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This video tutorial discusses the SOAP note format for writing case notes in mental health. It highlights the importance of documenting client interactions accurately and securely, as agencies may require proof of this practice. SOAP stands for Subjective, Objective, Assessment, and Plan. The "Subjective" section includes direct quotes from clients, reflecting their feelings and experiences, such as expressing difficulties with focus. The "Objective" section captures the clinician's observations, demonstrating professional assessment of the client's mental status. This often includes orientation details, ensuring the client knows the date and their identity. Other note formats may also be used, depending on agency guidelines.
