Documentation: Assessment,Planning Treatment and Noting Progress
This course will knock your socks off!!! The class provides clinical documentation protocol to meet utilization review, and evidence-based practice standards; covers documentation from assessment to discharge.
Available as a live course for contracted groups. Contact us for information.
Developed by: Karen Albig Smith, LMFT, LCAS, MAC, CAP, SAP, SAE
Description: Clinical documentation of services provided to consumers of mental health services is a critical skill for mental health providers. In today’s practice environment most providers are expected to apply evidence-based best practices. Clinical documentation must not only meet utilization review criteria but they must also substantiate model fidelity. Assessments need to meet medical necessity standards. Treatment plans need to utilize assessment information, describe consumer problems in behavioral terms, specify in measurable steps the objectives that have been individually selected to help consumers reach identified goals. The study equips providers to be familiar with the language of case documentation including involvement of the consumer in the planning process. Instruction includes an overview of assessment information used to develop treatment plans, writing an integrated summary, interdisciplinary treatment planning, developing and writing problem statements, goal statements, determining objectives, interventions and progress notation. This course is a must for anyone who needs to learn how to better articulate treatment services. Risk management concerns and legal issues are also discussed.
CE Credits: 6
CE Broker#: 20-318285
Methods: Pre-test, study guide, posttest and evaluation, internet sources via URLs, Q&A by email.
Content Area: Documentation, Clinical evaluation, and assessment, Applications to practice, Risk management, Legal and regulatory, Professional orientation/readiness.
Purpose: At the completion of this course, providers should be better equipped to document comprehensive assessment, interdisciplinary treatment planning, and progress notation.
Target Audience: Social workers, marriage and family therapists, licensed professional counselors, mental health counselors, nurses, employee assistance professionals, addiction professionals, behavioral health technicians, and other allied professionals who may work with these populations.
National Board for Certified Counselors (N.B.C.C.) Program Services has been approved by NBCC as an Approved Continuing Education Provider, ACEP #: 5978.
Programs that do not qualify for NBCC credit are clearly identified.
Program Services is solely responsible for all aspects of the programs.
Social Work: State Licensing Board Approval Information for Continuing Education.
The following states accept our national approvals (NBCC) for social work CE: Alabama, Arizona, California, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Kentucky, Missouri, Nebraska, New Hampshire, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Washington, Wisconsin.
We are approved in two states for social work (Florida and Alabama).
The following states accept Program Services CE if other state SW boards have approved our CE. (Louisiana, Maryland, Massachusetts, Michigan, Mississippi, New Jersey, North Dakota, Rhode Island, South Carolina, South Dakota, Texas, Vermont, Virginia, West Virginia.)
These states specify cross-disciplinary CE is acceptable, have no specified requirements/limitations, or that social workers can self- submit after the fact:
Alaska, Arkansas, Colorado, Kansas, Maine, Montana, Nevada, North Carolina, Ohio, Oklahoma, Wyoming, New Mexico.
Program Services has not applied for CE for social work in New York, Hawaii, Iowa, and Minnesota.
National Association of Alcohol and Drug Abuse Counselors (NAADAC) #86395
Florida Board of Nursing FBN #2456 CEBroker provider # 50-1651
Florida Board of Clinical Social Work, Marriage and Family Therapy, and Mental Health Counseling: BAP #162 CEBroker provider # 50-1651
Florida Certification Board, Inc. #159A
Alabama State Board of Social Work Examiners #0339
Georgia Board of Nursing CEBroker provider #50-1651
South Carolina Board of Nursing CEBroker provider #50-1651
District Columbia Board of Nursing CEBroker provider #50-1651
Allied profession approvals can be found at https://www.programservices.org/approvals?
- CE Broker#:
- CE Credits: