Overview

Confidentiality is the undisputed cornerstone of the therapeutic process. This text meets the increasing obligation practitioners have to protect their patients while protecting their practices. Drawing on her wealth of experience accumulated over years of practice, supervising and consulting with numerous practitioners on record keeping issues, the author provides valuable and practical tips along with sound general advice. It is a practical and authoritative source that no psychotherapist or clinical supervisor should be without.

Full Product Details

Author:   Ellen T. Luepker
Publisher:   Taylor & Francis Ltd
Imprint:   Brunner-Routledge
Dimensions:   Width: 15.20cm , Height: 1.90cm , Length: 22.90cm
Weight:   0.348kg
ISBN:  

9781583913062

ISBN 10:   1583913068
Pages:   256
Publication Date:   16 January 2003
Audience:   Professional and scholarly ,  Professional & Vocational
Replaced By:   9780415892612
Format:   Paperback
Publisher's Status:   Out of Print
Availability:   In Print  
Limited stock is available. It will be ordered for you and shipped pending supplier's limited stock.

Table of Contents

Introduction. Purposes of Clinical Records. Documenting Informed Consent. Societal, Legal, and Ethical Bases for Informed Consent. Key Questions to Consider in Documenting Informed Consent. Types of Documentation That Show Informed Consent. Case Example. Summary. Characteristics and Contents of Good Records. Characteristics of Good Records. Key Questions to Answer in Good Records. Essential Contents of Good Records. What Not to Include. Method of Record Keeping: Does it Matter? Summary. Confidentiality and Its Exceptions. Definitions of Terms. Parameters of Confidentiality. Threats to Confidentiality. Ethics Codes' Requirements. State and Federal Laws that Protect Confidentiality. State and Federal Laws' Exceptions to Confidentiality. Other Considerations. Summary. Policies and Procedures for Protecting Confidentiality. Security Measures. Privacy Measures. Protecting Confidentiality of Different Client Populations. Handling 3rd Party Requests for Records. Summary. Retaining and Destroying Inactive Records. Factors to Consider in Determining How Long to Keep Records. Policies and Procedures for Retention and Destruction of Records. Summary. Using Patients' Access to their Records as a Therapeutic Tool . Therapists' Mixed Reactions to Patients Having Access to Their Records. How Records Can Be Used as Therapeutic Tools. Managing Challenging Clinical Situations. Summary. Clinical Supervision Records. Clinical Supervisors' Responsibility. How Clinical Supervision Records Help Supervisors Fulfill their Responsibilities. Confidentiality of Supervision Records. Characteristics and Contents of Supervision Records. Summary. Teaching Record Keeping. How Teaching Record Keeping Helps Supervisors and Supervisees. Methods for Teaching Record Keeping. Summary. Psychotherapists and Records in the Legal System. Therapists and the Adversarial Process. Defining One's Role . Handling Attorneys' Requests, Subpoenas, Court Orders, and Search Warrants. After Becoming Involved in a Legal Case, Now What? Preparing for Deposition or Courtroom Testimony. Testifying. Managing Clinical Issues During Legal Cases. Summary. Preparing for Records Before Interruptions or Closures of Psychotherapy Practices. Clinical, Ethical, and Legal Reasons for Having Plans for Records II. Procedures that Promote Continuity of Care. Summary. Epilogue. References. Appendices. Appendix A: Excerpts of Ethical Statements on Informed Consent from Mental Health Professions'. Appendix B: Sample Client Information Form. Appendix C: Sample Treatment Plan Form. Appendix D: Sample Revised Treatment Plan Form Appendix E: Sample Closing Summary Form. Appendix F: Sample Face Sheet, Authorization of Assignment of Insurance Payments to Therapist, and Authorization of Release of Billing Information to 3rd Party Payor. Appendix G: Sample Consent for Treatment of Minor Child Form. Appendix H: Sample Record of Non-Routine Disclosures Form. Appendix I: Sample Authorization of Release of Information. Appendix J: Excerpts of Ethical Statements on Confidentiality from Mental Health Professions. Appendix K: Sample Clinical Supervision Contract. Appendix L: Sample Informed Consent Statement for Mental Health Evaluation in Personal Injury Case Form. Appendix M: Sample of Letter from Therapist to Judge in Child Custody Case. Appendix N: Organizations to Contact for Further Information about Forensics. Appendix O: Ethical Statements on Record Retention and Destruction from Mental Health Organizations. Appendix P: Additional Excerpts of Ethical Statements on Continuity of Care from Mental Health Organization. Index

Reviews

'This book is a lively, reader-friendly compendium of essential knowledge for every clinician that provides specific advice and examples of clinical records while illuminating a wide spectrum of legal, ethical, and complex clinical issues.' - Judith Wallerstein, PhD, author of The Unexpected Legacy of Divorce; 'Within an ethical and most professional framework... this book assists therapists in meeting regulations for record keeping while at the same time assuring ways to protect the client. It will become an important resource for psychotherapists.' - Florence Lieberman, DSW, Professor Emerita, Hunter College School of Social Work; 'Rooted in 30 years of experience with patients, Ellen Luepker provides detailed practical guidelines and especially wonderful examples of how to keep written records that actually improve therapy and meet the requirements of the legal system. Practicing therapists will find [this] detailed guide to be one of the most useful books they read all year.' - Thomas T. Frantz, PhD, Professor of Counseling Psychology, University of Buffalo; 'Ellen Luepker has finally made practical commonsense out of the thicket of clinical, ethical, and legal requirements for record keeping. With HIPAA implementation just around the corner, this should be on the 'must read' list of every practitioner!' - Hubert H. Humphrey III, JD, former Minnesota Attorney General

Author Information

Tab Content 6

Author Website:  

Countries Available

All regions