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Documenting Psychotherapy

Documenting Psychotherapy
Author: Mary E. Moline
Publisher: SAGE
Total Pages: 204
Release: 1998
Genre: Psychology
ISBN: 9780803946927

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This concise volume examines exactly what is involved in keeping adequate clinical records of individual, family, couple and group psychotherapy. The authors discuss: limits of confidentiality; retention and disposing of records; documentation of safety issues; client access to records; treatment of minors; and training and supervision issues. Throughout the book, legal cases, vignettes and professional commentary help readers to consider legal and ethical issues.


Documenting Psychotherapy

Documenting Psychotherapy
Author: Mary E. Moline
Publisher: SAGE Publications
Total Pages: 202
Release: 1997-09-09
Genre: Psychology
ISBN: 1506319637

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Avoid malpractice for keeping inadequate records and be prepared to respond to a professional peer review by using Documenting Psychotherapy, a practical volume that examines what is necessary in order to keep adequate records that meet current standards of care. This highly readable volume explores issues such as the limits of confidentiality, retention and disposition of records, documentation of safety issues, client access to records, treatment of minors, and the clinical record as it pertains to working with individuals, family couples and groups, as well as supervision and training issues are discussed in detail. Legal cases, vignettes and professional commentary are used throughout the book in order to help guide the reader in thinking through legal and ethical situations. Documenting Psychotherapy belongs on the book shelf of every mental health practitioner and will prove invaluable to professionals in clinical/counseling psychology, social work, psychology, interpersonal violence, and nursing.


The Psychotherapy Documentation Primer

The Psychotherapy Documentation Primer
Author: Donald E. Wiger
Publisher: John Wiley & Sons
Total Pages: 288
Release: 2020-11-10
Genre: Psychology
ISBN: 1119709938

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Everything you need to know to record client intake, treatment, and progress—incorporating the latest managed care, accrediting agency, and government regulations Paperwork and record keeping are day-to-day realities in your mental health practice. Records must be kept for managed care reimbursement; for accreditation agencies; for protection in the event of lawsuits; to meet federal HIPAA regulations; and to help streamline patient care in larger group practices, inpatient facilities, and hospitals. The standard professionals and students have turned to for quick and easy, yet comprehensive, guidance to writing a wide range of mental health documents, the Fourth Edition of The Psychotherapy Documentation Primer continues to reflect HIPAA and accreditation agency requirements as well as offer an abundance of examples. Fully updated to include diagnostic criteria of the DSM-5, The Psychotherapy Documentation Primer, 4th Edition is designed to teach documental skills for the course of psychotherapy from the initial interview to the discharge. The documentation principles discussed in the text satisfy the often-rigid requirements of third-party insurance companies, regulating agencies, mental health licensing boards, and federal HIPAA regulations. More importantly, it provides students and professionals with the empirical and succinct documentation techniques and skills that will allow them to provide clear evidence of the effects of mental health treatment while also reducing the amount of their time spent on paperwork.


The Psychotherapy Documentation Primer

The Psychotherapy Documentation Primer
Author: Donald E. Wiger
Publisher: John Wiley & Sons
Total Pages: 8
Release: 2005
Genre: Medical
ISBN: 0471730165

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"...Records must be kept for managed care reimbursement; for accreditation agencies; for protection in the event of lawsuits; to meet federal HIPAA regulations; and to help streamline patient care in larger practice groups, inpatient facilities, and hospitals...second edition provides the latest information on record keeping for intake, assessment, treatment planning, progress notes, and other essential areas..."--back cover.


Documenting Functional Outcomes in Physical Therapy

Documenting Functional Outcomes in Physical Therapy
Author: Darlene L. Stewart
Publisher:
Total Pages: 320
Release: 1993
Genre: Medical
ISBN:

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No matter where you work, as a PT you must know how to document your services! Proper documentation is essential because the majority of payment for PT services comes from third-party payors -- and proper documentation promotes quality care. Count on this vital resource for all the information you need to document your work effectively! * Case studies clearly demonstrate both appropriate and poor documentation * Practical tips help you expedite the claims process and guarantee a successful outcome


Documenting Psychotherapy

Documenting Psychotherapy
Author: Mary E. Moline
Publisher:
Total Pages: 189
Release: 1997
Genre: Psychiatric records
ISBN: 9781452243320

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Documenting Psychotherapy examines exactly what is involved in keeping adequate clinical records of individual, family, couple and group psychotherapy.


