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. 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: Psychologists, school psychologists, 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.
States that accept Program Services credits because of our national approvals: Arizona, California, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Kentucky, Missouri, Nebraska, New Hampshire, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Washington, Wisconsin
Accepts Program Services credits because we hold another state SW board approval: Louisiana, Maryland, Massachusetts, Michigan, Mississippi, New Jersey, North Dakota, Rhode Island, South Carolina, South Dakota, Texas, Vermont, Virginia, West Virginia Cross-disciplinary
States with no specified requirements/limitations or self- submit after the fact Alaska, Arkansas, Colorado, Kansas, Maine, Nevada, North Carolina, Ohio, Oklahoma, Wyoming, New Mexico
Program Services credits not available for Social Work in these states: Hawaii, Iowa, Minnesota, Montana
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?other=true
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