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Psychotherapy Documentation Primer

ISBN-10: 0470903961
ISBN-13: 9780470903964
Edition: 3rd 2012
Authors: Donald E. Wiger
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Description: Fully updated to reflect the latest practice and reporting requirements, The Psychotherapy Documentation Primer, Third Edition is the benchmark record-keeping reference for working mental health professionals.#xA0; It demystifies the entire  More...

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Book details

Edition: 3rd
Copyright year: 2012
Publisher: John Wiley & Sons, Limited
Publication date: 1/27/2012
Binding: Paperback
Pages: 252
Size: 7.00" wide x 9.75" long x 0.75" tall
Weight: 1.254
Language: English

Fully updated to reflect the latest practice and reporting requirements, The Psychotherapy Documentation Primer, Third Edition is the benchmark record-keeping reference for working mental health professionals.#xA0; It demystifies the entire documentation process and includes everything a therapist needs to know to record client intake, treatment, and progress-fully incorporating the latest managed care, accrediting agency, and government regulations. Immensely practical, the book: Discusses the rationale for each step of the therapeutic process Provides training as to correct terminology, assessment, diagnoses, and progress notes documentation required for third-party payers and accreditation agencies. Features instructional tools for classroom and internship use including end of chapter summaries, questions with answers,#xA0; and a glossary In addition, this Third Edition includes four new chapters and new documented client charts: New chapter: The Art and Science of Psychological Assessment and Treatment New chapter: Ethical and Cultural Considerations New chapter: Integrating Non-conflicting and Conflicting Observations, Client Statements, the MSE, Previous Records, and Testing New chapter: Words of Wisdom: Being a Successful Mental Health Professional New: Four new documented client charts covering chemical dependency services, psychological/vocational services, neuropsychometric services, and developmental delays #xA0; #xA0;

Preface
How This Book Came Into Being: A Lesson in Making a Really Bad Negative Into a Really Good Positive
Introduction
The Art and Science of Psychological Assessment and Treatment
Overview of Current Documentation Procedures and Third-Party Requirements
Ethical Considerations in Documentation
The Biopsychosocial Assessment
The Mental Status Exam
Validating a Diagnosis
Formulating a Treatment Plan
Writing Progress Notes
Documenting the Need for Additional Services
Putting it All Together: Documented Chart for Mental Health Services
Overview of Outcome Measures
Overview of HIPAA Guidelines in Mental Health Settings
Glossary
References and Suggested Readings
Index

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