Case Conceptualization and Documentation (14 hrs) (aka Client Record Management)

Along with Principles of Addiction Treatment and Addiction Counseling Skills, Case Conceptualization and Documentation (aka Client Record Management), is considered to be part of the “Core Curriculum” and basic to the foundational training of an addiction counselor. This class is designed to provide the counselor with an understanding of the clinical record and the continuum of client care that the record documents and tracks. The class presents screening, basic assessment and evaluation, Substance Use Disorder diagnostic criteria, ASAM patient placement criteria, introduction to treatment planning, progress note completion, documentation requirements and basic referral and discharge planning. It emphasizes the confidentiality of the client record and includes releases of information, mandatory disclosure and informed consent among others.