The Addiction Counselor's Documentation

All of the requisite forms addiction treatment professionals need-a crucial time-saver in today's healthcare system Treating addiction in today's healthcare environment means that mental health professionals must manage an imposing amount of paperwork. Government and private grant funding, insurance and benefits programs, regulatory compliance, and the need for data on treatment effectiveness (evidence-based treatment) all require proper documentation. If these forms are missing, the results can range from bureaucratic headaches to problems serious enough to close a practice. Now fully updated and revised, The Addiction Counselor's Documentation Sourcebook: The Complete Paperwork Resource for Treating Clients with Addictions, Second Edition provides the most useful and current forms for accurate and comprehensive documentation and record keeping. These ready-to-use forms will save you and your practice hours that would otherwise be spent creating and collating them, freeing you to devote more energy to the important matters of treatment. A companion CD-ROM includes all documents in Word? format so you can customize them according to the unique needs of your practice. Covering every aspect of mental health practice for addiction treatment, this fully revised Second Edition also includes: Critical forms updated to help providers achieve HIPAA, JCAHO, and CARF compliance Unique handouts, exercises, and facilitator guides for use in individual and group therapy A comprehensive CD-ROM featuring all forms in Word format, as well as PowerPoint slideshows for every psychoeducational presentation in the book The Addiction Counselor's Documentation Sourcebook, Second Edition is an essential timesaving resource that allows any professional practicing or working in the field of addiction treatment the freedom to give more of their time and energy to the people they serve.

Brenda S. Lenz, MS, is an educator and licensed counselor specializing in treating addictions in women and adolescents. She is currently a substance abuse counselor at Marquette University.

CD Contents

xi

Introduction

xv

Precontact: Referral Forms

1

(1)

Referral for Services

2

(1)

Appointment Notification/Confirmation Letter

3

(1)

Referral and Treatment Compliance Follow-Up Letter

4

(1)

Thank You for Your Referral

5

(1)

HIPAA Notice of Privacy Practices

6

(3)

HIPAA Privacy Authorization for Use and Disclosure of Personal Health Information

8

(1)

HIPAA---Client Sign-In Sheet

9

Intake and Assessment Forms

1

(1)

Initial Client Information Fact Sheet

3

(1)

Confidential Brief Health Information Form

4

(1)

Therapist Clinical Assessment

5

(6)

Chemical Dependence Assessment Matrix

11

(2)

Substance Abuse Assessment Matrix

13

(2)

Acuity of Need/Level of Treatment Assessment Matrix

15

(2)

Informed Consent and Payment Agreement for Services

17

(1)

Authorization for Disclosure of Information

18

(1)

Client Rights and Limits of Confidentiality Handout and Acknowledgment

19

Treatment Forms

1

(1)

Behavioral Contract

3

(1)

Contract against Suicide, Self-Harm, or Harm to Others

4

(1)

Client Input for Treatment Planning

5

(1)

Master Treatment Plan

6

(3)

Treatment Plan Update/Revision Form

9

(1)

Group Therapy Progress Note

10

(1)

Individual/Family Therapy Session Progress Note

11

(1)

Telephone Contact Progress Note

12

(1)

Therapeutic Materials Loan Record

13

(1)

Eye Movement Desensitization and Reprocessing (EMDR) Information Handout

14

(4)

Eye Movement Desensitization and Reprocessing (EMDR) Consent for Treatment

18

(1)

Eye Movement Desensitization and Reprocessing (EMDR) Progress Note

19

(2)

Recovery Program Meeting Review/Critique Form

21

Treatment Forms: Program Administration Documentation

1

(1)

Client Encounter Summary Log Sheet

3

(1)

Monthly Progress Note/Report

4

(2)

Recovery Program Attendance Verification Form

6

(1)

Request/Referral for Extended Services

7

(1)

Request/Referral for Additional Services

8

(1)

Request for Drug Screening by External Providers

9

(1)

Treatment Program Attendance/Completion Record

10

(1)

Certificate of Completion

11

(1)

Case Staffing Record

12

(1)

Treatment Termination Warning

13

(1)

Treatment Termination Notification

14

(1)

Treatment Discharge Summary

15

(1)

Request for an Accounting of Disclosures

16

(1)

Disclosure Tracking Log

17

Program Evaluation

1

(1)

Outcome Measurement Tracking Form

11

(1)

Informed Consent for Participation in Outcome Assessment

12

Addictive Behaviors: Materials for Use in Psychoeducational Groups

1

(1)

Psychopharmacology, Part I

3

(6)

Psychopharmacology, Part II

9

(7)

The Process of Addiction

16

(4)

The Process of Relapse

20

(3)

Addiction and Contemporary Culture

23

(4)

Switching Addictions: Other Compulsive Behaviors

27

Recovery Resources and Skills: Materials for Use in Psychoeducational Groups

1

(1)

The Process of Recovery

3

(5)

Recovery Programs and Resources

8

(5)

Lifestyle Changes

13

(3)

Common Problems and Issues in Recovery

16

(6)

Relapse Prevention, Part I

22

(4)

Relapse Prevention, Part II

26

(3)

Physical and Emotional Self-Care

29

(4)

Stress Management

33

(4)

Communication Skills

37

(6)

Healthy Relationship Skills

43

(5)

Setting and Achieving Goals

48

(3)

Problem-Solving Skills

51

(3)

Coping with Anger and Resentment

54

(4)

Coping with Depression and Anxiety

58

(4)

Resisting Pressures to Drink or Use

62

Other Mental Health Issues: Materials for Use in Psychoeducational Groups

1

(1)

Family Dynamics

3

(5)

Domestic Violence

8

(5)

Suicide Awareness and Prevention, Part I

13

(5)

Suicide Awareness and Prevention, Part II

18

(5)

Trauma and Posttraumatic Stress Disorder

23

(5)

Co-Occurring Disorders

28

(4)

Codependency

32

(3)

Grief and Loss

35

CD-ROM Information

1

What is included with this book?

The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.

FREE SHIPPING

Amazon no longer offers textbook rentals. We do!

The Addiction Counselor's Documentation Sourcebook The Complete Paperwork Resource for Treating Clients with Addictions

Summary

Author Biography

Table of Contents

Supplemental Materials