<>>> The MSE can be divided into the following major categories: (1) General Appearance, (2) Emotions, (3) Thoughts, (4) Cognition, (5) Judgment and Insight. %PDF-1.4 % Effective treatment builds upon itself. <> Notes are important in this type of work because the courts can subpoena records and other reports; you have to be careful about what you say about your respective client. What are Trauma-Informed and Human Rights Perspectives? Documentation - National Association of Social Workers Title: Active verbs/phrases that can be used to document Mental Health services (MHS) Interventions Author ;+yYGz1 #.hBdQ' -o7!ufa:xiUC{,D^,Q;:7XB)AhA1jndt`4DKT&yPDd*.IrF. %PDF-1.5 It is the duty of social workers to advocate for their clients in order to do this, social workers must understand the clients needs. Washington, DC 20002. You should also schedule 10-15 minutes before each session to review the notes from previous sessions. endobj x\Yo8~-(q,0 L_u5nKbXUX=m{=~x=}w#>]\zF\}|uQ)JO DAP notes are a type of documentation method used by social workers, healthcare providers, and other medical professionals. PDF Glossary of Social Work Terms (February 2013) - cwrp.ca endobj NASW receives frequent telephone calls and e-mail inquiries from members about the differences between psychotherapy notes and progress notes when seeking reimbursement. NASW works to enhance the professional 0000009909 00000 n Hopefully the above generated list of words to describe term suits your needs. Heres a handy list of words that many social workers use while writing up their case notes. 0000001863 00000 n startxref 0000002048 00000 n Dec 10, 2013. Also check out. Please note that Describing Words uses third party scripts (such as Google Analytics and advertisements) which use cookies. Like other medical records, treatment records are protected under the Health Insurance Portability and Accountability Act (HIPAA). NASW has received calls and emails from members inquiring whether they will be mandated to use . FDp0\\dP "^ Ufc bqym^ dApSoT1LAIVps #C;S^0 t Ze0 ([`x \-raxq@Lw,9g" C* You might also like some words related to ~term~ (and find more here). Identifying Triggers An emotional trigger is any experience that makes us feel uneasy. Social work is a dynamic and demanding profession that requires a variety of skills and qualities. You can memorialize strategies that worked and those that did not, while monitoring progress over time. Caseload/Workload: all individuals (usually counted as children or family units) for whom a social worker is responsible, as expressed in a ratio of clients to staff members.8 Case Openings: include cases that appear on site records as openings.