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Documenting Psychotherapy
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Documenting Psychotherapy
Essentials for Mental Health Practitioners



October 1997 | 200 pages | SAGE Publications, Inc
This concise volume examines exactly what is involved in keeping adequate clinical records of individual, family, couple and group psychotherapy. The authors discuss: limits of confidentiality; retention and disposing of records; documentation of safety issues; client access to records; treatment of minors; and training and supervision issues. Throughout the book, legal cases, vignettes and professional commentary help readers to consider legal and ethical issues.
 
PART ONE: THE IMPORTANCE OF RECORD KEEPING IN PSYCHOTHERAPY
 
Protecting the Client and the Therapist
 
Limits of Confidentiality
 
PART TWO: THE CLINICAL RECORD
 
Contents of a Good Record
 
Families, Couples and Group Psychotherapy
 
Supervision and Training
 
PART THREE: DOCUMENTATION OF SAFETY ISSUES
 
Danger to Self
 
Danger to Others
 
Abuse
 
PART FOUR: SPECIAL TOPICS RELEVANT TO RECORD KEEPING
 
Treatment of Minors
 
Client Access to Records
 
Retention and Disposition of Records
 
Conclusions and Frequently Asked Questions
 
PART FIVE: APPENDIXES

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