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Best Clinical Documentation Resources

Documentation is something that all therapists have to do, but is likely not your favorite part of the work.  Maybe it’s even one of your least favorite parts of the work!  

However, therapists can implement systems that support us in feeling like our documentation is manageable.  Systems that allow us to navigate this portion of our work with more confidence + ease.

 
In today’s post, I have compiled a list of the best resources, strategies and supports for therapists who want to refine their approach to documentation.

This post is a continuation of our “Best Of…” Series.  You can check out the previous posts in this series here:

Therapists & Time: Best Resources

Best Resources for Overwhelmed Therapists

Blog Posts to Support You In Refining Your Approach to Clinical Documentation:

Targeting Therapist Overwhelm: Clinical Documentation

5 Areas Where Therapists Need Systems

A Strategy for Support as you Navigate Documentation Backlog: Co-Working

Co-working is a great way for therapists who are working on catching up on documentation backlog to get some extra accountability.    Read more about the benefits of co-working for therapists in this post.

Want to give co-working a try, but don’t have the capacity to create a co-working group of your own?  I offer two co-working formats for therapists:

Vibrant Therapist Virtual Work Sessions

Vibrant Therapist Documentation Day

A Strategy to Consider: Collaborative Documentation

Collaborative Documentation is not for everyone, but it’s definitely worth considering as a way to save time on clinical documentation.   Read more about this approach as described by QA Prep here:

Writing Progress Notes During Sessions: Why it helps and the big mistake to avoid

Clinical Guidance for Documentation

As a coach, I am not able to address documentation from the clinical perspective (that is the role of clinical supervision or consultation), however, I often direct my clients to the following resources for the answers to their documentation questions that are of more of a clinical nature:

Streamline other work in order to carve out time for documentation:

Don’t let other work be your excuse for avoiding your documentation.  The following templates, scripts and tips can help you streamline other areas of your practice in order to free up extra time and energy to focus on your documentation.

Scripts for referring

Scripts for out of the office

Email Tips

I hope that at least one of the resources, strategies and supports shared in today’s post will help you find more confidence and ease as you approach clinical documentation in your practice.

Feel free to share this post with a colleague who may benefit.  

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