The Psychotherapy Documentation Primer

By Donald E. Wiger

Provides documentation procedures designed to meet or exceed standards by accreding agencies, 3rd party payors, and HIPAA compliance Covers training and examples of empirical evidence of client progress from the intake to termination Revised to cover DSM-5 revisions Includes training in documenting treatment outcomes

Everything you need to know to record client intake, treatment, and progress--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 group practices, inpatient facilities, and hospitals.

The standard professionals and students have turned to for quick and easy, yet comprehensive, guidance to writing a wide range of mental health documents, the Fourth Edition of The Psychotherapy Documentation Primer continues to reflect HIPAA and accreditation agency requirements as well as offer an abundance of examples.

Fully updated to include diagnostic criteria of the DSM-5, The Psychotherapy Documentation Primer, 4th Edition is designed to teach documental skills for the course of psychotherapy from the initial interview to the discharge. The documentation principles discussed in the text satisfy the often-rigid requirements of third-party insurance companies, regulating agencies, mental health licensing boards, and federal HIPAA regulations. More importantly, it provides students and professionals with the empirical and succinct documentation techniques and skills that will allow them to provide clear evidence of the effects of mental health treatment while also reducing the amount of their time spent on paperwork.

• Format: Paperback
• Language: English
• ISBN: 1119709849
• ISBN13: 9781119709848
• Release Date: December 2020
• Publisher: Wiley & Sons, Incorporated, John
• Length: 288 Pages
• Weight: 1.10 lbs.
• Dimensions: 0.6" x 7.0" x 9.9"

Customer Reviews

Excellent for Beginning Counselors

As a new counselor in practicum I found this book very helpful in guiding me through the proper documentation procedure and very helpful in using professional terms for a client's assessment, progress notes and more. A must have for all new counselors.

It's About Time

THANK YOU, THANK YOU, THANK YOU!!! This book has answered so many of my questions. I only wish it had been available and I had read it years ago. I have struggled as a master's level professional with documentation and termninology, the treatment plans, and how this all matters when it comes to mangaged care etc. Much of my training was on the job and well meaning co-workers did not have the time or ability to explain it to me. Like so many, this course was not taught. I have started my own practice and I feel much more confident thanks to The Psychoterapy Documentation Primer. Can you recommend something similar for Substance Abuse or Addictions? Your Book was worth every penny! Paula

Great reference for students of Psychology/Counseling

This book is a great documentation reference for those just going into the field of counseling. I've used the examples in this book in numerous assignments, and learning to document assessments, diagnoses and notes. I highly recommend it for those in school or having just graduated and needing guidance in documentation.