I have started to incorporate this simple approach into my practice and DA's, I've started to ask what symptoms do you want to decrease and what skills and coping measures do you want to increase. I love using it with parents and it helps so much when it comes to tx planning.
My agency uses an EHR that includes “goals” and “activities.” Do you think activities (the things I try to do with the client like role-play, psycho education, etc) need to be in the treatment plan? How do SNAPs get included in treatment goals? And what about clients with SPMI who are mandated to therapy via commitment order or court order; how do their treatment plans differ? Because many of my clients in OWI court are not interested in collaborating meaningfully in session 2 when I’m supposed to do these 😅
Ask your agency since it sounds like they have specific requirements and we may have different views on this, but... it sounds like "activites" are your version of "interventions" and yes, those should be in a treatment plan because the plan is showing how you and the client work together to achieve their goals. For court mandated clients, they have every right to refuse or not participate. Just include this as part of your documentation and inform them of their options. It's okay to document something like "Client declined collaborating on treatment plan so the identified goals are based on the clinician assessment."
@@TabithaSelerowski Medicare wants a client goal as a quote, which can be the “long term goal” and then you would write SMART goals but no, I have not seen them require objectives on top of that.
Deep appreciation for focusing on the basics. And....a May 2023 HHS audit of clinical documentation done during the first year of the pandemic listed the information more frequently missing from treatment plans and recommended that CMS "work to recover" the payments for sessions with inadequate documentation. Yikes! What required info was missing? "The treatment plans did not include the type, amount, frequency, or duration of services to be furnished, or did not indicate the enrollees’ diagnoses or anticipated goals." Didn't say anything about missing objectives, whew. Seems reasonable to build in prompts for the required info into a template. Other thing frequently missing - signatures! The report, "Medicare Improperly Paid Providers for Some Psychotherapy Services, Including Those Provided via Telehealth, During the First Year of the COVID-19 Public Health Emergency" is available at oig.hhs.gov/oas/reports/region9/92103021.pdf Remarkably readable.
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Prayers answered! Thank you. I will continue to watch, learn, and hone the craft!
Awesome, glad it helped!
Love that you're back into making RUclips videos! 🙌 So needed, thank you!
Thanks so much! I love it :)
I have started to incorporate this simple approach into my practice and DA's, I've started to ask what symptoms do you want to decrease and what skills and coping measures do you want to increase. I love using it with parents and it helps so much when it comes to tx planning.
Oh, I love that!
My agency uses an EHR that includes “goals” and “activities.” Do you think activities (the things I try to do with the client like role-play, psycho education, etc) need to be in the treatment plan? How do SNAPs get included in treatment goals? And what about clients with SPMI who are mandated to therapy via commitment order or court order; how do their treatment plans differ? Because many of my clients in OWI court are not interested in collaborating meaningfully in session 2 when I’m supposed to do these 😅
Ask your agency since it sounds like they have specific requirements and we may have different views on this, but... it sounds like "activites" are your version of "interventions" and yes, those should be in a treatment plan because the plan is showing how you and the client work together to achieve their goals. For court mandated clients, they have every right to refuse or not participate. Just include this as part of your documentation and inform them of their options. It's okay to document something like "Client declined collaborating on treatment plan so the identified goals are based on the clinician assessment."
Does insurance (specifically Medicaid) seem to require Goals and Objectives?
@@TabithaSelerowski Medicare wants a client goal as a quote, which can be the “long term goal” and then you would write SMART goals but no, I have not seen them require objectives on top of that.
Deep appreciation for focusing on the basics.
And....a May 2023 HHS audit of clinical documentation done during the first year of the pandemic listed the information more frequently missing from treatment plans and recommended that CMS "work to recover" the payments for sessions with inadequate documentation. Yikes! What required info was missing? "The treatment plans did not include the type, amount, frequency, or duration of services to be furnished, or did not indicate the enrollees’ diagnoses or anticipated goals." Didn't say anything about missing objectives, whew. Seems reasonable to build in prompts for the required info into a template. Other thing frequently missing - signatures!
The report, "Medicare Improperly Paid Providers for Some Psychotherapy Services, Including Those Provided via Telehealth, During the First Year of the COVID-19 Public Health Emergency" is available at oig.hhs.gov/oas/reports/region9/92103021.pdf Remarkably readable.
Thanks for this info! The things you mention are super easy to have as checkboxes in a template so that's great news!!