The Clinical Documentation Sourcebook

The Clinical Documentation Sourcebook
Author: Donald E. Wiger
Publisher: John Wiley & Sons
Total Pages: 338
Release: 2010-02-02
Genre: Psychology
ISBN: 0470527781

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All the forms, handouts, and records mental health professionals need to meet documentation requirements–fully revised and updated The paperwork required when providing mental health services continues to mount. Keeping records for managed care reimbursement, accreditation agencies, protection in the event of lawsuits, and to help streamline patient care in solo and group practices, inpatient facilities, and hospitals has become increasingly important. Now fully updated and revised, the Fourth Edition of The Clinical Documentation Sourcebook provides you with a full range of forms, checklists, and clinical records essential for effectively and efficiently managing and protecting your practice. The Fourth Edition offers: Seventy-two ready-to-copy forms appropriate for use with a broad range of clients including children, couples, and families Updated coverage for HIPAA compliance, reflecting the latest The Joint Commission (TJC) and CARF regulations A new chapter covering the most current format on screening information for referral sources Increased coverage of clinical outcomes to support the latest advancements in evidence-based treatment A CD-ROM with all the ready-to-copy forms in Microsoft® Word format, allowing for customization to suit a variety of practices From intake to diagnosis and treatment through discharge and outcome assessment, The Clinical Documentation Sourcebook, Fourth Edition offers sample forms for every stage of the treatment process. Greatly expanded from the Third Edition, the book now includes twenty-six fully completed forms illustrating the proper way to fill them out. Note: CD-ROM/DVD and other supplementary materials are not included as part of eBook file.


Case Documentation in Counseling and Psychotherapy: A Theory-Informed, Competency-Based Approach

Case Documentation in Counseling and Psychotherapy: A Theory-Informed, Competency-Based Approach
Author: Diane R. Gehart
Publisher: Cengage Learning
Total Pages: 560
Release: 2015-02-27
Genre: Education
ISBN: 9781305405219

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CASE DOCUMENTATION IN COUNSELING AND PSYCHOTHERAPY teaches counselors and psychotherapists how to apply counseling theories in real-world settings. Written in a clear, down-to-earth style, the text provides a comprehensive introduction to case documentation using four commonly used clinical forms: case conceptualization, clinical assessment, treatment plan, and progress note. These documents incorporate counseling theory and help new practitioners understand how to use theory in everyday practice. Case studies illustrate how to complete documentation using each of seven counseling models. Readers also learn about the evidence base for each theory as well as applications for specific populations. Designed to produce measurable results that have value beyond the classroom, the text employs learning-centered, outcome-based pedagogy to engage students in an active learning process. Its case documentation assignments-created using national standards-help students apply concepts and develop professional skills early on in their training. When students become practicing mental health professionals they can use this book-with its practical overviews of theories, conceptualization, treatment planning, and documentation-as a clinical reference manual. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.


Record Keeping in Psychotherapy and Counseling

Record Keeping in Psychotherapy and Counseling
Author: Ellen T. Luepker
Publisher: Taylor & Francis
Total Pages: 328
Release: 2012-04-27
Genre: Psychology
ISBN: 1136469648

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Record Keeping in Psychotherapy and Counseling provides an essential framework for understanding record keeping within legal, ethical, supervisory, and clinical contexts. Compelling case examples identify dilemmas and strategies in protecting confidentiality. More than a simple reference book, this text introduces the concept of using records as therapeutic tools to strengthen the therapeutic relationship and facilitate clinical supervision. Appendices and an accompanying CD offer sample forms. A reader-friendly style makes this new edition appropriate for undergraduate and graduate students. New material on electronic records, the impact of electronic communication, and practitioners’ experiences with implementing the Health Insurance Portability and Accountability Act bring this book up to date. Everyone from students to seasoned practitioners will continue to rely on it for protecting themselves, their patients, and their trainees.