Five Tips For Writing Case notes (Example of a case note) | SOCIAL WORK



hi guys how you doing I hope you all well so today I just wanted to make a video talking about case notes this is something that I have wanted to share with you for a while I did did it I did do a video on this a while before but the quality just wasn't that great enough to leave it and I'm gonna re-up load it so I'm going to share five different tips on writing case notes and then at the end I'm going to show you an example of the case notes using a case study I hope you guys find this video helpful please give it a thumbs up if you do find it helpful and I'm share with your friends you know I'm sure you guys have social work friends that would find this channel beneficial as well so definitely share with them and let them know about my channel and yeah get them to subscribe and you know watch my videos as little yeah and let's get right into it so before I get into it I just wanted to say case notes is probably like one of the tasks required when you're a social worker and most people don't find it that exciting to be honest one of those things that we could definitely do without but you know it's part of the job and like it forms a big chunk of the work that we do or before I continuous oh I just wanted to say thanks to my subscriber who I think it's Salone she also recommended this video as well so thank you and yeah so it's one of those tasks that you know we could do without and we're not interested in doing but you know we have to do it so these are some tips that will help you I guess stay proactive in doing them and you know make it less daunting and less stressful when you're trying to put it together so yeah the first thing I would say is to try and stay organized so you need to allocate time that you're going to be using to do strictly caseloads and you need to be really strict to this time so you don't take on other tasks during this and that way you're able to keep on top of things because I think sometimes when it starts pile up then it starts a few overwhelming you're just like oh I'll do it later my time you realize you're like so behind and there's you know new tasks and new clients that are coming in and it's just piling and piling on top of you so I recommend allocating it specific time that's going to be strictly for case notes and following through with that so when it gets to that time you don't take only tasks you go off the phone tape up take that time out and just do your strip do your case no strictly and my second tip is having a structure as you go when you're doing case notes so knowing what you want to include in that case you know it's what knowing what you're wanting your whoever's reading the occasional to understand knowing what you know what topics you want to cover in that cases it's important because that way you have an idea of what you want to include in there and everything is more structured and more organized and you're not like thinking as you go because I feel like that way it helps yeah the tasks I didn't seem as daunting and it doesn't look like it's going to take to my time either because you know what you need to cover and I mean sometimes it can come across like oh my god I need to cover all these topics and it's going to be a law by the same time I need that structure and you know what you're doing in that case notes so that's my second tip this the third tip is keep a template so I think this is more applicable to report writing and to like writing support letters and things like that I think keeping a template is very very beneficial it saves you time you know basically all you have to do is change the story around what's happening and change their name and the address and that kind of thing so I have a template that I use for all my support letters for all the women that I see so basically when it was supported as you requested I just go in and change the personal details and that kind of thing and that's pretty much in it's good to go you know saves you having to type over typing you letter over and over again every time a client requests for support letter or a report or something like that if you have the templates all you have to do is change the personal details and that definitely saves you time helps you to stay on top of things and you know it doesn't seem as daunting again so you just get it over and done with so secant that's my third tip my next tip is use headings if you can I find that using headings makes the make the case notes more readable if someone else is reading it it's easier for them to understand what's happening for the client especially for me because I'm an intake the fit I'm the first person that sees the client so I gather as much information as I can and I put it in topics in area under topics as I'll show you at the end of this video I put everything in topic so I do like education previous counseling and background history domestic violence history childhood history you know whatever whatever I need to cover I will include in there and I'll do it in topic so that way when the information is passed on to the next counselor it's easier for them to run through and understand and have a bit of a background around what's happening it's happening for the client that way as all your kids know it looks very structured and very well organized and it's easier for you to read as well and it's easier to get through when you're typing it as well so here that's definitely an important tip that I totally recommend and my final tip is um I think it's really important to keep improving everyday you know know it besides you know being a social worker and improving the kind of work that you do or your client I think it's important to keep improving the occasional writing style all the time that way you find what works best for you and you know what would be the best way for you to be able to follow through and putting together your case notes on a daily basis what would be the best way to save you time won't be the best way to make sure people that I wouldn't be reading this case that's one that's that way you have to say as well so you just keep improving keep reading about how to type case let's keep reading about um you know read other colleagues kids let's see how they do it and see if there's anything that you can take from their style of writing that kind of thing so yeah those are my five tips yeah I'm going to show you the the example of the case notes at the end of this as well so definitely stay tuned guys I just wanted to UM just give you guys a bit of a case study and then we can go from there so this is the case study that I'm going by so Sarah is a 50 year old woman patting me if I'm looking down but the book here I'm reading from so as a 50 year old woman she's lived with her husband for 20 years there's been ongoing domestic violence this there was emotional and verbal abuse Sarah disclosed that her husband has hit her several times throughout the relationship this is generally proven after they've had an argument and there was an incident last night where he has been choked her the neighbors called the police because they had her screaming um she does not want to return to the relationship so basically the police got involved um he has been taken into custody and the police recommended she attends our Center she doesn't want to return to that home because she's soo fearful she has two children with her um she has had relationship counseling with her husband in the past but this dancing to work because she felt like it husband was being manipulative of the situation um she has been diagnosed with vertigo so that's an ongoing issue for her as well her children are six into their name is Karen and Kyla Karen is due to start school soon and kayla is still in her care all the time um Karen has started indicating some behavioral issues she has had kids of other kids at school and she's had to attend the school for meetings several times because of Karen's behavior and Kyla is constantly and seeking attention from her she can never get time away from Kyla because um she's constantly crying constantly demanding attention from her I'm she has very limited support so she has her mom who lives in another state she has contacts with her over the phone every night again but um she doesn't see her very often sara is unsure what kind of support she wants at the moment she's just very very fearful of returning back to the house she wants she just was the behavior to stop because she loves their husband I said intake worker this is what I did with her I provided some crisis counseling I talked about you know the nature of domestic violence provided some domestic violence education to her I let her know her options are around start safely and which is like a housing program um you know she can get involved in if she wanted to I explained to her options of emergency accommodation and her options with the children and I let her know what services we have within this Center I provided her with a few phone numbers for after-hours support and I let her know I provided her with an emergency care Park I provided her with food vouchers and I provided her with a taxi voucher to access a refuge so I did no one's counseling on this stage so yeah that's pretty much the case study let's get right into the case of it hi everyone so this is an example of the case notes that I was going to show you so um how did need there's this like noise in the background my computer is really loud it's really old so yeah but anyway so this is an example of the case that I wanted to show you so following that case study that I presented earlier on this is what I've put together so usually depending on what kind of system you're using the system that we use requires you to put in a head in so that's why I've got this client presented to the center in crisis crisis counseling material edited for me provided no ongoing services provided at this stage so I put that heading this so that um if people are just wanting a brief around what happened when this lady presented without actually going into the case night they know they know what kind of spa was provided and what happened in that in that little section in that heading over their primary record updated that just means you know I got the address I got the full name date of birth all that stuff so that's just there was an indication of that and next thing you see is so I presented to the center to access support as recommended by the police that gives a bit of a briefer on how and why Sarah has accessed our service okay and the first topic I've got is DV which stands for domestic violence and this is because I work in a domestic violence and task so that's basically the main our core business really so that's why I have a separate section on that you know for this particular case night so depending on where you're working if maybe you're working in child protection probably the concerns where their child would probably be the main thing so you would have a separate heading for that as well so yeah um as you can see I've done heading support DVI port legal upper housing children physical health previous counseling supports action action is basically what I've done for the client and what needs to be followed up so if you look at the structure of this case notes you realize that it's very easy to read it's very easy to go through is very structured so if I passed on Sara to you to work with her you would definitely have a clearer understanding of what's happening for her just by reading these case notes so I'm not necessarily going to go into every detail of the case notes but um I'll just show you a little bit just to you know give you an idea about you know what's important to include in a case know and the things that you can obviously I'll leave out okay so with the domestic violence I've basically said how long she was with her partner for and know how long domestic violence is happening it happened what's the nature of that domestic violence that's happening I gave an example of an incident that she spoke about and what led up to him getting involved with the police as well so that gives it you know a clearer picture of what's happened in the past and how she ended up with the police with a legal side of things as well I've clearly stated when her next court date is so it's about putting in the really relevant important points that you feel like will be beneficial for the next caseworker or counselor would about to be aware of so I said here you know when the next court date is I've said clearly that there's an AVO in place and I've said that the AVO is valid on to this date I've also spoken about housing you know that she owns it with her partner and obviously now she's homeless because she's had to leave because of domestic violence I spoken about the children I was talking about some of the behaviors they're indicating you know and you know where things are at with them as well because of everything that's happened I've spoken about her physical health I basically said it's being managed by her GP so it's an ongoing thing I've said about previous counselling what the nature of that has been and you know whether she found it helpful or not I was talking about her supports I was talking about what I did to support her in this particular state session so I've just said you know our provider counts crisis counseling I've said I did some domestic violence education with her I've talked about what services I spoke to her about and I didn't specifically say I just said you know I informed her of counselling services available through our Center I didn't specifically explain what those services look like because within my centre obviously everyone's already aware of what services we provide so if I just say you know I've spoken to her about services we provide you wouldn't know what services I'm talking about so there's no need to include that in there um and then what I actually did with Sarah I was talking about you know us contacting and getting imagines the accommodation I've spoken about me giving her food vouchers and attacks Walter and a care pack I was poking about what information I provided to here as well and I've made a separate section talking about follow up you know what needs to be follow up followed up from here so if something happens and I'm away or something then anyone who is available within the sense I can come and have a look here and they can provide support to Sarah in case you present so in case she calls or in case you know the police one line updates around what's happening with her that's pretty much it thank you so much for watching please give this a thumbs up if you found it helpful subscribe if you haven't already and I'll see you in my next video bye guys

