The Psychotherapy Documentation Primer

All the forms, handouts, and records mental health professionals need to meet documentation requirements 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. This updated and revised Third Edition provides you with a full range of forms, checklists, and clinical records essential for effectively and efficiently managing your practice. From intake to diagnosis and treatment through discharge and outcome assessment, The Clinical Documentation Sourcebook, Third Edition offers sample forms for every stage of the treatment process. Greatly expanded from the second edition, the book now includes twenty-six fully completed forms illustrating the proper way to fill them out, as well as fifty-two ready-to-copy blank forms. The included CD-ROM also provides these forms in Word format so you can easily customize them to suit your practice. With The Clinical Documentation Sourcebook, Third Edition, you'll spend less time on paperwork and more time with clients. Includes documentation for child, family, and couples counseling Updated for HIPAA compliance, as well as to reflect the latest JCAHO and CARF regulations New focus on clinical outcomes supports the latest innovations in evidence-based practice

All of the requisite forms addiction treatment professionals need—a crucial time-saver in today's healthcare system Treating addiction in today's healthcare environment means that mental health professionals must manage an imposing amount of paperwork. Government and private grant funding, insurance and benefits programs, regulatory compliance, and the need for data on treatment effectiveness (evidence-based treatment) all require proper documentation. If these forms are missing, the results can range from bureaucratic headaches to problems serious enough to close a practice. Now fully updated and revised, The Addiction Counselor's Documentation Sourcebook: The Complete Paperwork Resource for Treating Clients with Addictions, Second Edition provides the most useful and current forms for accurate and comprehensive documentation and record keeping. These ready-to-use forms will save you and your practice hours that would otherwise be spent creating and collating them, freeing you to devote more energy to the important matters of treatment. A companion CD-ROM includes all documents in Word? format so you can customize them according to the unique needs of your practice. Covering every aspect of mental health practice for addiction treatment, this fully revised Second Edition also includes: Critical forms updated to help providers achieve HIPAA, JCAHO, and CARF compliance Unique handouts, exercises, and facilitator guides for use in individual and group therapy A comprehensive CD-ROM featuring all forms in Word format, as well as PowerPoint slideshows for every psychoeducational presentation in the book The Addiction Counselor's Documentation Sourcebook, Second Edition is an essential timesaving resource that allows any professional practicing or working in the field of addiction treatment the freedom to give more of their time and energy to the people they serve.

Software documentation forms the basis for all communication relating to a software project. To be truly effective and usable, it should be based on what needs to be known. Agile Documentation provides sound advice on how to produce lean and lightweight software documentation. It will be welcomed by all project team members who want to cut out the fat from this time consuming task. Guidance given in pattern form, easily digested and cross-referenced, provides solutions to common problems. Straightforward advice will help you to judge: What details should be left in and what left out When communication face-to-face would be better than paper or online How to adapt the documentation process to the requirements of individual projects and build in change How to organise documents and make them easily accessible When to use diagrams rather than text How to choose the right tools and techniques How documentation impacts the customer Better than offering pat answers or prescriptions, this book will help you to understand the elements and processes that can be found repeatedly in good project documentation and which can be shaped and designed to address your individual circumstance. The author uses real-world examples and utilises agile principles to provide an accessible, practical pattern-based guide which shows how to produce necessary and high quality documentation.

The bestselling treatment planning system for mental health professionals The Adolescent Psychotherapy Treatment Planner, Fifth Edition provides all the elements necessary to quickly and easily develop formal treatment plans that satisfy the demands of HMOs, managed care companies, third-party payors, and state and federal agencies. New edition features empirically supported, evidence-based treatment interventions including conduct disorder, substance use, low self-esteem, suicidal ideation, ADHD, and eating disorders Organized around 36 behaviorally based presenting problems, including peer/sibling conflict, school violence, sexual abuse, and others Over 1,000 prewritten treatment goals, objectives, and interventions—plus space to record your own treatment plan options Easy-to-use reference format helps locate treatment plan components by behavioral problem Includes a sample treatment plan that conforms to the requirements of most third-party payors and accrediting agencies including CARF, The Joint Commission (TJC), COA, and the NCQA

A time-saving resource, fully revised to meet the changing needs of mental health professionals The Child Psychotherapy Treatment Planner, Fifth Edition provides all the elements necessary to quickly and easily develop formal treatment plans that satisfy the demands of HMOs, managed care companies, third-party payors, and state and federal agencies. New edition features empirically supported, evidence-based treatment interventions including anxiety, attachment disorder, gender identity disorder, and more Organized around 35 behaviorally based presenting problems including academic problems, blended family problems, children of divorce, ADHD, and more Over 1,000 prewritten treatment goals, objectives, and interventions—plus space to record your own treatment plan options Easy-to-use reference format helps locate treatment plan components by behavioral problem Includes a sample treatment plan that conforms to the requirements of most third-party payors and accrediting agencies including CARF, The Joint Commission (TJC), COA, and the NCQA

