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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.
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 Third Edition of The Psychotherapy Documentation Primer continues to reflect HIPAA and accreditation agency requirements as well as offer an abundance of examples. The new edition features: Revised examples of a wider range of psychological concerns New chapters on documentation ethics and the art and science of psychological assessment and psychotherapy Study questions and answers at the end of each chapter Greatly expanded, The Psychotherapy Documentation Primer, Third Edition continues to be the benchmark record-keeping reference for working professionals, reflecting the latest in documentation and reporting requirements.
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.
Mark McMinn and Clark Campbell present an integrative model of psychotherapy that is grounded in Christian biblical teaching and in a critical and constructive engagement with contemporary psychology. This foundational work integrates behavioral, cognitive, and interpersonal models of therapy within a Christian theological framework.
This book provides therapists guidance on choosing the best outcomes- tracking methods and instruments. It explains how to integrate them into everyday clinical procedures and use the data they supply to improve the quality of care and comply with insurance and regulatory agency requirements. Both intraclient and normative approaches are described. Case studies illustrate how to perform and document outcomes assessment. Wiger is a practicing psychologist. Solberg teaches at the Minnesota School of Professional Psychology. Annotation copyrighted by Book News Inc., Portland, OR.
Based on original research conducted by the author over the past twenty years, this book is a definitive investigation of enduring change. Hundreds of therapists and change agents, in addition to a diverse group of people who have self-initiated experiences, or structured therapy, have been interviewed about their most dramatic growth and the factors that contributed to making their changes last. Written for helping and leadership professionals, as well as the public, this book will give readers the knowledge and tools they need to understand the mechanisms and processes of lasting change.
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Doctor Ellen G. Horovitz shares over 40 years of experience as she transliterates evidence-based art therapy into medical terminology. This revised and updated Third Edition spells out the how-to's behind producing art therapy assessments, process notes, significant sessions, objectives and modalities, termination summaries and internet-based assessments into translatable documentation, designed to dovetail within an interdisciplinary medical model. In addition, this third edition emphasizes information on how to use psychological applications and art therapy based assessments to ensure best practices and efficacy of patient care. This step-by-step methodology fashions these reports, placing art therapy on equal footing with all mental health clinicians and generates records, which serve as points of departure for practitioners. This text is designed as a teaching tool that lays the foundation to enhance pertinent skills that are important to patient practice, including the armament to write up clinically-based reports that serve as a model for the field. Additionally, the practitioner is offered sample formats, legends and abbreviations of clinical and psychiatric terms, guidelines for recordable events, instructions of writing up objectives, modalities, and treatment goals as well as training on composing progress versus process notes. The Appendices provides a wealth of information and forms to use in one's clinical practice. This must-have reference manual amasses information that will serve as a companion guide for every art therapist to formulate clinical reports, and it will aid patients toward their trajectory of wellness, recovery and, above all, health.
This third edition has greatly increased the material on how to conduct criminal trials, so that the text is a valuable resource for both civil and criminal actions. New segments include: preparation of a criminal case, running of a criminal trial, Crown and defence opening and closing submissions, Crown disclosure and third party production, limitations on Crown cross-examinations, the conduct of a voir dire and arguing a Charter motion."--pub. desc.
Develop the skills you need to effectively and efficiently document patient care for children and adults in clinical and hospital settings. This handy guide uses sample notes, writing exercises, and EMR activities to make each concept crystal clear, including how to document history and physical exams and write SOAP notes and prescriptions.