While providing direct service may be the core responsibility of your job, effective documentation tracks and details the needs, services, goals, and progress of the person served. The quality of your documentation also impacts decisions that are made about the services the person is receiving, ensures that all members of the care team communicate important details about those services, and ultimately, affects that person’s quality of life. This course will teach you the significance of documentation in your work with individuals. You will explore the importance of timeliness and accuracy in documentation and learn what to include to produce meaningful documentation.
This activity is approved for 1.00 contact hours.
Relias,LLC is approved by the National Academy of Certified Care Managers (NACCM) as a continuing education provider, #18-502RA.
This activity approved for 1.00 CMC contact hours
Section 2: The Importance of Documentation
Why is Documentation Important?
Section 3: Elements of Effective Documentation
What Makes Documentation Effective?
Section 4: Strategies to Improve Documentation
Strategies for Timely Documentation
Documenting Provision of Services
Writing Tips for Provision of Services
Section 5: Documentation Methods
Find a Method That Works for You
Jacob Helton, Psy.D., received his doctoral degree in Clinical Psychology from Marywood University in Pennsylvania. He completed his pre-doctoral internship at Chehalem Youth and Family Services in Newberg, Oregon, which included extensive training with at-risk youth and their families. He is licensed as a psychologist in Oregon and most recently worked in an integrated family medicine and internal medicine group for a large healthcare organization. Dr. Helton has worked in hospital, school, residential, and community mental health settings. He has provided treatment to clients across the lifespan and diagnostic spectrum, with an emphasis on the treatment of anxiety disorders, co-occurring medical and mental health disorders, ADHD, insomnia, severe and persistent mental illness, and the aging. He has experience as a technical writer and has provided numerous trainings to mental health professionals, physicians, allied professionals, and direct care staff. Disclosure: Jacob Helton, Psy.D. discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.
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