This book presents all the requisite forms that addiction treatment professionals need - a crucial time-saver in today's health care system. Treating addiction in today's health care 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; and, a comprehensive CD-ROM featuring all forms in Word format, as well as PowerPoint slideshows for every psycho educational presentation in the book. "The Addiction Counselor's Documentation Sourcebook, Second Edition" is an essential time saving 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.Introduction.Chapter One: Precontact: Referral Forms.Form 1.1: Referral for Services.Form 1.2: Appointment Notification/Confirmation Letter.Form 1.3: Referral and Treatment Compliance Follow-Up Letter.Form 1.4: Thank You for Your Referral.Form 1.5: HIPAA Notice of Privacy Practices.HIPAA Privacy Authorization for Use and Disclosure of Personal Health Information.Form 1.6: HIPAAa Client Sign-In Sheet.Chapter Two: Intake and Assessment Forms.Form 2.1: Initial Client Information Fact Sheet.Form 2.2: Confidential Brief Health Information Form.Form 2.3: Therapist Clinical Assessment.Form 2.4: Chemical Dependence Assessment Matrix.Form 2.5: Substance Abuse Assessment Matrix.Form 2.6: Acuity of Need/Level of Treatment Assessment Matrix.Form 2.7: Informed Consent and Payment Agreement for Services.Form 2.8: Authorization for Disclosure of Information.Form 2.9: Client Rights and Limits of Confidentiality Handout and Acknowledgment.Chapter Three: Treatment Forms.Form 3.1: Behavioral Contract.Form 3.2: Contract against Suicide, Self-Harm, or Harm to Others.Form 3.3: Client Input for Treatment Planning.Form 3.4: Master Treatment Plan.Form 3.5: Treatment Plan Update/Revision Form.Form 3.6: Group Therapy Progress Note.Form 3.7: Individual/Family Therapy Session Progress Note.Form 3.8: Telephone Contact Progress Note.Form 3.9: Therapeutic Materials Loan Record.Form 3.10: Eye Movement Desensitization and Reprocessing (EMDR) Information Handout.Form 3.11: Eye Movement Desensitization and Reprocessing (EMDR) Consent for Treatment.Form 3.12: Eye Movement Desensitization and Reprocessing (EMDR) Progress Note.Form 3.13: Recovery Program Meeting Review/Critique Form.Chapter Four: Treatment Forms: Program Administration Documentation.Form 4.1: Client Encounter Summary Log Sheet.Form 4.2: Monthly Progress Note/Report.Form 4.3: Recovery Program Attendance Verification Form.Form 4.4: Request/Referral for Extended Services.Form 4.5: Request/Referral for Additional Services.Form 4.6: Request for Drug Screening by External Providers.Form 4.7: Treatment Program Attendance/Completion Record.Form 4.8: Certificate of Completion.Form 4.9: Case Staffing Record.Form 4.10: Treatment Termination Warning.Form 4.11: Treatment Termination Notification.Form 4.12: Treatment Discharge Summary.Form 4.13: Request for an Accounting of Disclosures.Form 4.14: Disclosure Tracking Log.Chapter Five: Program Evaluation.Form 5.1: Outcome Measurement Tracking Form.Form 5.2: Informed Consent for Participation in Outcome Assessment.Chapter Six: Addictive Behaviors: Materials for Use in Psychoeducational Groups.Presentation 6.1: Psychopharmacology, Part I.Presentation 6.2: Psychopharmacology, Part II.Presentation 6.3: The Process of Addiction.Presentation 6.4: The Process of Relapse.Presentation 6.5: Addiction and Contemporary Culture.Presentation 6.6: Switching Addictions: Other Compulsive Behaviors.Chapter Seven: Recovery Resources and Skills: Materials for Use in Psychoeducational Groups.Presentation 7.1: The Process of Recovery.Presentation 7.2: Recovery Programs and Resources.Presentation 7.3: Lifestyle Changes.Presentation 7.4: Common Problems and Issues in Recovery.Presentation 7.5: Relapse Prevention, Part I.Presentation 7.6: Relapse Prevention, Part II.Presentation 7.7: Physical and Emotional Self-Care.Presentation 7.8: Stress Management.Presentation 7.9: Communication Skills.Presentation 7.10: Healthy Relationship Skills.Presentation 7.11: Setting and Achieving Goals.Presentation 7.12: Problem-Solving Skills.Presentation 7.13: Coping with Anger and Resentment.Presentation 7.14: Coping with Depression and Anxiety.Presentation 7.15: Resisting Pressures to Drink or Use.Chapter Eight: Other Mental Health Issues: Materials for Use in Psychoeducational Groups.Presentation 8.1: Family Dynamics.Presentation 8.2: Domestic Violence.Presentation 8.3: Suicide Awareness and Prevention, Part I.Presentation 8.4: Suicide Awareness and Prevention, Part II.Presentation 8.5: Trauma and Posttraumatic Stress Disorder.Presentation 8.6: Co-Occurring Disorders.Presentation 8.7: Codependency.Presentation 8.8: Grief and Loss.CD-ROM Information.