Forms for the Therapist (eBook)

Allan G. Hedberg (Herausgeber)

eBook Download: PDF | EPUB

2010 | 1. Auflage
578 Seiten
Elsevier Science (Verlag)
978-0-08-095810-1 (ISBN)

Infos

Allan Hedberg has been in private practice as a psychologist for over 30 years. In this book, Dr. Hedberg has put together a one-stop source of every imaginable form for the early career therapist. The book is not geared exclusively to psychologists, but to all types of practitioners including psychologists, psychiatrists, social workers, marriage and family counselors, alcohol counselors, rehabilitation, recreational, occupational, physical, and speech therapists. The forms have been provided by experienced, seasoned professionals who have refined their content over the course of many years in practice. In addition to the forms themselves, practical guidelines on their use and helpful information on developing personalized forms is included. The book is written in a concise format and the forms are easy to duplicate or adapt for the busy professional. 

 The website with electronic forms from this book can be found at: http://booksite.academicpress.com/hedberg/forms.

* Forms are designed for early career therapists and obtained from experienced, seasoned therapists
* Includes all types of forms, including surveys, questionnaires, informal tests, informational ratings sheets, and 'homework assignments' to be used between sessions
* Information is geared toward all types of practitioners, and forms are easily duplicated or adapted, saving professionals valuable time

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Allan Hedberg has been in private practice as a psychologist for over 30 years. In Forms for the Therapist, Dr. Hedberg has put together a one-stop source of every imaginable form for the early career therapist. The book is not geared exclusively to psychologists, but to all types of practitioners including psychologists, psychiatrists, social workers, marriage and family counselors, alcohol counselors, rehabilitation, recreational, occupational, physical, and speech therapists. The forms have been provided by experienced, seasoned professionals who have refined their content over the course of many years in practice.In addition to the forms themselves, practical guidelines on their use and helpful information on developing personalized forms is included. The book is written in a concise format and the forms are easy to duplicate or adapt for the busy professional. Forms are designed for early career therapists and obtained from experienced, seasoned therapists Includes all types of forms, including surveys, questionnaires, informal tests, informational ratings sheets, and "e;homework assignments"e; to be used between sessions Information is geared toward all types of practitioners, and forms are easily duplicated or adapted, saving professionals valuable time

