Answered

Reword this in the SOAP model & make it detailed: HN contacted the member for a follow up. The member informed the HN that they are actively looking for a house or duplex but they have not found anything due to high prices. The member is looking for something under the price of 2,500.Thememberalsomentionedthatitisimportanttoherthatshefindsahouse/duplexbecausehercarisaelectricandsheisnotabeltochargeitatapartmentsandshewantsagarage.HNwillmaintaincontactwiththememberandwillhelpherlookforahouse/duplexinFairOakswith4bedroomsandwiththebudgetof2500. SOAP note example with “The client feels…” or “The client stated…” This is, essentially, information the member provides. S- Subjective- This could be how the member feels or thinks of their environment, progress, or situation. O- Objective- Think of this section as one to enter facts and data, not opinions or feelings. A SOAP note objective example would be the number of times a patient took drugs since the last session, or it might be another preset measure of progress toward therapy goals. A- Assessment- Assessment in SOAP note forms is where you will sum up what is going on in the “S” and “O” portions of the SOAP form and give your professional opinion of what that means. A SOAP assessment example might be that the client is progressing well in dealing with self-doubt issues but still needs to work on their anxiety issue, which seems to be getting worse. P- Plan- This section is where you will write down your next steps in the patient’s treatment plan. The plan will be what your next session’s SOAP follow-up note will reference when assessing progress toward goals. For example, your case notes SOAP plan section might state that the individual is being referred to a drug rehabilitation facility. EXAMPLE : S- Member presented today seeking assistance with housing navigation (searching for housing specifically) after being denied multiple housing options. Client reported feeling stressed by their current living situation and lack of income. O-Client appears upset and is moving back and forth in their chair. They present to be fearful and worried about homelessness. Client stated “I feel like giving up, I’m so depressed”. A-Client is experiencing unstable housing and is in need of housing navigation services and additional mental health resources during this time. P- Housing Navigator will follow through with the Housing Plan and provide housing advocacy, housing resources and housing options for low income. HN will assist with applications and housing assistance programs. HN will check back in with client Friday the 18th at 1pm in the office. The client will continue to research housing options for low income. The HN will send mental health resources for depression and schedule an appointment with the client's mental health counselor.