Chapter One: Precontact: Referral Forms.
Form 1.1: Referral for Services.
Form 1.2: Appointment Notification/Confirmation Letter.
Form 1.3: Referral and Treatment Compliance Follow-Up Letter.
Form 1.4: Thank You for Your Referral.
Form 1.5: HIPAA Notice of Privacy Practices.
HIPAA Privacy Authorization for Use and Disclosure of Personal Health Information.
Form 1.6: HIPAAâ??Client Sign-In Sheet.
Chapter Two: Intake and Assessment Forms.
Form 2.1: Initial Client Information Fact Sheet.
Form 2.2: Confidential Brief Health Information Form.
Form 2.3: Therapist Clinical Assessment.
Form 2.4: Chemical Dependence Assessment Matrix.
Form 2.5: Substance Abuse Assessment Matrix.
Form 2.6: Acuity of Need/Level of Treatment Assessment Matrix.
Form 2.7: Informed Consent and Payment Agreement for Services.
Form 2.8: Authorization for Disclosure of Information.
Form 2.9: Client Rights and Limits of Confidentiality Handout and Acknowledgment.
Chapter Three: Treatment Forms.
Form 3.1: Behavioral Contract.
Form 3.2: Contract against Suicide, Self-Harm, or Harm to Others.
Form 3.3: Client Input for Treatment Planning.
Form 3.4: Master Treatment Plan.
Form 3.5: Treatment Plan Update/Revision Form.
Form 3.6: Group Therapy Progress Note.
Form 3.7: Individual/Family Therapy Session Progress Note.
Form 3.8: Telephone Contact Progress Note.
Form 3.9: Therapeutic Materials Loan Record.
Form 3.10: Eye Movement Desensitization and Reprocessing (EMDR) Information Handout.
Form 3.11: Eye Movement Desensitization and Reprocessing (EMDR) Consent for Treatment.
Form 3.12: Eye Movement Desensitization and Reprocessing (EMDR) Progress Note.
Form 3.13: Recovery Program Meeting Review/Critique Form.
Chapter Four: Treatment Forms: Program Administration Documentation.
Form 4.1: Client Encounter Summary Log Sheet.
Form 4.2: Monthly Progress Note/Report.
Form 4.3: Recovery Program Attendance Verification Form.
Form 4.4: Request/Referral for Extended Services.
Form 4.5: Request/Referral for Additional Services.
Form 4.6: Request for Drug Screening by External Providers.
Form 4.7: Treatment Program Attendance/Completion Record.
Form 4.8: Certificate of Completion.
Form 4.9: Case Staffing Record.
Form 4.10: Treatment Termination Warning.
Form 4.11: Treatment Termination Notification.
Form 4.12: Treatment Discharge Summary.
Form 4.13: Request for an Accounting of Disclosures.
Form 4.14: Disclosure Tracking Log.
Chapter Five: Program Evaluation.
Form 5.1: Outcome Measurement Tracking Form.
Form 5.2: Informed Consent for Participation in Outcome Assessment.
Chapter Six: Addictive Behaviors: Materials for Use in Psychoeducational Groups.
Presentation 6.1: Psychopharmacology, Part I.
Presentation 6.2: Psychopharmacology, Part II.
Presentation 6.3: The Process of Addiction.
Presentation 6.4: The Process of Relapse.
Presentation 6.5: Addiction and Contemporary Culture.
Presentation 6.6: Switching Addictions: Other Compulsive Behaviors.
Chapter Seven: Recovery Resources and Skills: Materials for Use in Psychoeducational Groups.
Presentation 7.1: The Process of Recovery.
Presentation 7.2: Recovery Programs and Resources.
Presentation 7.3: Lifestyle Changes.
Presentation 7.4: Common Problems and Issues in Recovery.
Presentation 7.5: Relapse Prevention, Part I.
Presentation 7.6: Relapse Prevention, Part II.
Presentation 7.7: Physical and Emotional Self-Care.
Presentation 7.8: Stress Management.
Presentation 7.9: Communication Skills.
Presentation 7.10: Healthy Relationship Skills.
Presentation 7.11: Setting and Achieving Goals.
Presentation 7.12: Problem-Solving Skills.
Presentation 7.13: Coping with Anger and Resentment.
Presentation 7.14: Coping with Depression and Anxiety.
Presentation 7.15: Resisting Pressures to Drink or Use.
Chapter Eight: Other Mental Health Issues: Materials for Use in Psychoeducational Groups.
Presentation 8.1: Family Dynamics.
Presentation 8.2: Domestic Violence.
Presentation 8.3: Suicide Awareness and Prevention, Part I.
Presentation 8.4: Suicide Awareness and Prevention, Part II.
Presentation 8.5: Trauma and Posttraumatic Stress Disorder.
Presentation 8.6: Co-Occurring Disorders.
Presentation 8.7: Codependency.
Presentation 8.8: Grief and Loss.