The Addiction Counselor's Documentation Sourcebook The Complete Paperwork Resource for Treating Clients with Addictions

by Finley, James R.; Lenz, Brenda S.

• ISBN13: 9780471703815
• ISBN10: 0471703818
• Edition: 2nd
• Format: Paperback
• Copyright: 2005-01-26
• Publisher: Jossey-Bass

Summary

All of the requisite forms addiction treatment professionals need-a crucial time-saver in today's healthcare system Treating addiction in today's healthcare environment means that mental health professionals must manage an imposing amount of paperwork. Government and private grant funding, insurance and benefits programs, regulatory compliance, and the need for data on treatment effectiveness (evidence-based treatment) all require proper documentation. If these forms are missing, the results can range from bureaucratic headaches to problems serious enough to close a practice. Now fully updated and revised, The Addiction Counselor's Documentation Sourcebook: The Complete Paperwork Resource for Treating Clients with Addictions, Second Edition provides the most useful and current forms for accurate and comprehensive documentation and record keeping. These ready-to-use forms will save you and your practice hours that would otherwise be spent creating and collating them, freeing you to devote more energy to the important matters of treatment. A companion CD-ROM includes all documents in Word? format so you can customize them according to the unique needs of your practice. Covering every aspect of mental health practice for addiction treatment, this fully revised Second Edition also includes: Critical forms updated to help providers achieve HIPAA, JCAHO, and CARF compliance Unique handouts, exercises, and facilitator guides for use in individual and group therapy A comprehensive CD-ROM featuring all forms in Word format, as well as PowerPoint slideshows for every psychoeducational presentation in the book The Addiction Counselor's Documentation Sourcebook, Second Edition is an essential timesaving resource that allows any professional practicing or working in the field of addiction treatment the freedom to give more of their time and energy to the people they serve.

Author Biography

Brenda S. Lenz, MS, is an educator and licensed counselor specializing in treating addictions in women and adolescents. She is currently a substance abuse counselor at Marquette University.

Table of Contents

CD Contents	xi
Introduction	xv
Precontact: Referral Forms	1	(1)
Referral for Services	2	(1)
Appointment Notification/Confirmation Letter	3	(1)
Referral and Treatment Compliance Follow-Up Letter	4	(1)
Thank You for Your Referral	5	(1)
HIPAA Notice of Privacy Practices	6	(3)
HIPAA Privacy Authorization for Use and Disclosure of Personal Health Information	8	(1)
HIPAA---Client Sign-In Sheet	9
Intake and Assessment Forms	1	(1)
Initial Client Information Fact Sheet	3	(1)
Confidential Brief Health Information Form	4	(1)
Therapist Clinical Assessment	5	(6)
Chemical Dependence Assessment Matrix	11	(2)
Substance Abuse Assessment Matrix	13	(2)
Acuity of Need/Level of Treatment Assessment Matrix	15	(2)
Informed Consent and Payment Agreement for Services	17	(1)
Authorization for Disclosure of Information	18	(1)
Client Rights and Limits of Confidentiality Handout and Acknowledgment	19
Treatment Forms	1	(1)
Behavioral Contract	3	(1)
Contract against Suicide, Self-Harm, or Harm to Others	4	(1)
Client Input for Treatment Planning	5	(1)
Master Treatment Plan	6	(3)
Treatment Plan Update/Revision Form	9	(1)
Group Therapy Progress Note	10	(1)
Individual/Family Therapy Session Progress Note	11	(1)
Telephone Contact Progress Note	12	(1)
Therapeutic Materials Loan Record	13	(1)
Eye Movement Desensitization and Reprocessing (EMDR) Information Handout	14	(4)
Eye Movement Desensitization and Reprocessing (EMDR) Consent for Treatment	18	(1)
Eye Movement Desensitization and Reprocessing (EMDR) Progress Note	19	(2)
Recovery Program Meeting Review/Critique Form	21
Treatment Forms: Program Administration Documentation	1	(1)
Client Encounter Summary Log Sheet	3	(1)
Monthly Progress Note/Report	4	(2)
Recovery Program Attendance Verification Form	6	(1)
Request/Referral for Extended Services	7	(1)
Request/Referral for Additional Services	8	(1)
Request for Drug Screening by External Providers	9	(1)
Treatment Program Attendance/Completion Record	10	(1)
Certificate of Completion	11	(1)
Case Staffing Record	12	(1)
Treatment Termination Warning	13	(1)
Treatment Termination Notification	14	(1)
Treatment Discharge Summary	15	(1)
Request for an Accounting of Disclosures	16	(1)
Disclosure Tracking Log	17
Program Evaluation	1	(1)
Outcome Measurement Tracking Form	11	(1)
Informed Consent for Participation in Outcome Assessment	12
Addictive Behaviors: Materials for Use in Psychoeducational Groups	1	(1)
Psychopharmacology, Part I	3	(6)
Psychopharmacology, Part II	9	(7)
The Process of Addiction	16	(4)
The Process of Relapse	20	(3)
Addiction and Contemporary Culture	23	(4)
Switching Addictions: Other Compulsive Behaviors	27
Recovery Resources and Skills: Materials for Use in Psychoeducational Groups	1	(1)
The Process of Recovery	3	(5)
Recovery Programs and Resources	8	(5)
Lifestyle Changes	13	(3)
Common Problems and Issues in Recovery	16	(6)
Relapse Prevention, Part I	22	(4)
Relapse Prevention, Part II	26	(3)
Physical and Emotional Self-Care	29	(4)
Stress Management	33	(4)
Communication Skills	37	(6)
Healthy Relationship Skills	43	(5)
Setting and Achieving Goals	48	(3)
Problem-Solving Skills	51	(3)
Coping with Anger and Resentment	54	(4)
Coping with Depression and Anxiety	58	(4)
Resisting Pressures to Drink or Use	62
Other Mental Health Issues: Materials for Use in Psychoeducational Groups	1	(1)
Family Dynamics	3	(5)
Domestic Violence	8	(5)
Suicide Awareness and Prevention, Part I	13	(5)
Suicide Awareness and Prevention, Part II	18	(5)
Trauma and Posttraumatic Stress Disorder	23	(5)
Co-Occurring Disorders	28	(4)
Codependency	32	(3)
Grief and Loss	35
CD-ROM Information	1