Group note

The group session took place at the NSHC BHS Conference Room with [select name="variable_1" value="1|2|3|4|5|6|7|8|9|10"] participants. The facilitator led the participants through check in. The topics and interventions for this session were: 







The client presented on time for group. The client was alert and oriented x4, and there were no observed abnormalities or disturbances that would prevent the client from engaging and functioning effectively. The client's emotional and affective state was [select name="variable_1" value="depressed|anxious|euthymic|irritable|agitated|euphoric|elevated|sad"].[select name="variable_3346543" value="The client was not observed to be under the influence of mood alterning substance nor was the odor of mood altering substances, such as alcohol or cannabis, dectected on the client's body or clothing. |Client appeared to be under the influcence of mood altering substances as evidenced by| 
Client did not appear to be under the influence of mood altering substances, but smelled of alcohol.| 
Client dinot appear to be under the influence of mood altering substances, but smelled of cannabis."]



Client mentioned that they [select name="cxUse" value="did|did not"] use [checkbox name="variable_3435432" value="mood altering substances|alcohol|cannabis|heroin|methamphetamines|opiod medication|cocaine|kratum"] since the last session. In group, the client [checkbox name="cxAffct" value="seemed interested|seemed disinterested|seemed disruptive|initiated positive interactions|shared emotions|helpful to others|focused on group tasks|was guarded with disclosing information about self|understood group topics|did not appear to understand group topics|participated in group exercises|did not participate in group exercises|only participated when prompted|showed listening skills| showed empathy|offered opinions|offered suggestions|offered feedback|seemed to benefit from the session"]. At the end of the session the client mentioned they benefited from [textarea name="sessBen" default=""].

Plan: [select name="variable_57890" value="Client will continue with current level of care and continue with ASAM 2.1 IOP SUD group and individual services. SUD team will continue to monitor and address concerns brought up in the treatment program.|Client requires a higher level of care. Client will continue to engage with with ASAM 2.1 IOP SUD group and individual services until placement in higher level of care. SUD team will continue to monitor and address concerns brought up in the treatment program."Client will continue with current level of care and continue with ASAM 1.0 IOP SUD group and individual services. SUD team will continue to monitor and address concerns brought up in the treatment program.|Client requires a higher level of care. Client will continue to engage with with ASAM 1.0 SUD group until placement in higher level of care is available. SUD team will continue to monitor and address concerns brought up in the treatment program. |Client will be dishcarged due to violation of treatment program requirements.|Client will be discharged from IOP due to completion."] [checkbox name="variable_347598" value="Treatment program rules and conditions need to be reenforced with client due to"] [checkbox name="variable_3547859304" value="continued substance use|poor attendance|sleeping at other locations besides the patient hostel|distruptive behavior in group|not following patient hostel rules."]

Client is [checkbox name="variable_1" value="responding well to interventions and making good progress|making slow progress|making intermittent progress|maintaining progress|regressing/worsening."] The client demonstrates [checkbox name="variable_34785930" value="utilization of effective relapse prevention skills|improved insight|good attendence with group and individual sessions|abstinence from sall mood altering subtances."] Client continues to experience challenges with [checkbox name="variable_54738257420" value="poor ability to cope with cravings for drugs or alcohol|viewing past drug and alcohol use in any positive, glamorized light|making contact with those associated with past use|placing themself in dangerous positions and circumstances that can lead to use| continued use of alcohol|continued use of cannabis|poor attendance in group"] which continue to negatively and significantly impact their recovery. Due to these reasons, it is necessary for client to remain engaged in current level of care/services|it is necessary for the client to engage in a higher level of care"]. 
Plan: [select name="variable_57890" value="Client will continue with current level of care and continue with ASAM 2.1 IOP SUD group and individual services. SUD team will continue to monitor and address concerns brought up in the treatment program.|Client requires a higher level of care. Client will continue to engage with with ASAM 2.1 IOP SUD group and individual services until they are able to secure a bed at a higher level of care. SUD team will continue to monitor and address concerns brought up in the treatment program.|Client will be dishcarged due to violation of treatment program requirements.|Client will be discharged from IOP due to completion."] [checkbox name="variable_347598" value="Treatment program rules and conditions need to be reenforced with client due to"] [checkbox name="variable_3547859304" value="continued substance use|poor attendance|sleeping at other locations besides the patient hostel|distruptive behavior in group|not following patient hostel rules."]
The group session took place at the NSHC BHS Conference Room with participants. The facilitator led the participants through check in. The topics and interventions for this session were:







The client presented on time for group. The client was alert and oriented x4, and there were no observed abnormalities or disturbances that would prevent the client from engaging and functioning effectively. The client's emotional and affective state was .



Client mentioned that they use since the last session. In group, the client . At the end of the session the client mentioned they benefited from
.

Plan:

Client is The client demonstrates Client continues to experience challenges with which continue to negatively and significantly impact their recovery. Due to these reasons, it is necessary for client to remain engaged in current level of care/services|it is necessary for the client to engage in a higher level of care"].
Plan:

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.94, 16 form elements, 147 boilerplate words, 1 text areas, 9 checkboxes, 6 drop downs, 62 total clicks
Questions/General site feedback · Help Ticket

Send Feedback for this SOAPnote

Your email address will not be published. Required fields are marked *

More SOAPnotes by this Author: