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Record Nr. |
UNINA9910811233903321 |
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Autore |
Wiger Donald E. <1953-> |
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Titolo |
The psychotherapy documentation primer / / Donald E. Wiger |
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Pubbl/distr/stampa |
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Hoboken, NJ, : Wiley, 2011 |
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ISBN |
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1-283-40129-0 |
9786613401298 |
1-118-16786-4 |
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Edizione |
[3rd ed.] |
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Descrizione fisica |
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1 online resource (258 p.) |
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Collana |
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Disciplina |
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Soggetti |
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Mental health services - Management |
Mental health services - Medical records |
Psychiatric records |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Note generali |
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Nota di contenuto |
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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 |
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Sommario/riassunto |
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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 |
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