The Psychotherapy Documentation Primer
The Psychotherapy Documentation Primer by Donald E. Wiger, published by John Wiley & Sons in 2005, is a comprehensive guide designed for therapists to effectively document client intake, treatment, and progress. This second edition spans 240 pages and is presented in English, addressing the essential paperwork and record-keeping needs in mental health practice. It incorporates the latest regulations from managed care, accrediting agencies, and government standards, making it a vital resource for both professionals and students in the field.
Readers will find that this updated edition greatly expands on the first, providing crucial information on record-keeping for various aspects of mental health documentation, including intake, assessment, and treatment planning. The book reflects significant changes in mental health practice, such as updates to DSM codes, new managed care guidelines, and federal HIPAA regulations. Additionally, it includes instructional tools like examples, improved graphics, and study questions at the end of each chapter, making it suitable for classroom use and practical application in real-world settings.
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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
In addition, the revised text features more instructional tools for classroom use. These include:
- More examples and improved graphics
- Study questions and answers at the end of each chapter
- An expanded reference section
Fully updated to reflect the latest practice and reporting requirements, The Psychotherapy Documentation Primer, Second Edition is the benchmark record-keeping reference for working mental health professionals.
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