Reduce paperwork and increase efficiency with this indispensable companion to the Complete Adult Psychotherapy Treatment Planner, Sixth Edition  The newly revised sixth edition of  The Adult Psychotherapy Progress Notes Planner , delivers complete prewritten session and patient presentation descriptions for each behavioral problem described in the Complete Adult Psychotherapy Treatment Planner, Sixth Edition . These prewritten progress notes can easily be adapted to fit a particular client need or treatment situation.  The Progress Notes Planner  will save you hours of time-consuming paperwork while allowing you to retain the flexibility you need to adapt your notes to each individual patient. The  Planner  is organized around the 44 behaviorally based problems found in the sixth edition of the  Complete Adult Psychotherapy Treatment Planner, including depression, chronic pain, anxiety, and more.  The Progress Notes Planner  identifies the latest evidence-based treatment clinical interventions with language that satisfies the requirements of managed care and accrediting agencies, like CARF, TJC, COA, and the NCQA.  The Progress Notes Planner  also offers:  Over 1000 prewritten progress notes summarizing patient presentation, the themes of the session, and the treatment delivered by the psychotherapist An array of treatment approaches that correspond to the behavioral problems and DSM-V diagnostic categories in  Complete Adult Psychotherapy Treatment Planner, Sixth Edition  An additional chapter designed to coordinate with the Treatment Planner chapter on loneliness Full coordination with the sixth edition of the Treatment Planner Perfect for any professional who performs psychotherapy with the Complete Adult Psychotherapy Treatment Planner, Sixth Edition , the sixth edition of  The Adult Psychotherapy Progress Notes Planner  will also earn a place on the bookshelves of professors and students of psychotherapy programs and courses, as well as any university or private professional school that trains counselors or psychotherapists.

The Adult Psychotherapy Progress Notes Planner contains complete prewritten session and patient presentation descriptions for each behavioral problem in The Complete Adult Psychotherapy Treatment Planner, Second Edition. The prewritten progress notes can be easily and quickly adapted to fit a particular client need or treatment situation. * Saves you hours of time-consuming paperwork, yet offers the freedom to develop customized progress notes * Organized around 39 main presenting problems that range from chemical dependence and low self-esteem to anxiety, impulse control, grief/loss, and others * Features over 1,000 prewritten progress notes (summarizing patient presentation, themes of session, and treatment delivered) * Provides an array of treatment approaches that correspond with the behavioral problems and DSM-IV(TM) diagnostic categories in The Complete Adult Psychotherapy Treatment Planner, Second Edition * Offers sample progress notes that conform to the requirements of most third-party payers and accrediting agencies, including the JCAHO and the NCQA

The Child Psychotherapy Progress Notes Planner, Second Edition contains complete prewritten session and patient presentation descriptions for each behavioral problem in The Child Psychotherapy Treatment Planner, Third Edition. The prewritten progress notes can be easily and quickly adapted to fit a particular client need or treatment situation. * Saves you hours of time-consuming paperwork, yet offers the freedom to develop customized progress notes * Organized around 33 main presenting problems that range from blended family problems and children of divorce to ADHD, attachment disorder, academic problems, and speech and language disorders * Features over 1,000 prewritten progress notes (summarizing patient presentation, themes of session, and treatment delivered) * Provides an array of treatment approaches that correspond with the behavioral problems and DSM-IV-TR(TM) diagnostic categories in The Child Psychotherapy Treatment Planner, Third Edition * Offers sample progress notes that conform to the requirements of most third-party payors and accrediting agencies, including the JCAHO and the NCQA

Save hours of time-consuming paperwork The Child Psychotherapy Progress Notes Planner, Fifth Edition contains complete prewritten session and patient presentation descriptions for each behavioral problem in the Child Psychotherapy Treatment Planner, Fifth Edition. The prewritten progress notes can be easily and quickly adapted to fit a particular client need or treatment situation. Saves you hours of time-consuming paperwork, yet offers the freedom to develop customized progress notes Organized around 35 main presenting problems, from academic underachievement and obesity to ADHD, anger control problems, and autism spectrum disorders Features over 1,000 prewritten progress notes (summarizing patient presentation, themes of session, and treatment delivered) Provides an array of treatment approaches that correspond with the behavioral problems and DSM-5 diagnostic categories in The Child Psychotherapy Treatment Planner, Fifth Edition Offers sample progress notes that conform to the requirements of most third-party payors and accrediting agencies, including CARF, TJC, and NCQA Presents new and updated information on the role of evidence-based practice in progress notes writing and the special status of progress notes under HIPAA

The Couples Psychotherapy Progress Notes Planner, Second Edition contains complete prewritten session and patient presentation descriptions for each behavioral problem in The Couples Psychotherapy Treatment Planner, Second Edition. The prewritten progress notes can be easily and quickly adapted to fit a particular client need or treatment situation. Saves you hours of time-consuming paperwork, yet offers the freedom to develop customized progress notes Organized around 35 behaviorally based presenting problems, including loss of love and affection, depression due to relationship problems, jealousy, job stress, financial conflict, sexual dysfunction, blame, and intimate partner violence Features over 1,000 prewritten progress notes (summarizing patient presentation, themes of session, and treatment delivered) Provides an array of treatment approaches that correspond with the behavioral problems and DSM-IV-TR™ diagnostic categories in The Couples Psychotherapy Treatment Planner, Second Edition Offers sample progress notes that conform to the requirements of most third-party payors and accrediting agencies, including CARF, The Joint Commission (TJC), COA, and the NCQA Presents new and updated information on the role of evidence-based practice in progress notes writing and the special status of progress notes under HIPAA