Our memory is not the most reliable recording keeping tool. Therapists have long relied on notes to track client progress and maintain continuity from session to session. Remembering previous sessions is a foundational demonstration of respect for our clients. However, recordkeeping is more than just a memory aid. Case notes and other records in therapy can help us track ongoing conceptualisations, make better decisions, keep our clients safe, and enable correct information sharing with other practitioners. Keeping requisite records is a requirement for all practitioners and agencies. And when diligently done, conscientious and accurate recordkeeping will shield us from legal risks and external scrutiny.
In this comprehensive webinar, you will learn about:
• The ethical, legal, and clinical reasons for maintaining accurate records in your therapy practice.
• Recognizing the various types of case notes commonly used in therapy.
• Identifying the difference between case, progress, and process notes.
• Reviewing common errors made with case notes and recordkeeping.
• Maintaining and securely storing these records.
• Deciding what to include in these case notes, and what to leave out.
• Examining the use of these records to improve client care and service experience.
• Determining access rights, privacy, legal, and other relevant ethical considerations with case notes and recordkeeping