CADC – Documentation Already Passed

CADC – Documentation Roles of documentation 1. clinical tool 2. continuity of care 3. legal document 4. accountability 5. quality assurance Documentation as a clinical tool chronologically details the condition of the client receiving services, why the services were needed, services provided who delivered the services, and outcomes achieved. - used in supervision - most important skill in assuring continuity of care Documentation as means to ensure continuity of care ensures continuity of care, regardless of counselor availability, changes in counselor or service provider or subsequent readmission for services. - EASES the TRANSITION PROCESS ensuring pertinent info is available to receiving counselor/program Documentation as a legal document records both counselor and client input, including what did/did not work. - portions of clt record may be requested by courts if clt is legally involved or in cases where the clt brings legal proceedings against a counselor/program