Inhalt

Front Cover 1
Forms for the Therapist 4
Copyright Page 5
Contents 6
List of Icons 18
List of Forms by Type 20
Contributors 34
About the Editor 36
Preface 38
Acknowledgments 40
Part I: Starting and Managing Your Clinical Practice 42
Chapter 1 FORMS FOR SETTING UP AND DEFINING YOUR PRACTICE 44
Example Professional Resume (Web Version) 45
Professional Practice Profile 47
Vision Implementation Planner 48
Strategic Planning Worksheet 49
Professional Will and Instructions 50
Codicil to Personal or Professional Will 53
Professional Profile Documents Needed 54
Business Development and Professional Relationships 55
Making a Business Plan 56
Intentional Strategic Planning 58
Mission Statement 59
Office Set Up and Marketing Needs 60
Letter of Introduction to the Community 61
The 14 Ps of Marketing a Practice, Program or Service 62
Marketing by Mail (1) 63
Marketing by Mail (2) 64
Marketing Your Practice: A Trial Exercise 65
Free Use of the Media 66
Sample Letter for a Proposed Community Workshop 67
Going Green in the Office 68
Program Development 69
Models and Procedures for Program Planning 70
A SWOT Analysis of the Practice 71
Chapter 2 FORMS RELATED TO FEES 72
Structuring Payment Plans for Patients Who Cannot Afford Standard Fees 73
Office Financial Policy 74
Cancellation and Missed Appointments Notice 75
Notice of Missed Appointments 76
Actions to Take When Patients Miss Appointments 77
Payment Agreement for Past Service Rendered 78
Past Due Letter Requesting Payment 79
Doctor's Lien and Authorization of Payment 80
Office Daily Billing Sheet 81
Fee Agreement for Psychological Expert Witness Services 82
Fee Schedule for Clinical Services 83
Fee Schedule for Medical/Legal Services 85
Insurance Authorization Log 86
Insurance Direct Payment Authorization 87
Chapter 3 HIPAA/PATIENT PRIVACY FORMS 88
HIPAA Office Staff Guidelines 89
HIPAA Complaint and Resolution Form 90
Authorization for Release or Exchange of Information 92
Permission to Allow Information from a Session to be Used for Research, Teaching, Lecturing, and/or Publication Purposes 93
Patient Records Access Form 94
Request for No Records to be Kept 95
Limits on Patient Confidentiality 96
Guidelines for the Release of Psychological Test Data 97
Medicare Advance Beneficiary Notice 98
Chapter 4 GENERAL INFORMATIONAL HANDOUTS FOR PATIENTS 100
Welcome Brochure 101
Employee Assistance Program 103
Shall I Sign Up with an EAP? 104
Disclosure of Risks and Benefits Regarding the Use of Psychotherapeutic Medications 105
10 Steps to a Healthier Brain 106
Alternative Medicine: Guidelines 107
Advice for Patients Seeking Services on the Internet 108
Personal Bill of Rights 109
Patient Bill of Rights 110
Chapter 5 FORMS RELATED TO REFERRAL AND CONSULTING SERVICES 112
Contract for Consulting Services: Brief Form 113
Consulting Services Agreement with Other Professionals 114
Memo of Understanding for Professional Services 115
Agreement for Psychological Expert Witness Services 117
Confidential Referral 118
Expert Witness Guidelines 120
Contracting with Managed Care Companies 121
Forensic Psychological Assessment Consent 122
Ethical Guidelines in Interdisciplinary Care 124
Guidelines for Medication Referrals 125
Networking to Tap the Hidden Job Market 126
Chapter 6 FITNESS FOR DUTY AND WORKERS' COMPENSATION FORMS 128
Notice of Unfitness for Duty 129
Notice of Return to Duty 130
Workers' Compensation Information Intake Form 131
Workers' Compensation Lien Cover Letter 132
Chapter 7 FORMS RELATED TO PATIENT SERVICES 134
"Welcome to the Office" Patient Sign In 135
Psychotherapy Information Disclosure Statement and Consent to Treatment 136
Patient Confidential Information Form 139
Confidential Alternate Communications Request 140
Documenting All Services Rendered 141
Behavioral Therapy Plan 142
Needs Appraisal and Services Plan 143
