social work documentation descriptive words

,#a?~J5GsQY:M/6"%cs2$m{,J/UE282T:Jk9/yC)xi M ]W|z +$f7(uo)DN}{$bIa~GoAf1 All rights reserved. Summary Wide disparity in note taking has been evident from the social work profession's beginnings. <> endobj Addressing each case as a unit and setting tailored measurable . Its a four-step process that involves examining the current approach used when problem solving, carefully defining the problem being addressed, brainstorming and evaluating possible solutions, and implementation and follow through. This technique involves three steps: gathering information about the challenging situation from the opposing perspective, sharing your own vantage point, and then working together to create a realistic plan to resolve the difficulty through mutually agreeable compromise. 0000002618 00000 n The idea for the Describing Words engine came when I was building the engine for Related Words (it's like a thesaurus, but gives you a much broader set of related words, rather than just synonyms). Describing Words - Find Adjectives to Describe Things stream Confusion centers around the content of these two types of notes, especially when submitting claim information for reimbursement of mental health and behavioral health services. 0000007540 00000 n Mon-Fri 9:00 a.m. - 9:00 p.m. Here are some adjectives for ~term~: . The documentation should occur at or near the time the services were rendered. The second edition of Social Work Documentation: A Guide to Strengthening Your Case Recording is an update to Nancy L. Sidell's 2011 book on the importance of developing effective social work documentation skills. Retrieved from https://www.aasw.asn.au/document/item/2356, Merovich, A. Social workers must be able to objectively evaluate each case by collecting information through observation, interviews and research. <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Records, Documentation and Data Management in Social Work. It allows you to create successful outcomes for your clients. Practice course A social work course that prepares students for generalist practice, including SW 200, SW 350, SW 360. 15 0 obj Eventually I realised that there's a much better way of doing this: parse books! Treatment notes help you remember homework assignments, recall challenges the client was facing, and maintain a more objective approach in treatment. Advocacy skills enable social workers to represent and argue for their clients and to connect them with needed resources and opportunities, especially when clients are vulnerable or unable to advocate for themselves. Before getting started, we recommend trying Quenza, our therapy notes software for e-mental health practitioners. Feelings and Moods: Afraid Challenged Envious Insecure Pessimistic Shameful Aggravated Cheerful Excited Irritated Prepared Skeptical Cooperative behaviors include helpful and responsive. This printout was . 0000005214 00000 n Its important to use language that is non-judgmental. Social work core values and code of ethics, Social Work Practice in Serious Illness Care Micro-Credential, Buffalo Supermarket Mass Shooting Resources, Conversations About Culture: Video and Lesson Plan, Delivering Remote Education in Place of Seated Education, Helping Apps for Practitioners and Educators, A Trauma-Informed Framework for Working with Abortion Seekers. Copyright 2007 - 2023 GoodTherapy, LLC. ;KxX( 0000001729 00000 n 0000003565 00000 n For example, the word "blue" can be an noun and an adjective. Empathy is the ability to identify with and understand another persons experience and point of view. 16 0 obj Thinking critically and without prejudice enables social workers to make informed decisions, identify the best resources and formulate the best plan to help clients. A i-u{mx"[,QjdP'1ANh.vAz Barker, R. L. (2003). startxref 5 0 obj You should always indicate clearly when a comment is an observation. growth and endobj <> Be found at the exact moment they are searching. "bV+Mt j1lv2'y4vIwuM#{ endstream endobj 343 0 obj <> endobj 344 0 obj <> endobj 345 0 obj <>/ColorSpace<>/Font<>/ProcSet[/PDF/Text/ImageC]/ExtGState<>>> endobj 346 0 obj <> endobj 347 0 obj [/ICCBased 352 0 R] endobj 348 0 obj [/Indexed 347 0 R 1 355 0 R] endobj 349 0 obj <> endobj 350 0 obj <> endobj 351 0 obj <>stream 4 0 obj 4 0 obj 100 common intervention terms used in clinical documentation Members also gain access to our directory, and can even contribute to our popular blog. 0000002664 00000 n This empowers social workers to understand the clients situation and avoid hasty decision-making and frustration that can lead to costly errors and poor outcomes for the client. It is imperative you make it clear when you are recording the clients own words by using quotation marks. Critical thinking is the ability to analyze information gathered from unbiased observation and communication. Hopefully it's more than just a novelty and some people will actually find it useful for their writing and brainstorming, but one neat little thing to try is to compare two nouns which are similar, but different in some significant way - for example, gender is interesting: "woman" versus "man" and "boy" versus "girl". Therapists use this intervention to help clients more easily recognize when theyre becoming angry and develop strategies for expressing this powerful emotion in an appropriate way that will benefit them rather than create additional problems. How To Write Therapy Progress Notes: 8 Templates & Examples 0000005053 00000 n 0000009766 00000 n Specific examples of mindfulness