The Counselor’s STEPs for Progress Notes A Guide to Clinical Language and Documentation
The Counselor’s STEPs for Progress Notes: A Guide to Clinical Language and Documentation by Rhonda Sutton is a comprehensive resource published by CreateSpace Independent Publishing Platform on June 21, 2015. This second edition spans 156 pages and is presented in English. It serves as a straightforward guide to writing progress notes, enhancing the utility and readability of the first edition with additional examples and information.
Readers will find detailed guidance on various aspects of progress notes, including writing techniques, storage methods, and handling requests for documentation. The book also introduces new chapters focused on clinical language and documentation, alongside case studies that illustrate the application of the STEPs format. It includes clinical terms and abbreviations, as well as suggestions for other essential documentation such as termination letters and privacy statements, making it a valuable tool for all types of mental health clinicians.
Official synopsis Publisher
Dr. Rhonda Sutton’s second edition of the straightforward guide to progress notes includes additional examples, information, documentation, and clinical language that expands on the utility and readability of the first book. Additional case studies provide examples of how to use the STEPs to format notes. New chapters include information on clinical language and documentation. This book covers everything about progress notes, from how to write them, to how to store them, and even what to do when someone requests to them. In addition, clinical terms and abbreviations are included as well as suggestions for other clinical documentation such as termination letters, privacy statements, and professional disclosure statements. Suited for all types of mental health clinicians, this book will help therapists improve upon their progress notes and other forms of clinical documentation.
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