Creating case notes on Mental health

Nov 1st, 2015
Price: $10 USD

Question description

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.

Over the years you have developed a specialization in working with clients who have sexual issues or who are experiencing sexual problems in their relationships. You recently attended a conference on this topic and found that many therapists have developed Internet counseling practices for clients with sexual issues, since many persons with sexual problems may feel too embarrassed to speak with a counselor.

You decide to offer online counseling and set up a website advertising this service. You receive several inquiries, including a series of emails from a 35-year-old man who says he is struggling with his attraction to young teen-age girls. He claims he has never acted on these feelings and is too ashamed to see a therapist in person. He very much wants your help.

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