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I would suggest you review the documentation preferences and requirements of your particular agency or setting. In my current setting with a behavioral health agency, I use the PAIP model (problem, assessment, interventions, and plan). In a college counseling setting, my supervisor preferred a more narrative style. For example, in a free clinic, I was expected to use SOAP notes. I have found that even with a standardized model for progress notes, there is still a lot of variety in the style and template depending on setting and/or supervisor preference. Protects you as the clinician in a multitude of cases such as an auditįor this reason, I decided to write up a quick guide to writing case notes, specifically SOAP (subjective, objective, assessment, plan) notes.Provides standardized form of communication between professionals.Record of events during treatment process.Progress notes are essential to any practice and serve several purposes during the therapy process: Members overwhelmingly answered that they felt they were under prepared to write progress notes once they started seeing clients in the “real world”.
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