Record Keeping in Psychotherapy and Counseling

Ethics, Practice and Supervision

Ellen T. Luepker

• Publisher: Routledge
• Year: 2022
• Edition: 3
• eBook ISBN:
  9781000555936
• Topic: Psychology
• Subtopic: Applied Psychology
• Index: Psychology

Record Keeping in Psychotherapy and Counseling: Ethics, Practice and Supervision, grounded in contemporary challenges, emphasizes protecting the therapeutic and supervisory relationship through offering an essential framework for thoughtful record keeping within legal, ethical, supervisory, and clinical contexts.

A reader-friendly conversational style plus compelling case examples from a variety of settings—clinic to courtroom—bring dilemmas and strategies to life. New case studies invite readers to examine principles of ethical decision-making in order to reach sound decisions, meeting a critical need in training and continuing education. New material on telehealth and electronic records, the impact of digital communications on the therapeutic relationship, and experience implementing the Health Insurance Portability and Accountability Act (HIPAA) bring this book up to date. Sample forms for readers' use and modification are available on the publisher's website.

Practitioners in all mental health disciplines, from students to seasoned clinicians, the supervisors, and teachers will continue to rely on this book for protecting themselves, their patients, and their trainees.

Table of contents

• Cover
• Half Title
• Title
• Copyright
• Contents
• Acknowledgments
• The Author
• Introduction
• 1 A Decade in the Making: Ethical Decision-Making, Record Keeping, and the Therapeutic Relationship in Extraordinary Times
• 2 Purposes of Clinical Records
• 3 Documenting Informed Consent
• 4 Characteristics and Contents of Good Records
• 5 Confidentiality
• 6 Exceptions to Confidentiality
• 7 Developing Policies and Procedures for Protecting Confidentiality and Managing Its Exceptions
• 8 Boundary Challenges: Impact of Digital Communication on the Therapeutic Relationship
• 9 Inactive Records: Access, Retention, and Destruction
• 10 Using Patients’ Records as Therapeutic Tools
• 11 Clinical Supervision Records
• 12 Teaching Record Keeping
• 13 Sailing in Choppy Waters: Therapists Navigating in the Legal System
• 14 Planning for Interruptions or Closures of Psychotherapy Practices
• 15 Using Principles of Ethical Decision-Making: Case Studies
• Appendix: Sample Forms That Can Be Found on Publisher’s Website
• Index