentally Concrete Language And Visuals

Children often cannot describe internal states with adult-level specificity, so DAP documentation should reflect visual scales, feeling faces, and concrete behaviors. Note exactly how the child communicated distress, such as pointing to a body chart or choosing colors to represent emotions. When summarizing progress, quantify observable change, like minutes to calm or number of coping attempts completed, rather than relying on abstract insight statements.

Document Caregiver Input And Coaching

Pediatric DAP notes should show the caregiver’s role in the treatment process, especially when behavior changes depend on routines at home. Record collateral information about sleep, school refusal, tantrums, or medication adherence, and specify what coaching was provided. Include caregiver response to feedback and whether they can implement reinforcement, exposure steps, or bedtime supports between sessions.

Track Play-Based Skills With Measurable Outcomes

When play is the medium, the note should identify the therapeutic method used, such as CBT through games, narrative play, or relaxation through art. Document how many practice trials the child completed, how long they sustained attention, and whether prompting was required. This makes the session auditable and shows that play activities were tied to a specific treatment target rather than generic amusement.

Assess Safety And School Functioning Carefully

Child DAP documentation should explicitly address safety, even when the presenting concern is anxiety or behavior. Note any aggression, self-harm talk, elopement risk, or unsafe impulsive behaviors using direct observations and caregiver report. Also include school functioning details like attendance, classroom participation, peer conflict, and transitions, since these are often the clearest markers of impairment and treatment response in children.

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Further Reading

  • APA Documentation Guidelines — Provides detailed standards for clinical documentation practices relevant to mental health professionals working with children.
  • SAMHSA — Offers resources and best practices for behavioral health documentation and treatment planning for children and adolescents.
  • NASW (Social Workers) — Contains ethical guidelines and documentation standards for social workers working with pediatric populations.

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