Clinical Documentation with Children and Adolescents

Clinical Documentation with Children and Adolescents
Author: Amy Marschall
Publisher: Taylor & Francis
Total Pages: 218
Release: 2023-08-29
Genre: Psychology
ISBN: 1000928829

This book addresses the unique challenges therapists face when documenting their clinical work with children, providing insight into what ethical, appropriate, and culturally competent practice looks like. Clinical documentation is vital for ethical and legal practice, and good documentation helps clinicians leave room for client-centered and age-appropriate interventions, such as play therapy. Beginning with an overview of the important considerations unique to providers working with children, Amy Marschall offers guidance on all aspects of clinical documentation, such as intakes, treatment plans, mental status examinations, progress notes, safety plans, and more. Each chapter includes specific examples of clinical situations with guidance on how to document these situations effectively. With chapters on client confidentiality and telehealth, as well as special attention being paid to cultural awareness, including race, ethnicity, gender, sexual orientation, and socioeconomic status, this book includes blank templates of treatment plans, progress notes, and risk assessments for therapists to use in their practice. This book is essential for any mental health professional who works with children in both individual and family work, including psychologists, licensed clinical social workers, licensed professional counselors, mental health counselors, marriage and family therapists, play therapists, school counselors, and therapist interns.

The Clinical Documentation Sourcebook

The Clinical Documentation Sourcebook
Author: Donald E. Wiger
Publisher: John Wiley & Sons
Total Pages: 338
Release: 2010-02-02
Genre: Psychology
ISBN: 0470527781

All the forms, handouts, and records mental health professionals need to meet documentation requirements–fully revised and updated The paperwork required when providing mental health services continues to mount. Keeping records for managed care reimbursement, accreditation agencies, protection in the event of lawsuits, and to help streamline patient care in solo and group practices, inpatient facilities, and hospitals has become increasingly important. Now fully updated and revised, the Fourth Edition of The Clinical Documentation Sourcebook provides you with a full range of forms, checklists, and clinical records essential for effectively and efficiently managing and protecting your practice. The Fourth Edition offers: Seventy-two ready-to-copy forms appropriate for use with a broad range of clients including children, couples, and families Updated coverage for HIPAA compliance, reflecting the latest The Joint Commission (TJC) and CARF regulations A new chapter covering the most current format on screening information for referral sources Increased coverage of clinical outcomes to support the latest advancements in evidence-based treatment A CD-ROM with all the ready-to-copy forms in Microsoft® Word format, allowing for customization to suit a variety of practices From intake to diagnosis and treatment through discharge and outcome assessment, The Clinical Documentation Sourcebook, Fourth Edition offers sample forms for every stage of the treatment process. Greatly expanded from the Third Edition, the book now includes twenty-six fully completed forms illustrating the proper way to fill them out. Note: CD-ROM/DVD and other supplementary materials are not included as part of eBook file.

Adolescent Health Services

Adolescent Health Services
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 366
Release: 2008-12-03
Genre: Medical
ISBN: 0309185513

Adolescence is a time of major transition, however, health care services in the United States today are not designed to help young people develop healthy routines, behaviors, and relationships that they can carry into their adult lives. While most adolescents at this stage of life are thriving, many of them have difficulty gaining access to necessary services; other engage in risky behaviors that can jeopardize their health during these formative years and also contribute to poor health outcomes in adulthood. Missed opportunities for disease prevention and health promotion are two major problematic features of our nation's health services system for adolescents. Recognizing that health care providers play an important role in fostering healthy behaviors among adolescents, Adolescent Health Services examines the health status of adolescents and reviews the separate and uncoordinated programs and services delivered in multiple public and private health care settings. The book provides guidance to administrators in public and private health care agencies, health care workers, guidance counselors, parents, school administrators, and policy makers on investing in, strengthening, and improving an integrated health system for adolescents.

Ethical Conduct of Clinical Research Involving Children

Ethical Conduct of Clinical Research Involving Children
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 445
Release: 2004-07-09
Genre: Medical
ISBN: 0309133386

In recent decades, advances in biomedical research have helped save or lengthen the lives of children around the world. With improved therapies, child and adolescent mortality rates have decreased significantly in the last half century. Despite these advances, pediatricians and others argue that children have not shared equally with adults in biomedical advances. Even though we want children to benefit from the dramatic and accelerating rate of progress in medical care that has been fueled by scientific research, we do not want to place children at risk of being harmed by participating in clinical studies. Ethical Conduct of Clinical Research Involving Children considers the necessities and challenges of this type of research and reviews the ethical and legal standards for conducting it. It also considers problems with the interpretation and application of these standards and conduct, concluding that while children should not be excluded from potentially beneficial clinical studies, some research that is ethically permissible for adults is not acceptable for children, who usually do not have the legal capacity or maturity to make informed decisions about research participation. The book looks at the need for appropriate pediatric expertise at all stages of the design, review, and conduct of a research project to effectively implement policies to protect children. It argues persuasively that a robust system for protecting human research participants in general is a necessary foundation for protecting child research participants in particular.

Pocket Book of Hospital Care for Children

Pocket Book of Hospital Care for Children
Author: World Health Organization
Publisher: World Health Organization
Total Pages: 442
Release: 2013
Genre: Business & Economics
ISBN: 9241548371

The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.

