The Addiction Progress Notes Planner

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An invaluable practice resource for practitioners engaged in addictions treatment
The Addiction Progress Notes Planner, Sixth Edition
Addictions Treatment Planner, Sixth Edition
Addiction Treatment Planner, Sixth Edition
The Addiction Progress Notes Planner

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PRACTICE PLANNERS ®SERIES PREFACE

Accountability is an important dimension of the practice of psychotherapy. Treatment programs, public agencies, clinics, and practitioners must justify and document their treatment plans to outside review entities in order to be reimbursed for services. The books in the Practice Planners ®series are designed to help practitioners fulfill these documentation requirements efficiently and professionally. They have also proven very beneficial to graduate students as well as young or seasoned practitioners who are looking for suggestions for effective interventions, all of which are best practice or evidence based.

The Practice Planners ®series includes a wide array of treatment planning books including not only the original Complete Adult Psychotherapy Treatment Planner , Child Psychotherapy Treatment Planner , Adolescent Psychotherapy Treatment Planner , and Addictions Treatment Planner , all now being revised and updated for the sixth editions, but also many other Treatment Planners targeted to specialty areas of practice, including:

Co-occurring disorders

Integrated behavioral medicine

College students

Couples therapy

Crisis counseling

Early childhood education

Employee assistance

Family therapy

Group therapy

Intellectual and developmental disability

Juvenile justice and residential care

LGBTQ+

Neuro rehabilitation

Older adults

Parenting skills

Pastoral counseling

Personality disorders

Probation and parole

Psychopharmacology

School counseling and school social work

Severe and persistent mental illness

Sexual abuse victims and offenders

Social work and human services

Special education

Speech-language pathology

Suicide and homicide risk assessment

Veterans and active military duty

Women's issues

In addition, there are three branches of companion books that can be used in conjunction with the Treatment Planners or on their own:

Progress Notes Planners provide a menu of progress statements that elaborate on the client's symptom presentation and the provider's therapeutic intervention. Each Progress Notes Planner statement is directly integrated with the behavioral definitions and therapeutic interventions from its companion Treatment Planner.

Homework Planners include homework assignments designed around each presenting problem (such as anxiety, depression, substance use, anger management, eating disorders, or panic disorder) that is the focus of a chapter in its corresponding Treatment Planner.

Client Education Handout Planners provide brochures and handouts to help educate and inform clients on presenting problems and mental health issues, as well as life skills techniques. The handouts are included on CD-ROMs for easy printing from your computer and are ideal for use in waiting rooms, at presentations, as newsletters, or as information for clients struggling with mental illness issues. The topics covered by these handouts correspond to the presenting problems in the Treatment Planners.

The series also includes:

Evidence-Based Psychotherapy Treatment Planning Video Series, which offers 12 sixty-minute programs that provide step-by-step guidance on how to use empirically supported treatments to inform the entire treatment planning process. In a viewer-friendly manner, Drs. Art Jongsma and Tim Bruce discuss the steps involved in integrating evidence-based treatment (EBT) objectives and interventions into a treatment plan. The research support for the EBTs is summarized, and selected aspects of the EBTs are demonstrated in role-played counseling scenarios.

A companion Treatment Planning software product is also available:

TheraScribe®, the #1 selling treatment planning and clinical recordkeeping software system for mental health professionals. TheraScribe® allows the user to import the data from any of the Treatment Planner, Progress Notes Planner, or Homework Planner books into the software's expandable database to simply point and click to create a detailed, organized, individualized, and customizable treatment plan along with optional integrated progress notes and homework assignments. TheraScribe is available by calling 616-776-1745. Also, see TheraScribe.comfor more information.

Adjunctive books, such as The Psychotherapy Documentation Primer and The Clinical Documentation Sourcebook , contain forms and resources to aid the clinician in mental health practice management.

The goal of our series is to provide practitioners with the resources they need in order to provide high-quality care in the era of accountability. To put it simply: We seek to help you spend more time on patients and less time on paperwork.

ARTHUR E. JONGSMA, JR.

Grand Rapids, Michigan

PROGRESS NOTES INTRODUCTION

ABOUT PRACTICE PLANNERS® PROGRESS NOTES

Progress notes are not only the primary source for documenting the therapeutic process but also one of the main factors in determining the client's eligibility for reimbursable treatment. The purpose of the Progress Notes Planner series is to assist the practitioner in easily and quickly constructing progress notes that are thoroughly unified with the client's treatment plan.

Each Progress Notes Planner :

Saves you hours of time-consuming paperwork.

Offers the freedom to develop customized progress notes.

Features over 1,000 prewritten progress notes summarizing patient presentation and treatment delivered.

Provides an array of treatment approaches that correspond with the behavioral problems and DSM-5 diagnostic categories in the corresponding companion Treatment Planner.

Offers sample progress notes that conform to the requirements of most third-party payors and accrediting agencies, including the Joint Commission, Council on Accreditation, Commission on Accreditation of Rehabilitation Facilities, and National Committee for Quality Assurance.

HOW TO USE THIS PROGRESS NOTES PLANNER

This Progress Notes Planner provides a menu of sentences that can be selected for constructing progress notes based on the behavioral definitions (or client's symptom presentation) and therapeutic interventions from its companion Treatment Planner . All progress notes must be tied to the patient's treatment plan—session notes should elaborate on the problems, symptoms, and interventions contained in the plan.

Each chapter title is a reflection of the client's potential presenting problem. The first section of the chapter, “Client Presentation,” provides a detailed menu of statements that may describe how that presenting problem manifested itself in behavioral signs and symptoms. The numbers in parentheses within the Client Presentation section correspond to the numbers of the Behavioral Definitions from the Treatment Planner .

The second section of each chapter, “Interventions Implemented,” provides a menu of statements related to the action that was taken within the session to assist the client in making progress. The numbering of the items in the Interventions Implemented section follows exactly the numbering of Therapeutic Intervention items in the corresponding Treatment Planner .

Each item list begins with a few keywords in bold type. These words are meant to convey the theme or content of the sentences that are contained in that listing. The clinician may peruse the list of keywords to find content that matches the client's presentation and the clinician's intervention. It is expected that the clinician may modify the prewritten statements contained in this book to fit the exact circumstances of the client's presentation and treatment. To maintain complete client records, in addition to progress note statements that may be selected and individualized from this book, the date, time, and length of a session; those present within the session; the provider; the provider's credentials; and a signature must be entered in the client's record.

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