Writing Mental Health Treatment Plans in an EHR

Learn how to make treatment planning easier and more simple in your electronic health record (EHR) or practice management system. I'm Dr. Maelisa McCaffrey and I'm here to share with you some ways to manage treatment plans inside your EHR.
You'll also get some quick tips on writing goals and treatment planning for your therapist or counseling practice.
Want more support writing treatment plans as a therapist or counselor? Join the FREE Private Practice Paperwork Crash Course! Click here to find out more: www.qaprep.com...

[@khaleesiy.7886]

Oh my gosh you have no idea how helpful this was. I thought to myself “did I miss the lesson on the difference between a goal and an objective?” This was so validating.

[@MaelisaMcCaffrey]

Ha ha, you and me both!

[@lgamble]

Listened to this just this morning. Very helpful!

[@MaelisaMcCaffrey]

Very glad to hear that!

[@AlexTimesFive]

I would love to see a video that shows a treatment plan within an EHR if possible!

[@dr.t2027]

I always understood goals to indicate what the therapist and patient were working on together. Objectives are what we are trying to get the patient to do to reach the goal. Interventions is more what the therapist does to help the patient meet their objectives and ultimately the goal

[@MaelisaMcCaffrey]

There are lots of ways to write things out and sometimes we have to get creative based on external limitations, so that may be why you learned treatment planning this way. It's not at all wrong to continue with that method! The part you call "Objectives" I just refer to as "Client Participation"... same content :)

[@bethjassin3999]

Excellent information. Thank you for simplifying this.

[@MaelisaMcCaffrey]

That's my goal! Thanks for watching.

[@emawilliams3284]

Thank you for this video. I needed to see this today 😊

[@wandajohnson-roberts9320]

You are amazing. Thank you for all your help

[@Blessed8901]

Great video so helpful--thank you!

[@dswear7875]

I wish you could show an example by writing this while explaining

[@MaelisaMcCaffrey]

Keep an eye out for the EHR review series this summer!

[@sheilamulvihill5503]

I just watched this video. I was taught to do goals, objectives, and interventions for treatment plans. Since your saying goals and objectives are the same do you recommend doing goals and interventions only and exclude objectives?

[@MaelisaMcCaffrey]

Yes, exactly! Even with Medicare/Medicaid documentation, they usually prefer clear, direct goals.

[@sheilamulvihill5503]

@@MaelisaMcCaffrey thank you for clarifying. I am in private practice and only take regular private insurance. No Medicare or Medicaid. I have been spinning my head round and round on treatment planning which makes me feel anxious and avoid it. Is there any way to see a sample completed treatment plan? I second guess myself that I’m doing it wrong and don’t know where to find if I’m doing it right or not. Same goes with my progress notes.. I feel like a mess when it comes to documentation.

[@sheilamulvihill5503]

I am assuming that “client participation”section is in place of objectives, right?

[@aminatabongay7919]

How can i contact you? I need to hire your service

[@Love2heal]

you have no idea how helpful your sample statements for late Notes are😂

[@dana33319]

I work for a small company; we are just switching to SMART goals and the CEO of the company (not licensed) argues with me all the time about needing objectives. I have taken numerous trainings and watched numerous videos that say that an objective is not necessary. We bill Medicaid as a company and she thinks she knows EVERYTHING. I am going to show her this video that says otherwise

[@MaelisaMcCaffrey]

Sometimes large organizations do have other entities that require additional things, but if you are using SMART goals then additional objectives usually are not necessary with Medicaid. Usually.