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& Technology
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Billing Codes


Case Management#

Click here to access the caseload capacity calculator >>

Click here to get a NASW certification in case management >>


Clinical Practice


Community Resources

The National 2-1-1 Collaborative is a collection of databases dedicated to connecting families and individuals with social, health, and human services.


Consent to Treat Agreement

Informed Consent Regarding Limitations on Confidential Communications
Model form prepared by Barry Mintzer, Esq, NASW Lawyer

I understand that information about my treatment and communications with my therapist may not be released without my written authorization. However, these communications or this information may have to be revealed without my permission, as explained below:

1.  If necessary to protect my safety or the safety of others.

(a) If I am clearly dangerous to myself my therapist may take steps to seek involuntary hospitalization and may also contact members of my family or others.

(b) If I threaten to kill or seriously hurt someone and the therapist believes I may carry out my threat, or if the therapist believes I will attempt to kill or seriously hurt someone, my therapist may:

- tell any reasonably identified victim;
- notify the police; or
- arrange for me to be hospitalized.

2.  If necessary for me to be hospitalized for psychiatric care.

3.  If a judge thinks the therapist has evidence about my ability to provide care or custody in a child custody or adoption case.

4.  In court proceedings involving the care and protection of children or to dispense with the need for parental consent to adoption.

5.  If the therapist believes a child, a disabled person, or an elderly person in my care is suffering abuse or neglect.

6.  To provide information regarding my diagnosis, prognosis and course of treatment or for purposes of utilization review or quality assurance to a third party payer.

7.  In a legal proceeding where I introduce my mental or emotional condition.

8.  If I bring an action against the therapist and disclosure is necessary or relevant to a defense.

9.  If necessary to use a collection agency or other process to collect amounts I owe for services.

10.  If a court orders access to my records in a sexual assault or other criminal case. I additionally authorize my therapist to consult professional colleagues if needed to enhance the clinical services I receive.

I have had the opportunity to discuss this informed consent statement with my therapist. I understand its meaning and consent to receiving services based on this understanding.

Date:
Client Signature:
Therapist Signature:

Note: This is a sample of one basic model. Practitioners are advised to consult their own attorneys for additional models, especially if they use any non-traditional treatment modalities. 


Documentation


HIPAA


Managed Care


Marketing


Measurement


National Provider Identifier


Reimbursement


Scope of Practice Guidelines

Please see the Ohio Counselor, Social Worker, and Marriage and Family Therapist Board Laws and Rules for complete definitions of the scope of practice for an LSW and LISW >>


Screening Tools

Listed below are several screening tools you can use in your practice. For a complete list of screening tools, click here.

Anxiety

Generalized Anxiety Disorder (GAD-7) screening tool is designed to identify whether a complete assessment for anxiety is necessary.

Dementia

The General Practitioner Assessment of COGnition (GPCOG) is used to assess cognitive impairment.

Depression

Drug and Alcohol Use

The Alcohol Use Disorders Identification Test (AUDIT) is a questionnaire used to screen for harmful alcohol consumption.

Intimate Partner Violence

Intimate partner violence and sexual violence victimization assessment instruments for use in healthcare settings.

Post-Traumatic Stress Disorder

Primary Care PTSD Screen (PC-PTSD) is used in primary care and other medical settings to screen for post-traumatic stress disorder.

Suicide Risk

The Suicide Behaviors Questionnaire (SBQ-R) is used to assess suicide-related thoughts and behavior.


Social Media Policy & Technology

Click here to see a sample social media policy >>


Standards

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