Chapter 1: Ethics in Behavioral Health Documentation: Reasons, Risks, and Rewards 3 CE Hours Release Date: July 10, 2023 Expiration Date: July 10, 2027 Upon successful completion of this course, continuing education hours will be awarded as follows: ● Social Workers and Psychologists: 3 Hours ● Professional Counselors: 3 Hours
Faculty Author :
Campus, teaching in the University's First Term Experience department. Matthew Lucas, MS, LMFT has no significant financial or other conflicts of interest pertaining to this course. Peer Reviewer : Allison Deatherage, PhD Allison Deatherage, PhD has no significant financial or other conflicts of interest pertaining to this course. Scott Deatherage, PhD The planner who worked on this continuing education activity have disclosed that they have no significant financial or other conflicts of interest pertaining to this course book. objectives as a method to enhance individualized learning and material retention. ● Provide required personal information and payment information. ● Complete the mandatory Course Evaluation. ● Print your Certificate of Completion. Sponsorship/commercial support and non-endorsement It is the policy of Colibri Healthcare, LLC not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.
Matthew Lucas, MS, LMFT is a licensed marriage and family therapist practicing within an integrated primary care practice since 2015. He received a Masters of Science in counseling with an emphasis on marriage, family and child therapy from the University of Phoenix, Sacramento Gateway campus in Northern California. Additionally, he has maintained a private practice since 2011, and has previously directed several psychotherapeutic programs. Most notably, he developed and directed a brief therapy, partial hospitalization program for high-risk, self-harming adolescents. Mr. Lucas has completed on- going training in Jungian psychotherapy, and continues to study analytical concepts for treatment purposes. He is also an adjunct associate professor with the University of Maryland Global How to receive credit ● Read the entire course online or in print. ● Depending on your state requirements you will be asked to complete: ○ A mandatory test (a passing score of 75 percent is required). Test questions link content to learning Colibri Healthcare, LLC implemented mechanisms prior to the planning and implementation of the continuing education activity, to identify and resolve conflicts of interest for all individuals in a position to control content of the course activity. Disclaimer The information provided in this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative Disclosures Resolution of conflict of interest
to diagnostic and treatment options of a specific patient’s medical condition.
©2023: All Rights Reserved. Materials may not be reproduced without the expressed written permission or consent of Colibri Healthcare, LLC. The materials presented in this course are meant to provide the consumer with general information on the topics covered. The information provided was prepared by professionals with practical knowledge of the areas covered. It is not meant to provide medical, legal, or professional advice. Colibri Healthcare, LLC recommends that you consult a medical, legal, or professional services expert licensed in your state. Colibri Healthcare, LLC has made all reasonable efforts to ensure that all content provided in this course is accurate and up to date at the time of printing, but does not represent or warrant that it will apply to your situation nor circumstances and assumes no liability from reliance on these materials. Quotes are collected from customer feedback surveys. The models are intended to be representative and not actual customers. Learning objectives
After completing this course, the learner will be able to: Explain the rationale for high-quality documentation. Describe the content of good clinical documentation. Identify aspects of clinical documentation that present potential ethical problems.
Describe decision making in ethical documentation. Discuss proper documentation within integrated care settings. Recognize documentation risks specific to digital record- keeping.
INTRODUCTION
Proper documentation is based on the standard of accountability. Too many clinicians receive minimal training in this area, despite its central role in behavioral health practice (Reamer, 2009; Sidell, 2015). The lack of knowledge and skill regarding documentation is a potential liability. Documenting according to ethical standards is therefore relevant to all clinicians. With technological advances, digital documentation has increasingly become the norm; however, electronic health
records and other forms of electronic communication pose ethical risks in documenting services. For social workers, counselors, marriage and family therapists, and psychologists, documentation is equally important before, during, and after a clinical encounter. A common adage states: “If it isn’t written, it didn’t happen.” Although documentation serves multiple essential purposes, it is fraught with risk and liability.
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Book Code: PCUS1624
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