Case+7,+Question+8

__Document Decision-Making and Follow-up__: Provide written evidence of clinical/ethical decision-making and results of implementation

Write as "actual" notes ...

See Wheeler book, pp. 115 and following Also, Corey (documenting every piece of interaction) ...

Pope, K., & Vasquez, M. (2005). Creating strategies for self-care. //How to survive and thrive as a therapist: Information, ideas, and resources for psychologists in practice// (pp. 13-21). American Psychological Association. doi:10.1037/11088-003.

Writing evidence and keeping record of conversations is part of self care for the practitioner as well as a benefit to avoiding malpractice and client harm.

These notes are best made in the psychotherapy notes section of documentation. Carol will be "analyzing the content of conversation during a private counseling session that are separated from the re of the individual's record"(Bertram &Wheeler, 2008).

Marianne Corey talks about her experiences as a therapist working in a small town. She writes, "Being a practitioner in a small town community demands flexibility, honesty, and sensitivity"(Corey, Corey, & Callanan, 2007).

The following is a draft of the psychotherapy notes Carol: