Whether you are a mental health, addictions, or a school counselor, taking careful case notes is an important part of your counseling process. Good case notes not only help you to keep track of the work that you are doing with your client and/or student, they also protect you.
For this discussion, once again review the case vignettes in the presentation Ethical Issues in Record Keeping and Technology in this unit’s study. Select one vignette and use it to discuss the following:
- Write a case note using the SOAP format that is presented in your Remley and Herlihy (2016) textbook on page 140. You may need to be creative and enhance the case study in order to write a comprehensive case note.