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The Clinical Documentation Sourcebook: A Comprehensive Collection of Mental Health Practice FORMS, HANDOUTS, and RECORDS
 
 
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The Clinical Documentation Sourcebook: A Comprehensive Collection of Mental Health Practice FORMS, HANDOUTS, and RECORDS [Paperback]

Donald E. Wiger (Author)
4.2 out of 5 stars  See all reviews (10 customer reviews)


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Paperback, May 5, 1997 --  
There is a newer edition of this item:
The Clinical Documentation Sourcebook: A Comprehensive Collection of Mental Health Practice Forms, Handouts, and Records, 2nd Edition The Clinical Documentation Sourcebook: A Comprehensive Collection of Mental Health Practice Forms, Handouts, and Records, 2nd Edition
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Book Description

0471179345 978-0471179344 May 5, 1997 1
Featuring Ready-to-use Forms for Diagnostic Assessment, Intake Notes, Treatment Plans, and Case Notes.

Dozens of Samples of Completed Forms and Records —Covering Every Phase of the Clinical Process.

24 Customizable Forms on DiskManaged care organizations have brought radical changes in both the quantity and quality of clinical documentation required from mental health professionals seeking prior authorization or approval for additional treatments for their clients. Now the dominant third-party payers in the health care system, these organizations require accurate and detailed documentation of symptoms, diagnosis, treatment plan, and client progress.

The Clinical Documentation Sourcebook is designed to help clinicians provide this documentation in a form that satisfies managed care requirements and maximizes prospects for approval of payments. This unique book/disk set:

  • Supplies 24 ready-to-use sample forms that meet the documentation requirements of virtually every managed care organization
  • Covers every stage and aspect of the mental health assessment and treatment process
  • Provides properly completed examples of each form
  • Offers fully developed "good" and "bad" examples of case notes, a treatment plan, and a prior authorization request
  • Permits flexible use of all documentation materials — forms can be photocopied directly from the book or accessed and customized on the accompanying disk,

The Clinical Documentation Sourcebook enables psychologists, psychiatrists, social workers, and other mental health professionals to document the efficacy of therapy in areas such as validating the diagnosis, functional impairments, symptoms, treatment, client cooperation, and behavioral evidence of gains and setbacks in treatment. In addition to increasing the likelihood of prior authorization for initial treatment and additional sessions, the resources provided in this book also help sharpen the focus of therapy sessions for client and clinician alike.


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Editorial Reviews

From the Publisher

The paperwork required when providing mental health services in the current era of third-party accountability can be quite daunting. The sourcebook is designed to help clinicians provide this documentation in a form that satisfies managed care requirements and maximizes prospects for approval of payments. Includes ready-to-use sample forms that meet the documentation requirements of virtually every managed care organization. The sourcebook also provides properly completed examples of each form, as well as a computer disk which contains word-processing versions of every form in the book.

From the Back Cover

All the forms, handouts, and records mentalhealth professionals need to meet documentation requirements–fully revised and updated

The paperwork required when providing mental health services continues to mount. Keeping records for managed care reimbursement, accreditation agencies, protection in the event of lawsuits, and to help streamline patient care in solo and group practices, inpatient facilities, and hospitals has become increasingly important. Now fully updated and revised, the Fourth Edition of The Clinical Documentation Sourcebook provides you with a full range of forms, checklists, and clinical records essential for effectively and efficiently managing and protecting your practice.

The Fourth Edition offers:

  • Seventy-two ready-to-copy forms appropriate for use with a broad range of clients including children, couples, and families

  • Updated coverage for HIPAA compliance, reflecting the latest The Joint Commission (TJC) and CARF regulations

  • A new chapter covering the most current format on screening information for referral sources

  • Increased coverage of clinical outcomes to support the latest advancements in evidence-based treatment

  • A CD-ROM with all the ready-to-copy forms in Microsoft® Word format, allowing for customization to suit a variety of practices

From intake to diagnosis and treatment through discharge and outcome assessment, The Clinical Documentation Sourcebook, Fourth Edition offers sample forms for every stage of the treatment process. Greatly expanded from the Third Edition, the book now includes twenty-six fully completed forms illustrating the proper way to fill them out. --This text refers to an alternate Paperback edition.


Product Details

  • Paperback: 256 pages
  • Publisher: Wiley; 1 edition (May 5, 1997)
  • Language: English
  • ISBN-10: 0471179345
  • ISBN-13: 978-0471179344
  • Product Dimensions: 16.8 x 13.2 x 1 inches
  • Shipping Weight: 5 pounds
  • Average Customer Review: 4.2 out of 5 stars  See all reviews (10 customer reviews)
  • Amazon Best Sellers Rank: #2,429,135 in Books (See Top 100 in Books)

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Customer Reviews

10 Reviews
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Average Customer Review
4.2 out of 5 stars (10 customer reviews)
 
 
 
 
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Most Helpful Customer Reviews

23 of 23 people found the following review helpful:
5.0 out of 5 stars A must have..., November 9, 2006
By 
J. Refvem (Mount Airy, NC United States) - See all my reviews
(REAL NAME)   
Amazon Verified Purchase(What's this?)
This book was a life saver for me as I opened my solo practice this summer. Without it, I would have spent countless hours developing these forms myself. The feature that allows you to customize the forms is especially nice. I recommend this for new or veteran mental health workers.
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17 of 19 people found the following review helpful:
3.0 out of 5 stars Below average software, October 6, 2007
The software does NOT work on an iMac. When used with Windows Vista, the forms are available to customize, however, they need streamlining and updating with regard to fonts, spacing, etc. The documents don't look as if they have been updated aesthetically since the first edition of the book. Disappointing.
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12 of 14 people found the following review helpful:
1.0 out of 5 stars Not what it's cracked up to be...., November 11, 2007
Amazon Verified Purchase(What's this?)
I was hoping that this book would have some quick & easy, down & dirty, managed care friendly forms to use, and that the enclosed disc would let me modify them for my practice. Not so. The "up to date" (please note the sarcasm!) forms entailed loads of writing - and were not anything that would help speed up the paperwork process. The disc? What a joke. If you just want to spend money, take yourself out to eat - don't waste it on this book!
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Inside This Book (learn more)
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First Sentence:
The mental health clinic's intake information forms elicit demographic and payment information about the client. Read the first page
Key Phrases - Capitalized Phrases (CAPs): (learn more)
Personal History Form, Judy Doe, Normal Slight Moderate Severe, Auditor Dated, Low Average High, Physical Health, Chemical Use History, Poor Average High, Normal High, Treatment Review, Current Goal, Denies Impairment, Dose Dates Purpose Side, Prior Treatment History, Sharon Bell, Years Locomotion, Adolescent History, Discharge Summary, Biopsychosocial Report, Body Movements, Diagnosis Code Axis, Daily Life, Samuel Jones, Adjunctive Services Needed, Behavioral Update
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