BIRP Note Example

Worried About Clients' Privacy

Client is a therapist with anxiety about AI note-taking and scribe tools.

Generated BIRP Note:

Quill generated this note with AI from the summary that was provided. The therapist can then copy-and-paste the note into their current EHR platform.

Behavior:
Client, a fellow therapist, presented in the office appearing visibly stressed and anxious. Client expressed significant concerns about the rise of AI note-taking and scribe tools, particularly regarding the risks of recording and storing sensitive client information. Client stated, "Say I have a client, for example Jane Doe, who tells me super personal things. What happens when her super personal data is leaked?" Client conveyed a strong sense of responsibility for safeguarding client confidentiality and appeared burdened by the potential consequences of data breaches.

Intervention:
The session took place in the therapist's office at noon. The therapist provided a safe space for the client to discuss her concerns and validated her feelings about the risks of AI tools. The therapist suggested the client create a list of boundaries for using technology in her practice and identify questions to evaluate the safety of AI tools. The therapist also encouraged the client to review privacy policies of platforms she might consider using.

Response:
Client appeared engaged in the discussion and expressed willingness to explore her boundaries with technology. Client asked if the therapist was recording sessions, and after receiving reassurance that sessions were not being recorded, she appeared relieved. Client demonstrated insight into her anxiety and showed motivation to address her concerns proactively.

Plan:
Client will create a list of boundaries and questions regarding the use of AI tools in her practice and review privacy policies of platforms she may consider. The therapist and client will revisit these topics in two weeks at the same time. Future sessions may focus on managing anxiety and strategies to prevent it from becoming overwhelming.

Client Session Summary:

Here's the summary of this client session. Remember, Quill does not record the client session. A therapist would provide a summary (like the one below) after the session is over, and then Quill would generate a note similar to the one above.

So, I met with my client, she's a fellow therapist... in my office today at noon. And honestly, the whole session was her just unloading about how stressed and anxious she is over all these AI note-taking and scribe tools popping up, and seeing some of her colleagues recording their sessions, despite the huge risks. She kept saying how it just doesn't sit right with her that they're recording and storing all this super sensitive stuff. She's convinced it's only a matter of time before there's a big breach. At one point she goes quote "Say I have a client, for example Jane Doe, who tells me super personal things. What happens when her super personal data is leaked?" unquote, and, yeah, I mean... if Jane Doe's information got out like that, it'd be devastating... both for Jane personally and for her as a therapist. You could tell this is weighing heavy on her, like she's carrying the responsibility of keeping every client's secrets locked down. I get it, if you googled for Jane, you might find her deepest darkest secrets that she had trusted her, I mean like her therapist, with.

I told her for next time, maybe just jot down some boundaries for herself. Like, where she draws the line with tech in her practice. Umm. And maybe a list of questions she'd want answered before even thinking about an AI tool. She's also gonna poke around at some privacy policies for any platforms she's curious about, just to see if they're actually airtight. We'll go over all that when we meet again in two weeks, same time. Lots more to work on with anxiety and how to not let it overwhelm her. Oh, and she also asked if I was recording our sessions, which obviously I assured her I am not. But I'm glad she felt comfortable asking about a topic that worries her so much.

Other Note Formats:

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More About BIRP Notes:

From even more examples, to an overview of the format in general, to templates, to a cheat sheet, here's everything you need to know about BIRP notes.

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