ASWB Social Work Clinical

Category - Psychotherapy

Documentation is a necessity in the field of clinical social work. Often it is a reflection of the service quality to clients and acts as a communication source for other professionals. Record keeping often consists of comprehensive assessments and a plan of care. Which of the following should documentation include?
  1. Goals and planning
  2. Referral sources
  3. Receipts and disbursements
  4. All of the above
Explanation
Answer: D - Clinical social work documentation includes a vast amount of information. It starts with the first assessment and ends with the closure of a client’s case. Knowledge found within the record keeping will include: on-going interventions and treatment planning, collaborations, outcomes, confidentiality rights, and signed releases. It is pertinent to always document dates, times and descriptions of client contact.
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