Check out our helpful sample notes as resource for substance abuse notes. All notes created with ICANotes EHR software. Take better notes in less time.

Below is a fictional example of a progress note in the SOAP (Subjective, Objective, Assessment, Plan) format. For the purposes of this sample progress note, the focus is on the content of the …

To help you get started, we’ve put together this guide to writing effective substance abuse group notes. When dealing with substance abuse, group therapy can be an effective way of …

Group Type: The focus of today’s group was the subject of sobriety management. Group members were first encouraged to examine the ways substance abuse has adversely effected …

We discussed treatment options for opioid addiction in detail (methadone, buprenorphine, naltrexone, abstinence only). Would like to start suboxone. We discussed treatment …

Group Type: Support: The group was encouraged to interact and to discuss strategies specific maintaining sobriety. The ways the group members reacted to each other was part of the …

Progress notes are crucial in substance abuse treatment. They serve as a record of the patient's journey, detailing their progress, challenges, and responses to treatment interventions. These …

A SOAP note example after a session where the client is focused on substance abuse recovery using motivational interviewing.

The above is an example of a D.A.P. note. DATA: Has to be factual information. What information was provided and what was clients response to the information given. Direct quotes are good …

Joe report and increase in the frequency and effectiveness of their communication due to their "speaker-listener" HW. Sally stated that "Joe still doesn't seem to open up that much." Joe …