Donald E. Wiger

Lake County

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Margaret A. Menser

United States Department of Veterans Affairs

R.W. Heath

Oxford Centre for Diabetes, Endocrinology and Metabolism

W Ehrengut

Leibniz Institute of Virology (LIV)

Marianne Just

Praxis für Hämatologie und Onkologie

André Fe

GlaxoSmithKline (Belgium)

Plotkin Sa

Doylestown Hospital

Kathy J. Harowski

Metropolitan State University

Eggers Hj

Literaturarchiv

Stig A. Slørdahl

St Olav's University Hospital

Rigmor Austgulen

Norwegian University of Science and Technology

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Heidelberg University

St Bartholomew's Hospital

University Hospital Heidelberg

University of Minnesota

St Olav's University Hospital

Norwegian University of Science and Technology

Columbia University

United States Department of Veterans Affairs

University of Minnesota Medical Center

Alexandra Hospital

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The Clinical Documentation Sourcebook : The Complete Paperwork Resource for Your Mental Health Practice

Donald E. Wiger

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Mental Status Exam

The Encyclopedia of Clinical Psychology (2015)

Donald E. Wiger Natale B. Mooney

Abstract The mental status exam ( MSE ) is an evaluation of a person's current mental state. It is an integral part of any mental health assessment, and can incorporate information from clinical interviews, testing, and self‐report information. MSEs usually gather information on an individual's appearance, activity level, speech/language, attitude, affect/mood, stream of consciousness, sensorium/cognition, insight, and judgment.

Affect

10.1002/9781118625392.wbecp104

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Typical Forms Used in a Private Practice

Oxford University Press eBooks (2017)

Donald E. Wiger

Filling out forms in the practice of mental health is much more than “dull paperwork.” With proper training, most forms can be filled out during the session rather than spending valuable time afterward. On-target forms can provide the required documentation that the services provided are medically necessary. Too many mental health clinics have gone out of business or have suffered severe financial loss after an audit or review of records by third parties such as insurance companies, licensing boards, clients, or the court. The discussion of forms in this chapter provides information about what is necessary to clearly document the client’s diagnosis, treatment plan, progress of therapy, need for continued services, discharge, outcomes, Health Insurance Portability and Accountability Act (HIPAA) compliance, and financial policies.

10.1093/med:psych/9780190272166.003.0005

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Tracking Mental Health Outcomes: A Therapist's Guide to Measuring Client Progress, Analyzing Data, and Improving Your Practice

Donald E. Wiger Kenneth B. Solberg

Quick Reference Guide to Sample Forms. Preface. DEFINING MENTAL HEALTH OUTCOMES. Introduction and Historical Overview of Outcome Research and Assessment. The Need for Outcome Assessment. Individual and Normative Approaches to Outcome Assessment. INDIVIDUALIZED OUTCOME ASSESSMENT. Measuring and Quantifying Ongoing Behaviors. Assessing Outcome Through the DSM--IV Interview and Intake Information. Assessing Outcome Using the Treatment Plan. Assessing Outcome Using Progress Notes and Ongoing Charting. NORMATIVE OUTCOME ASSESSMENT. Defining Clinically Significant Change. Normative Data and Examples for Four Common Outcome Measures. Selecting Standardized Outcome Measures. Collecting and Analyzing Normative Outcome Data. INTEGRATION. Integrating Individual and Normative Outcome Measures. References. Appendix. Blank Forms. About the Authors. About the Disk.

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The clinical documentation sourcebook : a comprehensive collection of mental health practice forms, handouts, and records

John Wiley & Sons eBooks (1997)

Donald E. Wiger

With the demands of third-party payers, as well as the need to comply with regulatory agencies in maintaining comprehensive treatment records, clinicians are faced with more paperwork than ever. Organized by stage of the treatment process (Intake; Assessment; Treatment Planning/Case Notes; Patient Handouts; and Discharge), this sourcebook contains forms a clinician may need in order to create accurate and complete clinical records. It contains both blank forms, as well as completed copies of the forms, illustrating the type of information which should be included. Also featured is an acompanying computer disk containing all of the blank forms in ready-to-use word processing files.

Blank

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The psychotherapy documentation primer

Donald E. Wiger

1. Introduction. 2. Overview of Current Documentation Procedures and Third-Party Requirements. 3. The Biopsychosocial Assessment. 4. The Mental Status Exam. 5. Formulating and Validating a Diagnosis. 6. Treatment Planning. 7. Progress Notes. 8. Documenting the Need for Additional Services. Appendix A: Documented Client Chart for Judy Doe. Appendix B: Overview of Outcome Measures. Appendix C: Overview of HIPAA Guidelines in Mental Health Settings. Glossary. Bibliography. Index.

Glossary

Biopsychosocial model

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Crisis Intervention

Corsini Encyclopedia of Psychology (2010)

Donald E. Wiger

Abstract A crisis is a collapse in one's ability to solve problems or cope with a situation in which the person's existing strategies for coping do not work. Whether a crisis is situational or developmental, the person in crisis is not able to regain homeostasis or balance by the usual means of coping typically employed. The term crisis is easily misunderstood if one views it in terms of an event or situation. In mental health terms, a crisis is not the traumatic event, but rather a person's reaction to it. The same event could be devastating for one individual and not affect another.

Crisis intervention

Situational ethics

10.1002/9780470479216.corpsy0240

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Essentials of Interviewing

Donald E. Wiger Debra K. Huntley

Overview of the Mental Health Interview The Intake Interview Process Factors Affecting the Quality of Information Received Establishing Rapport: Mainstream and Special Populations The Biopsychosocial Assessment Suicide Assessment Diagnostic Interviewing The Mental Status Exam (MSE) The Report: Incorporating Diagnostic Information with Mental Health Services Appendix: Overview of Selected DSM-IV-TRTM Diagnoses

Biopsychosocial model

Interview

Mental status examination

Mainstream

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Citations (3)

Record Keeping

The Encyclopedia of Clinical Psychology (2015)

Donald E. Wiger

Abstract Record keeping is a very important component of providing psychological services. High‐quality record keeping is crucial for obtaining and keeping mental health services for clients, protecting the therapist in potential legal matters, obtaining payment for services, and communicating accurate clinical information to other professionals.

Record keeping

Component (thermodynamics)

Health Professionals

10.1002/9781118625392.wbecp385

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The Clinical Documentation Sourcebook by Donald E. Wiger Psychology

Donald E. Wiger

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