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Book Cover
Author Wiger, Donald E., 1953- author

Title The psychotherapy documentation primer / Donald E. Wiger
Edition Third edition
Published Hoboken, New Jersey : John Wiley & Sons, Inc., [2011]
Online access available from:
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Description 1 online resource (xi, 237 pages) : illustrations
Series Practiceplanners series
Contents Introduction -- The art and science of pyschological 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 -- Appendix a: Putting it all together : documented chart for mental health services -- Appendix B: Overview of outcome measures -- Appendix C: Overview of HIPAA guidelines in mental health settings
Summary Paperwork and record keeping are day-to-day realities in your mental health practice. Records must be kept for managed care reimbursement; for accreditation agencies; for protection in the event of lawsuits; to meet federal HIPAA regulations; and to help streamline patient care in larger group practices, inpatient facilities, and hospitals. The standard professionals and students have turned to for quick and easy, yet comprehensive, guidance to writing a wide range of mental health documents, the Third Edition of The Psychotherapy Documentation Primer continues to reflect HIPAA and accreditation agency requirements as well as offer an abundance of examples. The new edition features: Revised examples of a wider range of psychological concerns. New chapters on documentation ethics and the art and science of psychological assessment and psychotherapy. Study questions and answers at the end of each chapter. Greatly expanded, The Psychotherapy Documentation Primer, Third Edition continues to be the benchmark record-keeping reference for working professionals, reflecting the latest in documentation and reporting requirements
Bibliography Includes bibliographical references and index
Subject Mental health services -- Management.
Mental health services -- Medical records.
Psychiatric records.
Psychotherapy -- organization & administration.
Documentation -- methods.
Forms and Records Control -- standards.
Insurance, Health, Reimbursement -- standards.
United States.
Form Electronic book
ISBN 1118167864 (electronic bk.)
9781118167861 (electronic bk.)
(paperback;) (acidfree paper)
(paperback;) (acidfree paper)