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Psychiatric intensive outpatient program (IOP) therapists face unique occupational stressors that require regular, structured wellness monitoring. This Psychiatric IOP Therapist Wellness Check Form provides mental health organizations with a compassionate, confidential tool to assess therapist wellbeing while managing the intense demands of daily group facilitation, high-acuity patient care, and complex clinical coordination.
Therapists working in intensive outpatient settings regularly encounter:
Without proactive wellness monitoring, burnout, compassion fatigue, and vicarious trauma can compromise both therapist wellbeing and quality of patient care. This form template helps mental health administrators, clinical supervisors, and HR teams create a culture of support where therapist wellness is prioritized alongside patient outcomes.
This form is specifically designed for the realities of psychiatric IOP environments:
Daily Group Facilitation Load Tracking: Capture the number of groups facilitated, group composition complexity, and any challenging group dynamics that may impact therapist stress levels.
Suicide Risk Exposure Monitoring: Provide a confidential space for therapists to report frequency and intensity of suicide risk assessments conducted, enabling supervisors to identify when additional support or debriefing is needed.
Medication Adjustment Coordination Stress: Track the administrative and emotional load of coordinating with psychiatrists, managing patient concerns about medication changes, and monitoring medication-related crises.
Step-Down Transition Evaluation: Assess the emotional impact of patient transitions—both successful discharges and unexpected escalations—which can affect therapist morale and confidence.
Immediate Support Needs: Include urgent support requests that can trigger immediate supervisor outreach, ensuring no therapist faces crisis alone.
This wellness check form is ideal for:
Mental health organizations can use this form as part of a broader wellness infrastructure. When integrated with Stepper, your AI-native workflow builder, each wellness check submission can automatically:
With Paperform's conditional logic, you can customize the form to show different follow-up questions based on stress levels reported, ensuring therapists receive personalized support pathways.
This template uses Paperform's intuitive editor to create a form that feels supportive, not surveillant. You can customize:
The form includes wellness scales, open-ended reflection prompts, and practical checkboxes to capture both quantitative burnout indicators and qualitative therapist experiences.
Important: While Paperform is SOC 2 Type II certified and offers robust security features, it is not a HIPAA-compliant platform. This form is designed to collect therapist wellness data only—not patient information. Ensure your wellness check forms do not include any patient names, diagnoses, or protected health information (PHI). For organizations requiring HIPAA compliance, consult with your compliance team regarding appropriate wellness monitoring tools.
Over 500,000 teams worldwide—including healthcare providers, behavioral health organizations, and social service agencies—trust Paperform for forms that matter. With enterprise-grade security (SOC 2 Type II), GDPR compliance, and powerful integrations with tools like Slack, Google Workspace, and HubSpot, Paperform supports mental health organizations in creating compassionate, efficient wellness monitoring systems.
Whether you're a clinical director implementing your first therapist wellness initiative or an established IOP program refining your provider support strategy, this template gives you a professional, evidence-informed starting point that can be customized to your unique organizational culture and clinical model.
Take care of those who care for others. Start with a wellness check form that demonstrates your commitment to therapist wellbeing—because healthy therapists provide the best care.