The Psychotherapy Documentation Primer

ISBN-13: 9781119709848 / Angielski / Miękka / 2020 / 288 str.

Donald E. Wiger

Spis treści

Preface viiHow This Book Came Into Being: A Lesson in Making a Really Bad Negative into a Really Good Positive ix1 Introduction 12 The Art and Science of Psychological Assessment and Treatment 93 Overview of Current Documentation Procedures and Third-Party Requirements 154 Ethical Considerations in Documentation 455 The Biopsychosocial Assessment 596 The Clinical Interview: Mental Status Exam 937 The Clinical Interview: Validating a Diagnosis 1118 Formulating a Treatment Plan 1359 Writing Progress Notes 16310 Documenting the Need for Additional Services 19511 Documenting Mental Health Treatment Outcomes for Individuals 201Appendix A Putting it all Together: Documented Chart for Mental Health Services 213Appendix B Overview of HIPAA Guidelines in Mental Health Settings 233Appendix C Example of Corrective Actions Due to a Therapist's Poor Documentation 237Appendix D Documenting Suicidality 241Glossary 245References and Suggested Readings 253Index 257

O autorze

DONALD E. WIGER, Ph.D., is a practicing psychologist in St. Paul, MN, specializing in conducting psychological evaluations for a variety of purposes. He has taught graduate courses in psychological assessment for over 30 years. He has written several texts in areas of documentation, clinical forms, interviewing, outcomes, and crisis intervention. He conducts seminars, nationally, in areas such as documentation, interviewing, and private practice.