Designed to enhance therapists' documentation skills, ensuring notes are both compliant with legal and ethical standards. 6 CEUs.
About this Event

Documenting with Purpose: Mastering Therapy Notes for Compliance and Care is designed to enhance therapists' documentation skills, ensuring that therapy notes are both compliant with legal and ethical standards and effective for client care. The training covers:

Importance of Documentation: Understanding the role of accurate notes in legal compliance, treatment planning, and client progress tracking.

Best Practices: Learning standardized formats and techniques for writing clear, concise, and comprehensive therapy notes.

Types of Notes:

Intakes: Capturing initial assessments and client backgrounds.
Progress Notes: Documenting ongoing treatment, client progress, and interventions used.
Contact Notes: Recording brief interactions and communications with clients.
Missed Appointment Notes: Noting cancellations and no-shows, along with follow-up actions.
Termination Notes: Summarizing the conclusion of therapy, including outcomes and referrals.

Confidentiality and Security: Addressing ethical considerations and the importance of maintaining client confidentiality in documentation.

Integrating Clinical Insights: Emphasizing how to document clinical observations and interventions in a way that informs future care.

Tailoring Notes for Different Audiences: Understanding how to adapt documentation for various stakeholders, including insurance providers and legal entities.

While this training will assist in creating comprehensive notes that meet the standards set by the NH Mental Health Board and insurance companies, it does not guarantee passing any insurance audits. Participants will leave with practical skills to produce high-quality therapy notes that support compliance and enhance client care.

*6 CEU pending approval by NH NASW.