Horticultural Therapy Group Session Note (SOAP)

A concise SOAP-format note for documenting individual participant responses to horticultural therapy group sessions. Includes required group therapy billing elements (attendance, group size, duration) and separates share…

Document Type

clinical note / Progress Note

Specialties

Horticultural Therapy
Created by Augustun

Template Preview

Date of Service: [Date]

Location: [Location / unit / setting]

Group Name: [Group title / theme]

Session Duration: [Total minutes scheduled]

Participant Attendance: [present / late / left early]

Minutes Present: [Number of minutes]

Group Size: [Number of participants present] (Do not include names)

Facilitator: [Clinician name, credentials]

Precautions: [Active precautions or restrictions affecting participation] (Only include if precautions materially affected the session; otherwise omit this line entirely)

Subjective

[Self-reported mood, energy, pain, and/or stress as related to participation; stated goals or perceived benefit from the session] (Include a brief direct quote only if it captures clinically meaningful insight. If subjective information was not obtained, state the reason instead, e.g., "Subjective not obtained due to cognitive limitations.")

Objective

[One-sentence group focus statement describing the therapeutic theme and primary horticultural activity]

Participation: [Level of engagement: active / moderate / minimal / refused; on-task behavior; initiation; responsiveness to prompts; cooperation with group expectations]

Interventions Provided: [Skilled clinician actions: instruction; cueing type and frequency; task grading or modifications; adaptive equipment; group facilitation techniques] (Include only elements provided)

Performance/Response: [Measurable outcomes: assistance level required; task completion; regulation and tolerance; safety compliance with tools and restrictions]

Group Dynamics: [Interpersonal functioning within the group] (Use generic references such as "peers" or "another group member"; do not identify other participants)

Behavioral/Safety Event: [Trigger/context; observed behavior; immediate risk; interventions used; notifications made; outcome] (Only include if an event occurred; otherwise omit this line entirely)

Assessment

[Synthesis of clinical response to the session and progress toward individualized goals; explanation of why skilled horticultural group therapy was appropriate and how the group format benefited this participant] (Clearly label inferences and tie them to observed behaviors)

[Barriers impacting participation and modifications that were effective or needed] (Only include if barriers were present)

Plan

Next Session: [Continue / modify / discontinue group participation; anticipated theme and therapeutic targets]

Modifications: [Participant-specific changes for future sessions: seating; cueing strategy; tool restrictions; pacing; behavioral supports] (Omit if no modifications needed)

Coordination: [Communication to treatment team or follow-up actions] (Only include if indicated)

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