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Table of contents
Preface
How This Book Came Into Being: A Lesson in Making a Really Bad Negative into a Really Good Positive
Chapter 1 Introduction
Chapter 2 The Art and Science of Psychological Assessment and Treatment
Chapter 3 Overview of Current Documentation Procedures and Third-Party Requirements
Chapter 4 Ethical Considerations in Documentation
Chapter 5 The Biopsychosocial Assessment
Chapter 6 The Clinical Interview: Mental Status Exam
Chapter 7 The Clinical Interview: Validating a Diagnosis
Chapter 8 Formulating a Treatment Plan
Chapter 9 Writing Progress Notes
Chapter 10 Documenting the Need for Additional Services
Chapter 11 Documenting Mental Health Treatment Outcomes for Individuals
Appendix A Putting it all Together: Documented Chart for Mental Health Services
Appendix B Overview of HIPAA Guidelines in Mental Health Settings
Appendix C Example of Results of a Recent Mental Health Boards Action Due to a Therapist’s Documentation Issues
Appendix D Documenting Suicidality
Glossary
Bibliography and Suggested Readings
Index