Psychiatric Interview of Children and Adolescents

Psychiatric Interview of Children and Adolescents
Author: Claudio Cepeda, M.D.
Publisher: American Psychiatric Pub
Total Pages: 516
Release: 2016-10-17
Genre: Medical
ISBN: 161537048X

Eliciting useful information from young patients and their families is both a skill and an art, and Psychiatric Interview of Children and Adolescents, an exceptionally practical and comprehensive guide, enables mental health clinicians and trainees to first improve their interviewing skills and then organize and integrate the information derived from the interview to construct an effective treatment program. This book, building on the success of its predecessor, Clinical Manual of Psychiatric Interview of Children and Adolescents, offers updated and revised material, as well as expanded coverage that includes new findings and addresses emerging issues in the field. For example, a new chapter focusing on the psychiatric evaluation of preschoolers and very young children has been added, and the section on bullying in the chapter on abuse has been expanded to include cyber bullying. Clinical vignettes illustrate important concepts and techniques, providing a real-world component that readers will find both fascinating and instructive, and the key points at the end of each chapter and numerous quick-reference tables facilitate consolidation of learning. Easy to read, yet rigorous in its clinical focus, Psychiatric Interview of Children and Adolescents provides a solid foundation and expert guidance for clinicians evaluating and treating this critically important population.

Cognitive Therapy with Children and Adolescents, Second Edition

Cognitive Therapy with Children and Adolescents, Second Edition
Author: Mark A. Reinecke
Publisher: Guilford Press
Total Pages: 0
Release: 2006-07-24
Genre: Psychology
ISBN: 9781593853785

This clinically oriented casebook and text presents empirically supported interventions for a wide range of child and adolescent problems. Leading cognitive-behavioral therapists demonstrate assessment and treatment approaches that have been carefully adapted--or specially designed--to meet the needs of young patients. Following a consistent format, each chapter reviews the relevant literature and presents an extended case example bringing to life what an experienced therapist might do, why, and how to do it.

Guide to Clinical Documentation

Guide to Clinical Documentation
Author: Debra D Sullivan
Publisher: F.A. Davis
Total Pages: 417
Release: 2018-07-25
Genre: Medical
ISBN: 0803669992

Understand the when, why, and how! Here’s your guide to developing the skills you need to master the increasing complex challenges of documenting patient care. Step by step, a straightforward ‘how-to’ approach teaches you how to write SOAP notes, document patient care in office and hospital settings, and write prescriptions. You’ll find a wealth of examples, exercises, and instructions that make every point clear and easy to understand.

Health Care Transition

Health Care Transition
Author: Albert C. Hergenroeder
Publisher: Springer
Total Pages: 386
Release: 2018-05-03
Genre: Medical
ISBN: 3319728687

This comprehensive book thoroughly addresses all aspects of health care transition of adolescents and young adults with chronic illness or disability; and includes the framework, tools and case-based examples needed to develop and evaluate a Health Care Transition (HCT) planning program that can be implemented regardless of a patient’s disease or disability. Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is a uniquely inclusive resource, incorporating youth/young adult, caregiver, and pediatric and adult provider voices and perspectives. Part I of the book opens by defining Health Care Transition, describing the urgent need for comprehensive transition planning, barriers to HCT and then offering a framework for developing and evaluating health care transition programs. Part II focuses on the anatomic and neuro-chemical changes that occur in the brain during adolescence and young adulthood, and how they affect function and behavior. Part III covers the perspectives of important participants in the HCT transition process – youth and young adults, caregivers, and both pediatric and adult providers. Each chapter in Part IV addresses a unique aspect of developing HCT programs. Part V explores various examples of successful transition from the perspective of five key participants in the transition process - patients, caregivers, pediatric providers, adult providers and third party payers. Related financial matters are covered in part VI, while Part VII explores special issues such as HCT and the medical home, international perspectives, and potential legal issues. Models of HCT programs are presented in Part VIII, utilizing an example case study. Representing perspectives from over 75 authors and more than 100 medical centers in North America and Europe, Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is an ideal resource for any clinician, policy maker, caregiver, or hospitalist working with youth in transition.

Fostering Healthy Mental, Emotional, and Behavioral Development in Children and Youth

Fostering Healthy Mental, Emotional, and Behavioral Development in Children and Youth
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 391
Release: 2020-01-18
Genre: Social Science
ISBN: 030948202X

Healthy mental, emotional, and behavioral (MEB) development is a critical foundation for a productive adulthood. Much is known about strategies to support families and communities in strengthening the MEB development of children and youth, by promoting healthy development and also by preventing and mitigating disorder, so that young people reach adulthood ready to thrive and contribute to society. Over the last decade, a growing body of research has significantly strengthened understanding of healthy MEB development and the factors that influence it, as well as how it can be fostered. Yet, the United States has not taken full advantage of this growing knowledge base. Ten years later, the nation still is not effectively mitigating risks for poor MEB health outcomes; these risks remain prevalent, and available data show no significant reductions in their prevalence. Fostering Healthy Mental, Emotional, and Behavioral Development in Children and Youth: A National Agenda examines the gap between current research and achievable national goals for the next ten years. This report identifies the complexities of childhood influences and highlights the need for a tailored approach when implementing new policies and practices. This report provides a framework for a cohesive, multidisciplinary national approach to improving MEB health.