Contents of a client record refer to materials which comprised a client record which vary according to type of professional counseling setting, differences in state and local requirements, and needs and guidelines of the specific agency in which one is employed. Typical Contents include: initial contact information, diagnosis and treatment planning notes, progress notes, and termination materials.

Related Articles

Intake summary at■■■■
Intake summary refers to a report written by the clinician that provides a detailed snapshot of all the . . . Read More
Health Insurance Portability and Accountability Act (HIPAA) at■■■■
- Health Insurance Portability and Accountability Act (HIPAA) : Health Insurance Portability and Accountability . . . Read More
Documentation at■■■■
Documentation is defined as record-keeping, note-taking, monitoring, and notations of all client information . . . Read More
Cross-cultural myths at■■■
Cross-cultural myths refer to eight myths/attitudes that some clinicians hold that deleteriously affects . . . Read More
Case Management at■■■
Case Management refer to the procedure for collecting, recording, organizing, and perserving investigative . . . Read More
Treatment planning at■■■
Treatment planning refers to the process used to address identified client concerns, and is based on . . . Read More
Caseload management at■■■
Caseload management means directing one’s time and schedule, and tracking and following up one’s . . . Read More
Conjoint treatment at■■■
Conjoint treatment refers to a treatment that occurs when the client is engaged in more than one mode . . . Read More
Patient focused research at■■■
Patient focused research refers to research which monitors the progress of clients and then uses this . . . Read More
Mental status exam at■■■
Mental status exam or MSE refers to an assessment of the client’s appearance and behavior, emotional . . . Read More