The Child Clinical Documentation Sourcebook

Donald K. Freedheim, PhD, is Professor of Psychology at Case Western Reserve University. He is also the editor of History of Psychotherapy: A Century of Change. Jeremy P. Shapiro, PhD, is Vice President of Research, Quality Improvement, and Training at Applewood Centers, Inc. in Cleveland, Ohio.

A Conceptual Approach to Documentation: Cost/Benefit Analysis. A Survey of Mental Health Professionals: The Work of Clinical Documentation. Effecient Documentation: Recording Maximum Information in Minimum Time. Current Documentation Formats and Structures. Adminstrative Issues and Documents. Intake and Assessment. Diagnostic Evaluation. Consultation and Referral. Treatment Plans, Notes, and Summaries. Child Abuse Forms. Case Example. Appendix. References.