Are you using BIRP notes? Discover how to efficiently monitor client progress and help clinicians stay on track in achieving client goals....

Having a clear understanding of what a SOAP note is, and how to write one both thoroughly and efficiently can be a huge help to SLP’s. A note is completed after every speech therapy session. It may be shared with the client and/or his or her caregiver, as well as insurance companies....

Physical therapy SOAP notes are a thorough, organized way of documenting patient progress. Get clear on each section of the SOAP note....

Occupational therapy SOAP notes, an overview of SOAP notes; questions to ask when writing each section; the do’s and don’ts of writing soap notes; the benefits of using SOAP notes in occupational therapy; and an example of an occupational therapy SOAP note will be covered in this post. The SOAP note method of documentation can be an excellent fit for the occupational therapy profession. Why does it work well for OTs? We are always looking at the big picture. SOAP is an acronym that stands for subjective; objective; assessment; plan. These are all important components of occupational therapy intervention and should be appropriately documented. Using a SOAP note format will help ensure that no essential element of therapy is left undocumented. ...

Goals in counseling and psychotherapy; what makes an effective counseling treatment plan; tips for writing counseling goals and examples of counseling and psychotherapy goals in common treatment areas such as substance abuse, anger management and depression will be covered in this blog. Setting counseling goals is something almost all therapists do with their clients. But why do we do it? Is it because it looks good? Because it structures therapy? To get insurance off our backs? Although there are many different considerations, it is generally understood that making goals is associated with positive treatment outcomes. At least when you do it correctly. ...

Counseling (mental health) treatment plan; rational, tips and how to document treatment plan to help with insurance audits will be covered in this blog. If you have ever had an ongoing relationship with a client, you likely have created a treatment plan. Counseling treatment plans serve a valuable purpose: they help both clients and practitioners understand the course of treatment. Let’s take a closer look at the features of these important documents. ...

DAP Notes aka Data, Assessment and Plan Notes follow a very specific format to help clinicians to organize their notes. Get DAP note examples and tips!...

Psychotherapy notes can be as a simple as a thought scribbled on paper. See our tips for writing psychotherapy notes and how they differ from progress notes....

SOAP notes are probably one of the most tedious and confusing things we, therapists and counselors do. Review the format and tips on writing SOAP notes in counseling....

Concurrent documentation is a method of writing notes, e.g. SOAP notes during session with active input from the client. This approach is applied by mental health providers, SLPs, OTs and PTs in private practice....

Aside from scheduling an appointment and checking insurance benefits, what is the number one thing you need to do before you sit with your new client? Paperwork. ...