| Who Should Attend: Recovery Support Specialists, Peer Support Professionals, Case Managers, and other non-licensed behavioral health professionals providing recovery support services for individuals with mental health and substance use disorders.
Description: Non-clinical professionals play a critical role in documenting the services they provide, and the progress individuals make throughout treatment and recovery. This session focuses on practical documentation techniques that clearly demonstrate the purpose of the service, accurately reflect client interactions, and support the individuals treatment plan.
Participants will learn how quality documentation contributes to continuity of care, strengthens communication among the treatment team, and reduces compliance risk by avoiding the most common documentation deficiencies identified during behavioral health audits.
Objectives:
- Identify the essential components of a compliant behavioral health progress note.
- Understand how documentation should support the individual's treatment or service plan.
- Recognize the documentation practices that increase audit and compliance risk.
- Apply practical strategies to better demonstrate services provided, client participation, and progress.
Participant Takeaways:
- A practical framework for documenting non-clinical behavioral health services.
- Increased confidence connecting documentation to treatment goals and recovery objectives.
- Practical examples of individualized documentation that better supports compliance expectations.
- Greater awareness of documentation practices commonly identified during behavioral health reviews.
Continuing Education: Not applicable. |
