Welcome to the Mastering Behavioral Health Clinical Documentation Classroom
One of the most important parts of running your clinical practice, especially if you accept payment from health insurance companies, is understanding the critical elements of treatment record documentation. It is a topic rarely taught in graduate school, and only sometimes covered at our first jobs under supervision. Yet understanding an effective approach can make a huge difference in managing our practice.
The Mastering Behavioral Health Clinical Documentation course is a fifteen part training course, covering all of the major elements from Assessment, to Treatment Planning, through to Progress Note Documentation. It also covers some of the more important elements of understanding how Medical Necessity plays an important role.
The course is built into parts in order for you to be able to work at your own pace. While the content has been created to go in "order" you can access each section in the order that is most helpful to your needs.
The Course Includes:
- The concept of the Golden Thread
- The importance of understanding Medical Necessity
- A detailed discussion of the biopsychosocial assessment, including
- Psychological Factors
- Bio Medical Factors
- Social Factors
- The use of standardized assessment tools
- The use of Questionnaires for gathering information
- The integration of assessment domains to get closer to a diagnosis
- The Construction of the Assessment
- Understanding the Value of a Clinical Formulation
- The process of developing a Treatment Plan
- Understanding the processes of developing Goals, Objectives, and Interventions
- Understanding how these treatment plan elements of Treatment Plans
- How to write and effective Goal
- How to develop a good Objective
- Understanding SMART Objectives
- Standardized Reviews of Plans
- Defining Progress Notes
- Understanding the Key Components of a Progress Note
- Discussion of the differences between Subjective and Objective Material in Progress Notes
- How much is "enough" in a progress note
- The Importance of Progress Note Timeliness
And so much more.
