The Clinical Documentation Sourcebook

Organized by stage of the treatment process (Intake; Assessment; Treatment Planning/Case Notes; Patient Handouts; and Discharge), this sourcebook contains forms a clinician may need in order to create accurate and complete clinical records.

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This Second Edition of a successful clinical resource provides mental health professionals with a full arsenal of forms, checklists, and clinical records essential to effective practice management in the managed care era. 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).