1.

Record Nr.

UNINA9910461859203321

Autore

Wiger Donald E. <1953->

Titolo

The psychotherapy documentation primer [[electronic resource] /] / Donald E. Wiger

Pubbl/distr/stampa

Hoboken, NJ, : Wiley, 2011

ISBN

1-283-40129-0

9786613401298

1-118-16786-4

Edizione

[3rd ed.]

Descrizione fisica

1 online resource (258 p.)

Collana

Practiceplanners series

Disciplina

616.890068

Soggetti

Mental health services - Management

Mental health services - Medical records

Psychiatric records

Electronic books.

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Note generali

Includes index.

Nota di contenuto

The Psychotherapy Documentation Primer; Contents; Preface; How This Book Came Into Being: A Lesson in Making a Really Bad Negative Into a Really Good Positive; 1 Introduction; 2 The Art and Science of Psychological Assessment and Treatment; 3 Overview of Current Documentation Procedures and Third-Party Requirements; 4 Ethical Considerations in Documentation; 5 The Biopsychosocial Assessment; 6 The Mental Status Exam; 7 Validating a Diagnosis; 8 Formulating a Treatment Plan; 9 Writing Progress Notes; 10 Documenting the Need for Additional Services

Appendix A Putting it All Together: Documented Chart for Mental Health ServicesAppendix B Overview of Outcome Measures; Appendix C Overview of HIPAA Guidelines in Mental Health Settings; Glossary; References and Suggested Readings; Index

Sommario/riassunto

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 compreh