Course Code: REL-BHC-0-BED
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2025
Learning Objectives:
Recall why effective documentation is critical and the key elements you should include in your documentation
Indicate at least three strategies you can use to improve the quality of your documentation.
Outline:
About This Course
Learning Objectives
Section 2: The Importance of Documentation
Meet Susie
Why is Documentation Important?
Who are the Stakeholders?
Document No Matter What
The Golden Thread
Avoid Shortcuts
Review
Summary
Section 3: Elements of Effective Documentation
What Makes Documentation Effective?
Accurate Documentation
Timeliness of Documentation
Medical Necessity
Impaired functioning
Review
Summary
Section 4: Strategies to Improve Documentation
Goals and Client Progress
Strategies for Timely Documentation
Documenting Provision of Services
Writing Tips for Provision of Services
Review
Summary
Section 5: Documentation Methods
Find a Method That Works for You
SOAP Notes
DAP Notes
Collaborative Documentation
Review
Summary
Section 6: Conclusion
Course Summary
Course Contributors
Resources
References
Instructor: Jacob Helton, Psy.D.
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.
Target Audience:
The target audience for this course is: Direct Care Workers.
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All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.