Below is a fictional example of a progress note in the SOAP (Subjective, Objective, Assessment, Plan) format. For the purposes of this sample progress note, the focus is on the content of the …

Is patient taking medication for addiction treatment as directed (dose, administration, etc.)? Is patient experiencing any of the following? Comments: Has patient used any substances? …

May 19, 2022 · Different intake and progress notes and follow-ups in mental health, the importance of patient documentation in psych.

Mar 12, 2025 · In this article, we’ll walk you through what SOAP notes are, how to write them, and when they might be the most helpful note type to use. We’ll also provide a SOAP note …

Explain the plan for treatment, including goals, interventions, frequency of sessions, referrals to other professionals, and any follow-up needed. For example: Provide empathy, support, and …

Substance abuse treatment is a complex and multifaceted process that requires careful documentation and planning. In this blog, we will explore the specifics of BIRP notes for …

We discussed treatment options for opioid addiction in detail (methadone, buprenorphine, naltrexone, abstinence only). Would like to start suboxone. We discussed treatment …

This page provides 10 comprehensive SOAP note examples commonly encountered in social work practice. Each example follows standard documentation guidelines and demonstrates …

Oct 25, 2021 · Therapist reviewed safety plan with client to identify triggers, coping strategies and supports, as well as ways to cope following substance use. Client agreed to modifications …

♦ Example: Beginning to own responsibility for consequences related to drug use. P = Plan for future clinical work. Should reflect interventions specified in treatment plan including …