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The Psychotherapy Documentation Primer



Pub. Date:
John Wiley & Sons Inc
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This is the 3rd edition with a publication date of 12/27/2011.

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Fully updated to reflect the latest practice and reporting requirements, The Psychotherapy Documentation Primer, Third Edition is the benchmark record-keeping reference for working mental health professionals. It demystifies the entire documentation process and includes everything a therapist needs to know to record client intake, treatment, and progress. New chapters are included on the art and science of psychological assessment and treatment, and ethical considerations in documentation. Mental health practitioners and graduate students will find the latest information on regulations affecting managed care, accrediting agencies, and the government.

Author Biography

Donald E. Wiger, PHD, is a practicing psychologist in St. Paul, Minnesota, specializing in conducting psychological evaluations for a variety of purposes. He has taught graduate courses in psychological assessment for over twenty years and has written several texts in the areas of documentation, clinical forms, interviewing, outcomes, and crisis intervention. He conducts seminars nationally in areas such as documentation, interviewing, and private practice.

Table of Contents

Prefacep. vii
How This Book Came Into Being: A Lesson in Making a Really Bad Negative Into a Really Good Positivep. ix
Introductionp. 1
The Art and Science of Psychological Assessment and Treatmentp. 5
Overview of Current Documentation Procedures and Third-Party Requirementsp. 11
Ethical Considerations in Documentationp. 35
The Biopsychosocial Assessmentp. 47
The Mental Status Examp. 81
Validating a Diagnosisp. 95
Formulating a Treatment Planp. 117
Writing Progress Notesp. 145
Documenting the Need for Additional Servicesp. 175
Putting it All Together: Documented Chart for Mental Health Servicesp. 181
Overview of Outcome Measuresp. 201
Overview of HIPAA Guidelines in Mental Health Settingsp. 207
Glossaryp. 211
References and Suggested Readingsp. 221
Indexp. 225
Table of Contents provided by Ingram. All Rights Reserved.

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