The Clinical Documentation Sourcebook: A Comprehensive Collection of Mental Health Practice FORMS, HANDOUTS, and RECORDS - Softcover

Wiger, Donald E.

Softcover

ISBN 10: 0471179345 ISBN 13: 9780471179344

Publisher: John Wiley & Sons, 1997

Synopsis

With the demands of third–party payers and the need to comply with regulatory agencies in maintaining comprehensive treatment records, clinicians are faced with more paperwork than ever. Organized by stage of the treatment process (intake; assessment; treatment planning/case notes; patient handouts; and discharge) this concise sourcebook contains every form a clinician needs to create and maintain accurate and complete clinical records.

About this title

About the Author

DONALD E. WIGER, PhD, is a psychologist with two successful counseling clinics, and an associate faculty member at the Minnesota School of Professional Psychology. Through his company, CPS Seminars, he also conducts scores of workshops each year, training other mental health professionals in clinical documentation.

From the Back Cover

Featuring Ready–to–use Forms for Diagnostic Assessment, Intake Notes, Treatment Plans, and Case Notes.

Dozens of Samples of Completed Forms and Records Covering Every Phase of the Clinical Process.

24 Customizable Forms on DiskManaged care organizations have brought radical changes in both the quantity and quality of clinical documentation required from mental health professionals seeking prior authorization or approval for additional treatments for their clients. Now the dominant third–party payers in the health care system, these organizations require accurate and detailed documentation of symptoms, diagnosis, treatment plan, and client progress.

The Clinical Documentation Sourcebook is designed to help clinicians provide this documentation in a form that satisfies managed care requirements and maximizes prospects for approval of payments. This unique book/disk set:

• Supplies 24 ready–to–use sample forms that meet the documentation requirements of virtually every managed care organization
• Covers every stage and aspect of the mental health assessment and treatment process
• Provides properly completed examples of each form
• Offers fully developed "good" and "bad" examples of case notes, a treatment plan, and a prior authorization request
• Permits flexible use of all documentation materials forms can be photocopied directly from the book or accessed and customized on the accompanying disk,

The Clinical Documentation Sourcebook enables psychologists, psychiatrists, social workers, and other mental health professionals to document the efficacy of therapy in areas such as validating the diagnosis, functional impairments, symptoms, treatment, client cooperation, and behavioral evidence of gains and setbacks in treatment. In addition to increasing the likelihood of prior authorization for initial treatment and additional sessions, the resources provided in this book also help sharpen the focus of therapy sessions for client and clinician alike.

Edition details

• Publisher: John Wiley & Sons
• Publication date: 1997
• Language: English
• ISBN 10: 0471179345
• ISBN 13: 9780471179344
• Binding: Paperback
• Number of pages: 256