Clinical Documentation Sourcebook The Complete Paperwork Resource for Your Mental Health Practice

Name: Clinical Documentation Sourcebook The Complete Paperwork Resource for Your Mental Health Practice
Availability: InStock
ISBN: 9780470527788

ISBN-10: 0470527781

ISBN-13: 9780470527788

Edition: 4th 2010

Authors: Donald E. Wiger

List price: $83.95

This item qualifies for FREE shipping.

30 day, 100% satisfaction guarantee!

Sell

Get cash fast!

Semester Rental: $26.74 Due date: 8/14/2024

Rental notice: supplementary materials (access codes, CDs, etc.) are not guaranteed with rental orders.

Buy used: $48.62

Buy new: $85.84

Marketplace

3 new & used from $38.94

what's this?

Rush Rewards U
Members Receive:

You have reached 400 XP and carrot coins. That is the daily max!

Description:

The Clinical Documentation Sourcebook has become recognized as the most comprehensive and useful practice management resource on the market. This Fourth Edition provides updates for HIPAA compliance, and the latest The Joint Commission (TJC) and CARF regulations. It includes seventy-two ready-to-copy blank forms as well as twenty-six fully completed forms illustrating the proper way to fill them out. Plus, an accompanying CD-ROM contains all the ready-to-copy forms in Microsoft Wordreg; format. Mental health professionals will benefit from a new chapter with an all-new format on screening information for referral sources.

Book details

List price: $83.95
Edition: 4th
Copyright year: 2010
Publisher: John Wiley & Sons, Limited
Publication date: 2/19/2010
Pages: 336
Size: 8.40" wide x 10.70" long x 0.90" tall
Weight: 2.442
Language: English



Preface to the Fourth Edition


Introduction



Administration and Intake Forms


Introduction



Screening Information



Notice of Appointment



Consent to Treatment and Recipient's Rights



Recipient's Rights Notification



Financial Policy



Payment Contract for Services



Code of Ethics and Mission Statement



Therapist's Ethics Statement



Agreement Regarding Minors



Preauthorization for Health Care



Confi dentiality Agreement



Forms Designed for HIPAA Compliance


Introduction



Privacy of Information Policies



Request to Amend Health Records



Request for Restricted Use/Disclosure of Records



Request for Alternative Means of Confidential Information



Release of Information Consent



Record of Requests for Client Information



Request for Listing of Disclosures of Client Records



Screening Information



Mental Health Screening Form



Substance Abuse Screening Form



Adaptive Functioning Screening Form



Learning Disability Screening Form



ADHD Screening Form



Assessment Forms


Introduction



Initial Assessment-Adult



Example of Completed Form



Initial Assessment-Children and Adolescents (_18)



Example of Completed Form



Personal History-Adult (18_)



Example of Completed Form



Personal History-Children and Adolescents (_18)



Example of Completed Form



Couple's Information Form



Emotional/Behavioral Assessment



Example of Completed Form



Emotional/Behavioral Update



Example of Completed Form



Diagnostic Assessment Report



Example of Completed Form



Diagnostic Assessment-Lower Functioning



Example of Completed Form



Biopsychosocial Report



Example of Completed Form



Psychological Evaluations


Introduction



Psychological Evaluation-Adult



Example of Completed Form



Psychological Evaluation-Children and Adolescents



Example of Completed Form



Psychological/Vocational Assessment



Neuropsychometric Consultation



Treatment Planning Forms and Procedures


Introduction



Individual Treatment Plan



Example of a Poor Treatment Plan



Example of Completed Form-Adult



Example of Completed Form-Children and Adolescents



Short-Term Therapy Treatment Plan



Example of Completed Form



Treatment Review



Example of Completed form



Treatment Update



Example of Completed Form



Progress Notes


Introduction






Example of Poor Progress Notes



Example of Completed Form-Adult



Example of Competed Form-Children and Adolescents



Progress Notes-Outline



Example of Completed Form



Group Therapy Progress Notes



Example of Completed Form



Psychiatric Medication Management Progress Notes



Other Forms Used during the Course of Treatment


Introduction



Referral for Mental Health Services



Informed Consent for Medication



Suicide Contract



Cooperating in Child Rearing



Couple's Analysis of Target Behaviors



Example of Completed Form



Third-Party Prior Authorization Request for Continued Services



Example of Poor Authorization Request



Example of Completed Form



Chart Review and Outcomes Documentation


Introduction



Chart Review



Utilization Review Committee Guide to Review Charts for Audit



Utilization Review Committee-Chart Review Summary



Medical Records Audit Chart



Statement of Confidentiality for Those Auditing or Reviewing Client Charts



Outcome Survey for Adults



Outcome Survey for Children



Outcome Survey for Families and Relationship



Termination and Aftercare


Introduction



Discharge Summary



Example of Completed Form



Termination Letter


Bibliography and Suggested Readings