SOAP ASSESSMENT

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School

University of Maine, Augusta *

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Course

212

Subject

Health Science

Date

Dec 6, 2023

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docx

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2

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SOAP ASSESSMENT Subjective: Bill stated he was experiencing cravings for cocaine frequently. The client states wanting to leave his residential program and revert to Narcotics Anonymous. The client states that he is now sober but is experiencing drug dreams on a regular basis, causing him to wake up frequently and an inability to fall back to sleep. Objective: The client was on time for his appointment. He did not show signs of intoxication but was easily distracted. This was indicated on multiple occasions by asking me to repeat questions and by continually checking the time. The client has lost weight and has a diminished interest in self-care and hygiene. The client stated he has been too depressed to shower and his hair was unkept. Bill's weight loss was indicated by Bill when talking about the results of his recent physical. Bill spoke of his recent depression and took several seconds to respond to questions I asked him during the session. The client states that he lacks energy when completing everyday tasks. Assessment: Client states that he has only relapsed once since the last session; showing improvements in his relapse prevention strategies. Although he says he would like to leave the residential program, he has no plans to do so soon. Bill is building trust with the case manager and is opening up more about his feelings. Bill can point out some strengths and weaknesses and looks forward to overcoming his obstacles. Bill states his depression is worsening, and is open to a referral for individualized counseling and a psychiatrist for depression medication. Showering, proper meals, and an interest in personal hygiene have become major obstacles for Bill. Plan: CM will meet with Bill in two weeks for a further strength and need assessment. CM will write a referral for individualized counseling and a referral for intake with a staff psychiatrist. Client agrees to follow his safety plan if needed. Bill agrees speak with his sponsor and be forthcoming about his cravings. Bill agrees to continue his residential program until we meet to discuss further alternatives. Writing this assessment in a SOAP format was challenging for me. I fist wrote a summary of the interaction and then placed the information in the assigned column. I
found that I was second guessing myself on what information went under what category and after a review of my draft, I found I had put the information under a category in which it better fit in a separate area. I can see the benefits in SOAP notes as they are a clear and concise way to summarize an encounter with client. SOAP notes are also regarded by positivepsychology.com as a way to “contribute to continuity of care and are a tool for risk management and malpractice protection.” With more practice I can see how writing and reviewing them will become easier. They are a tool that track’s a client’s progress in an organized fashion. Writing this assessment in SOAP format was challenging for me. I began by writing a summary of the encounter and then entered the information into the appropriate column. I discovered that I was second-guessing myself about what material belonged to which category, and after a review of my draft, I discovered that I had placed the information in a category when it would be better suited in a distinct section. SOAP notes have the advantage of being a clear and sufficient way to summarize a client experience. Positivepsychology.com considers SOAP notes to "contribute to continuity of care and are a tool for risk management and malpractice protection." I believe that with additional training, writing and reviewing them will become easier. They are a tool that tracks a client's progress in an organized fashion.
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