The Psychotherapy Documentation Primer

Everything a therapist needs to know to record client intake, treatment, and progress—fully incorporating the latest managed care, accrediting agency, and government regulations

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 practice groups, inpatient facilities, and hospitals.?The first edition of The Psychotherapy Documentation Primer became a standard for professionals and students who needed a quick and easy, yet comprehensive, guide to writing a wide range of mental health documents. This updated and revised Second Edition provides the latest information on record keeping for intake, assessment, treatment planning, progress notes, and other essential areas.

Greatly expanded, this user-friendly guide encompasses the many changes that have occurred in mental health practice, including:

• Changes to DSM codes and definitions
  
• New managed care guidelines
  
• Accrediting requirements from JCAHO and CARF
  
• New federal HIPAA regulations

• More examples and improved graphics
• Study questions and answers at the end of each chapter
• An expanded reference section