Review of Behavioral Medication by Physician 144
Monitoring of Antecedent Events to Self-Defeating Behavior 145
Components of a Patient's Chart: A Checklist 146
Evaluation of Therapist 147
Patient Satisfaction Questionnaire 148
Patient Satisfaction: Therapy's Greatest Public Relations Approach 149
Waiting Room Assignment 150
Jury Duty Excuse 151
Chapter 8 FORMS RELATED TO THERAPIST'S PROFESSIONAL ACTIVITIES 152
Continuing Education Log 153
Weekly Travel Expense Sheet 154
Expense Account 155
Supervision Documentation Form 156
Chapter 9 MANAGING AN OFFICE STAFF 158
Program Staff Meeting Minutes 159
Therapist's Evaluation of the Office Staff 160
Annual Survey of Office Staff 161
Peer Evaluation of Employee 162
Employee Self-Evaluation Form 163
Employer Feedback to Employee from Annual Review 164
Employee Progressive Discipline 165
Annual Employee Satisfaction Survey 166
Unusual Incident Report Form 167
Request for Time Off 168
Request for Early Dismissal or Overtime Authorization 169
Employee Exit Interview 170
Authorization to Release Employment Information 172
Authorization for Letter of Reference 173
Recognizing Early Warning Signals of a Dangerous Employee 174
Professional Staff Meeting Agenda 175
Emergency Action Needed: "INA" 176
When Depression Comes to the Office 177
Leadership in Today's World 178
Leadership in the Workplace 179
Leadership in Large Corporate and Professional Organizations 180
Facing a Key Crisis in a Business 181
Chapter 10 TERMINATION OF TREATMENT/PRACTICE FORMS 184
Release from Responsibility for Discharge 185
Letter to Terminate Services to a Patient 186
Professional Practice for Sale and Profile 187
Practice for Sale – Advertisement 189
Chapter 11 FORMS FOR SESSION NOTES 190
Session Notes: Version 1 191
Session Notes: Version 2 192
Session Notes: Version 3 193
Session Notes: Version 4 194
Relaxation Training and Biofeedback Therapy Session Notes 195
Group Therapy Notes 196
Chapter 12 CLINICAL ERRORS, BAD HABITS, ETHICAL COMPLAINTS, AND LAW SUITS 198
12 Steps for Reducing Your Risks in a Malpractice Suit 199
Four Issues to be Addressed in Determining Negligence in a Civil Law Suit 200
Ways to Respond to a Complaint 201
Managing Clinical Errors, Mistakes, and Mishaps 202
Bad Habits to Avoid as a Therapist 203
Medication Consultation by Psychologist 204
Chapter 13 EXPANDING YOUR PRACTICE 206
Informed Consent Procedures for Telemedicine 207
Therapist's Guidelines for Conflict Resolution 208
Internet-Based Therapy: Is It for Me? 209
Telephonic Counseling: Is It for Me? 210
Coaching Managers and Executives 211
Executive Coaching to Accelerate Learning 212
Estate and Health Care Planning with Patients 213
Part II: Intake Forms and Initial Assessment Tools for Evaluating Patients 214
Chapter 14 ORGANIZING YOUR CHARTS AND EVALUATIONS 216
Outline for a Comprehensive Clinical Evaluation 217
Components of a Clinical Chart 221
Outline for a Standard Clinical Evaluation and Summary Report 223
Chapter 15 GENERAL ASSESSMENTS: INTAKE, BRIEF, COMPREHENSIVE, AND MORE 224
Getting to Know You 225
The Intake Process – Issues to Assess 226
Legal Intake Form 227
Intake Assessment and Proposed Treatment Plan 228
Areas for Exploration for a Comprehensive Mental Health Assessment 229
Brief Assessment and Diagnostic Summary 234
Brief Diagnostic Structured Clinical Interview 235
Sentence Completion-Work 236
Psychopathy Checklist 238
Critical Events Time Line 239
Chapter 16 ASSESSMENTS RELATED TO SPECIFIC TESTS AND SCALES 240
Practical Model for Interpreting MCMI-III Test Results 241
Global Assessment of Relational Functioning (GARF) Scale 243
GAF Evaluation 244
Social and Occupational Functioning Assessment (SOFA) Scale 245
Chapter 17 ASSESSMENTS RELATED TO RISK, COMPETENCY, HEALTH, AND NEUROPSYCHOLOGY 246
Competency to Stand Trial Status Exam 247
Assessing Lifestyle and Health 248
