The Psychotherapy Documentation Primer
Donald E. Wiger

 

This Primer offers mental health professionals and students basic training in clinical record-keeping. It explains the rationale behind, and the most efficient approach to, the paperwork required when providing mental health services in the managed care era. This text covers every stage of the treatment process:

· Intake
· Biopsychosocial Assessment
· The Mental Status Exam
· Validating a Diagnosis
· The Psychological Report
· Treatment Planning
· Progress Notes
· Documenting the Need for Additional Services


0471-28990-6
224pp
$39.95
Quantity:

Table of Contents


Overview of Current Documentation Procedures and Third-Party Requirements.
The Biopsychosocial Assessment.
The Mental Status Exam.
Validating a Diagnosis.
Treatment Planning.
Progress Notes.
Documenting the Need for Additional Services.
Appendices.
Glossary.
Bibliography and Suggested Readings.
Index.


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