Documentation & Record-Keeping Essentials for Mental Health Professionals

Most likely, you've heard the adage, "Not documented, not done." Documentation is a key factor in any malpractice lawsuit or licensing board matter. A well-documented record could be the difference between demonstrating your competency as a provider or losing the case. The session will discuss common documentation problems in defending against malpractice lawsuits or licensing board investigations, provide examples of actual licensing board discipline against mental health providers, and suggested best practices in documentation and record-keeping.

Objectives:

• Identify common documentation and record-keeping deficiencies that expose mental health professionals to liability.
• Describe best practices and standards of practice related to therapy records.
• Discuss licensing board complaints related to documentation and record-keeping.

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