Informal Diagnostic Exercises of Aphasia 250
Neuropsychological Assessment: Patient Information 251
Part III: Forms, Exercises, and Information for Treating Specific Disorders 254
Chapter 18 ANXIETY AND STRESS RELIEF WITH RELAXATION ASSESSMENT AND EXERCISES 256
16 Warning Signs of Post-Traumatic Stress 257
Personal Stress Management Profile 258
Progressive Relaxation 262
Instructions for Focused Breathing 263
Stressful Life Events 264
Well-Being Scale 265
How Well Do You Cope with Life's Circumstances? 266
Fear and Its Management 267
The Management of Stress, Anxiety, and Pain 268
Emotional Fitness 269
Advice from a Friend 270
Stress Is Not a Stocking Stuffer 271
Identifying Traumatic Stress 272
What Management Can Do to Minimize Employee Stress 273
Chapter 19 DEPRESSION AND SELF-ESTEEM 274
Depression Myths 275
Triple-Column Technique to Understand and Change My Depression 276
Bipolar: How to be Self-Defeating 277
Bipolar Disorder Hypersexuality 278
Feeling Overwhelmed and Desperate 279
The Happiness Factor 280
Understanding Seasonal Affective Disorder 281
Pursuing Peace in the Midst of a Loss 284
The Self-Esteem Review 285
10 Self-Esteem Boosters 286
Chapter 20 INSOMNIA AND SLEEP THERAPY 288
10 Tips for Better Sleep 289
Insomnia: What Is It and What Do We Do About It? 291
Sleep Improvement Program 293
My Sleep Diary 294
My Sleep Chart 295
Sleeping Improvement Log 296
Helping Sleep Through Use of Medication 297
Importance of Good Sleep Habits 298
Chapter 21 ADDICTIVE BEHAVIOR 300
Signs of Alcoholism 301
Alcohol Addiction Questionnaire 304
Alcohol Involvement Scale 305
Am I Abusing Alcohol and At Risk? 306
Guidelines for Moderate Drinking 307
Screen for Gambling Addiction 308
Do I Have a Gambling Problem? 309
My Gambling Pattern in the Past Year 311
Gamblers Anonymous – 20 Questions 312
Caffeine Consumption Questionnaire 313
Reasons to Quit Smoking 314
Chapter 22 SUICIDAL BEHAVIOR 316
The Intervention Perspective of Suicide 317
Dangerousness: Warning Factors 319
No Harm Agreement 320
Chapter 23 PAIN MANAGEMENT AND COPING WITH MEDICAL DISORDERS 322
Headaches 323
Treatment of Chronic Pain 324
Assessment of Chronic Pain 325
Charting Perceived Pain 329
Physical Disorders Associated with Psychological Distress 330
Patient Report of Illnesses and Medical Problems 331
Psychological Factors Affecting Physical Condition 333
Dizziness Questionnaire 335
Medications Being Taken by Patient 337
Gastroesophageal Reflux Disease (GERD) 338
Parkinson's Disease 339
Chapter 24 ANGER AND VIOLENT BEHAVIOR 340
How to Handle Angry People 341
Anger and How to Deal With It 342
Hostility Discomfort Scale 343
Behavioral Anger Scale 344
Anger Inventory 345
Behavioral Hostility Checklist 346
My Anger Story 347
My Diagnostic Anger Map 348
Five Steps of Anger Control 349
Dangerous Propensities of a Minor 350
Risk for Re-offending as a Sex Offender 351
Part IV: Skill Building Strategies and Tools for Personal Growth and Life Improvement 354
Chapter 25 STRATEGIES AND TOOLS FOR PERSONAL GROWTH AND HEALTH AWARENESS 356
My Developmental Experiences of Personal Growth and Development 357
My Self-Analysis 358
Considerations in Self-Image Building 359
My Friendship Circle 360
My Life's Journey of Growth Experiences 361
Learning to Live a Life of Mastery 362
Mastering Motivational Living 363
My Daily Journal 365
Test of Personal Meaning 366
The Interactive Cognitive Model of Emotional Intelligence 367
Happiness and Optimism Exercises 368
Good Habits for Healthy Living 369
Components of Brain Functioning 370
Journal Writing 371
Chapter 26 COMMUNICATION TIPS AND EXERCISES 374
Communication Tips from the Tennis Court 375
What Kind of Listener Am I? 376
Communication Exercises in the Perception of Feelings 377
Model of Communication Patterns 378
Styles of Communication 379
The Listening Skills Ladder 380
The Stings and Thorns of Communication 381
