Records and Documentation A1b
To know if the client is getting better or not, documentation should reflect the client's THIS.
What is progress?
When developing THESE, consider the abilities, temperament, developmental level, and circumstances of the client.
What are Counseling Plans?
Is informed consent done at the beginning of counseling or ongoing?
What is ongoing?
The purposes, goals, techniques, procedures, limitations, potential risks, and benefits of services are all part of WHAT?
What is informed consent?
By the counselor, THIS should be always be developmentally and culturally appropriate.
What is communication?
If changes are made to documents, counselors note these as THIS.
What are amendments or addendums?
WHO should regularly review and revise counseling plans?
Who are the counselor and client?
To prove that you have reviewed informed consent, counselors must do WHAT?
What is document it?
THIS includes counselor’s qualifications, credentials, relevant experience, and approach to counseling.
What is informed consent?
When discussing informed consent, language should be clear and BLANK for the client.
What is understandable?
To know that you are doing a good job, documentation show the BLANK you provide.
What is services?
When making or reviewing a plan, the client, not the counselor, comes first. This respects the clients WHAT.
What is freedom of choice?
By which 2 methods must a counselor inform clients of their rights and responsibilities?
What is in writing and verbally?
When diagnosing and testing, counselors must ensure that clients BLANK their intended uses.
What is understand?
If there is a language barrier, counselors should use this sort of service
What is a translator or interpreter?
For continuity of services, documentation needs to be sufficient and THIS
What is timely?
When reviewing a plan, consider if it is working, or THIS in the client’s life.
What is viable or effective?
THIS is how you write the credentials for registered interns.
What is Registered Mental Health Counseling Intern? Never RMHCI.
These are 2 categories of people who cannot voluntarily consent to treatment.
Who are minors and incapacitated adults?
Changes to documentation must be noted according to whose policies?
Who is the agency or institution.
Clients have the right to BLANK any services or modality change, and to be advised of what that would mean.
What is refuse?
It can be a balance between parental or legal rights and THIS KIND of rights of clients to make choices.
What is ethical?