test 2 Flashcards

1
Q

Client Record information

A

face sheet, inquiry/referral form, verification letter, Assessment form/social history, release of information forms, service plan, referrals

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2
Q

Documentation, legal and administrative purposes

A

need documentation or else it didn’t happen

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3
Q

Length of contact notes

A

never more than 6-7 sentences

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4
Q

Labeling contacts

A

left margin of case note include: date, type of contact, type of visit

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5
Q

Documentation Best Practices

A

Avoid hostility, Document interactions, quotes, avoid contradictions, accurately describe disabilities, do not be judgmental

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6
Q

Advocacy

A

how to properly help the client

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7
Q

Broad goal and specific/impact goal

A
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8
Q

Objectives

A
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