Nonverbal Communication Checklist 382
Assertiveness Inventory 384
Chapter 27 EATING AND EXERCISE LOGS 386
Personal Exercise Record 387
Weekly Home Exercise Program 388
Eating Behavior Schedule 389
Helping Patients Live an Active Lifestyle 390
Tips to Manage Weight Loss 391
Chapter 28 CULTURAL DIVERSITY APPRECIATION EXERCISES 392
Movies and Videos Focusing on Diverse Populations 393
Personal Identity Profile 395
The Cultural Genogram 397
Chapter 29 CONFLICT RESOLUTION AND PROBLEM SOLVING 398
Walking around the Edges of Conflict 399
The Five Steps to Problem Solving 400
Conflict Resolution and Problem Solving 401
Problem Solving Diagram 403
The Problem Solving Worksheet 404
Problem Solving and Changing Violent Behavior Patterns 405
Chapter 30 THINKING DISTORTIONS: INFORMATION AND PATIENT EXERCISES 408
The Bane of Perfectionism: An Obsessive Compulsive Disorder 409
Thinking Distortions 410
Chapter 31 BEHAVIORAL MONITORING LOGS 412
Behavior Monitoring Graph 413
Monitoring of Antecedent Diagnostic Events to Self-Defeating Behavior 414
A Look at My Self-Defeating Behavior Pattern 415
Behavioral Management Program in the Home 416
Behavioral Observations Chart for Daycare and Hospital Patients 417
Chapter 32 DEALING WITH CRISIS 418
How Best to Respond to a Crisis 419
Crisis Intervention 420
Facing and Overcoming a Crisis 422
Trauma Response 425
The Therapist's Exposure to and the Management of Trauma 426
Part V: Dealing with Specific Types of Patient Problems and Issues 428
Chapter 33 SERVING CHILDREN AND THEIR FAMILIES 430
A. The Family Needs Help to Change 432
B. Functional and Dysfunctional Families 436
C. Family Based Assessment 442
D. Learning Disabilities 450
E. Attention Deficit-Hyperactivity Disorder (ADD/ADHD) 456
F. School Performance and Teacher Feedback 462
G. Communication with Children 468
H. Exercises for Therapists to Get Children to Communicate 478
I. Drug Use and Eating Disorders 484
J. Custody/Visitations 490
K. New Drivers 496
L. Other Parenting Management Strategies 500
Chapter 34 DEALING WITH GERIATRIC PATIENTS 506
A. Assessment Scales and Checklists 508
B. Successful Aging 518
C. Dementia and Alzheimer's Disease 528
D. Caregivers and Caregiving 536
Chapter 35 COUPLES THERAPY AND RELATIONSHIP ASSESSMENT AND EXERCISES 544
A "Perfect" Marriage Wish List 545
Marital Happiness Scale 546
Request for Marital Behavior Change 547
Marital Satisfaction List 549
Seven Components to Loving 550
Couples Communication 551
20 Diagnostic Factors that Indicate Relationship Anger 552
I Love You and Want You to Know It 553
Marital Pointers 554
Marital Problem Area Questionnaire 555
Pre-Marital Questionnaire 557
The Scope of Intimacy in Marriage 559
Navigating the Confrontations of a Discovered Affair 560
The Pathway to Reconciliation 561
Marital Action Steps for the Long Run 562
Interpersonal Relationship Distinctions 563
Violence in the Home: Partner Violence and What Can Be Done About It 564
How to Predict a Potentially Violent Relationship 566
Why Victims of Domestic Violence Struggle with Leaving 568
Appendix 1: Form Development and Usage for a Clinical Purpose 570
Appendix 2: Professional Issues in Clinical Practice 572
Index 574
A 574
B 574
C 574
D 575
E 575
F 575
G 575
H 576
I 576
J 576
L 576
M 576
N 576
O 576
P 577
R 577
S 577
T 578
U 578
V 578
W 578

Produkt-Details

• Erscheint lt. Verlag: 14.9.2010
• Sprache: englisch
• Themenwelt: Geisteswissenschaften ► Psychologie ► Allgemeine Psychologie
• Themenwelt: Geisteswissenschaften ► Psychologie ► Klinische Psychologie
• Themenwelt: Medizin / Pharmazie ► Gesundheitsfachberufe
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Psychiatrie / Psychotherapie
• Themenwelt: Sozialwissenschaften ► Pädagogik
• Themenwelt: Sozialwissenschaften ► Soziologie
• ISBN-10: 0-08-095810-9 / 0080958109
• ISBN-13: 978-0-08-095810-1 / 9780080958101