The Clinical Documentation Sourcebook, Second Edition Donald E. Wiger   The paperwork required when providing mental health services in the current era of third-party accountability can be quite daunting. This updated and revised second edition provides sample forms for each step of the treatment process (from intake, to diagnosis and treatment, through discharge and outcomes assessment). This Sourcebook includes examples of over 40 fully-completed forms, as well as 36 ready-to-copy blank forms that are provided on a floppy disk to facilitate customization. Organized by stage of the treatment process (Intake; Assessment; Treatment Planning / Progress Notes; Patient Handouts; and Discharge) this concise second edition Sourcebook contains literally every form a clinician needs in order to create accurate and complete clinical records. The Clinical Documentation Sourcebook also features a computer disk, containing all 36 of the blank forms in ready-to-use word processing files. This invaluable resource will save mental health professionals tons of time, and aid them in making sure their patient files are up to snuff. The following new forms have been added to the Second Edition: BioPsychoSocial Report Chart Review Clinical Outcomes Questionnaire Diagnostic Assessment - Lower Functioning Emotional / Behavioral Update Initial Assessment - Adult Initial Assessment - Child Personal History Form - Adult Personal History Form - Child Suicide Contract Termination Letter Treatment Review Treatment Update

 

0-471-32692-5 256pp $49.95

Table of Contents

Intake and Termination Forms and Procedures.
Assessment for Counseling Forms and Procedures.
Evaluation Forms and Procedures.
Treatment Plan Forms and Procedures.
Progress Notes and Prior Authorization Request Forms and Procedures.
Relationship Counseling Forms and Procedures.
Bibliography and Suggested Readings.
About the Disk.