26 thoughts on “Five Tips For Writing Case notes (Example of a case note) | SOCIAL WORK”

  1. Thanks for your help. Awesome explanation. Basically, in the social sciences and life sciences, a case study is a research method involving an up-close, in-depth, and detailed examination of a subject of study, as well as its related contextual conditions. https://australianwritings.com.au/ This site is perfect for them who needs help online to write.

  2. You've helped me so much with my assessments, im a social worker student and watching your videos helps me alot!

  3. hi, i am in school to become a social worker, i am wondering could you do a video about process recording

  4. Hi, thank you for these awesome videos. I totally agree with you, and most importantly the self-improvement part of it. That is one way to improve.

  5. This was a wonderful video. I am a new subscriber and I will be making my SW career official next month!!! I know this is a 1-year late comment but just to remind you dont forget to mention that the names you are mentioning are not of the clients or clients family due to confidentiality.

  6. Why is this bitch keep sexually harassing me by allowing me to feel pokes on the vagina. Since the year of 2012? WHY THIS PERSON DON'T BELIEVE IN A MANSLAUGTER CAN BE COMMITTED?

  7. Great info! I was wondering why it would be necessary to give DV education when the client is already experiencing it or if this DV education includes referrals or other services. Thank you.

  8. this is so helpful! I procrastinate and then I have a mountain to complete each month. it can be so frustrating. I think my procrastination is definitely a symptom of secondary trauma.

  9. Thanks Jasmine, this video was very helpful. please keep up the good work! All your vids are so educational and informative👍I am just getting into the field and this vid was extremely helpful🌞

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