techniques include meditation, breathing exercises, and gratitude or self-compassion practices. Thoughtful, factual case notes document a client's symptoms and progress, and can help govern treatment decisions.. Myopathy refers to a clinical disorder of the skeletal muscles, which help move the limbs and other parts of the body. Physical security is also important, especially if you keep your passwords saved on your computer. Examples of Transference and Countertransference in Therapy, Foolproof Guide to Mental Health Billing Codes. This article doesn't profess to know all the answers to making social work documentation an easier process, but it does try to add things that have worked for me, during my 2 years as a student social worker in the U.K., and also 2 years in a social service agency in Singapore. Social workers must also communicate with care providers, colleagues, and agencies, and must document and report information in a clear manner. endobj S = Subjective information, such as quotes from the client, or paraphrased statements they've given in session. Thoughtful, factual case notes document a clients symptoms and progress, and can help govern treatment decisions. Adjectives & Adverbs | School of Social Work <<2F532813673F73429CBCE1E4B7607189>]>> <> A positive reinforcer will encourage the likelihood of the behaviors repetition, while a negative reinforcer is likely to decrease the chances of that behavior being repeated. It's best to choose a few sentences that best represent the most pressing concern your client brought into the session. Below is a list of describing words for another word. xb```f``xX$0@Y{}XRf'L}q5X(Qy .\8}M^,#gS34r[0g^S|}vWG W`yw||Tb.ZQP(RKSjzMYTuKmY6yW"R-~\=U~ETxmN=j The ability to communicate clearly with a wide range of people is essential. PDF Social Work Action Verbs/Phrases - Ohio State University 7 0 obj This type of therapy involves the therapist directing the clients lateral eye movements or providing other external stimulus while the client revisits the traumatic experiences gradually over time, in small increments. <>>> Its also important to protect case notes from third parties who may use the legal system to gain access. startxref 0000001394 00000 n Social Worker Must-Have Resume Skills and Keywords - ZipRecruiter endobj <> Accurate Careful CautiousRecognizes mistakes Impulsive Reckless Careless Use of judgmentProblem solving Quality of work Seeks quick results Quick . Here are some adjectives for social worker deeply supportive, magically talented, unusually competent, psychiatric, undercover, idealistic, serious-minded, part-time, well-informed, twentieth-century, insensitive, supportive, intrusive, sexy, seasoned, environmental, condescending, young, wide-eyed, damn, officious, anonymous, competent, skilled, endobj Yet writing case notes can be tedious and frustrating, especially to social workers who feel overworked. For example, rather than detailing every aspect of a fight with their spouse, you might only note that the client had a fight with their spouse, or that it follows an ongoing pattern. Our continuing education webinars help you master a wide range of skills, including writing case notes. 2 0 obj endobj DOC The Mental Status Examination - Brown University Dictionary of Social Work and Social Care - Oxford Reference Social Work Documentation, 2nd Edition - NASW Press This requires social workers to be very organized and able to prioritize clients needs in order to effectively manage cases. EHRs are digital versions of paper records which make patient information instantly accessible to authorized users. 0000006259 00000 n These are described in more detail in the following sections. A number of terms and groups of terms are cross- referenced in the dictionary, which will help you understand similar terms and how some terms relate to each other. This tool helps you find adjectives for things that you're trying to describe. @&>fHUHN, V 1$b`.` ]; lxDIP'MZo C-6aT0ii|[EES?b1alac i RNV\_+9)MYYN%,8J+#ZROfZHM^6 x\[o~Aa v >eHr&.E\xW_USOz/q{'~x~.0R" J LE>)=G?92'~zBf?ioq RaO\A r?yw/:^+WB^*Y organization of This jargon serves a purpose: it allows you to clearly and precisely communicate important information about your client and your treatment. ws 0 Best Psychosocial Assessment Template & Guide Social Workers 3 0 obj Developing Coping Strategies Positive coping skills help clients to work through difficult circumstances in a healthy way. 2022 My Clients Plus. Heres how you can write better, more effective case notes without wasting time. 6H(lDjq+cp'`.N:t+ACZ If you're getting strange results, it may be that your query isn't quite in the right format. 0000007740 00000 n The purpose of this practice alert is to provide NASW members with a response to this inquiry. Washington, DC: NASW Press. Because you use the same interventions for multiple clients, you can speed up the progress note-writing process by keeping a list of commonly-used intervention words handy. endobj Active listening is necessary for social workers to understand and identify a clients needs. Mental Status Exam (Worksheet) | Therapist Aid Plagiarism The representation of another's work as one's own, or the inadequate citing of sources. Other common terms for anti-social personality disorder are sociopath or psychopath. endobj 0000000016 00000 n 13 0 obj Summary or Narrative Format This is the most common format, the social worker summarizes the content of the intervention in paragraphs. General Description As implied, this is a general description of the patient's appearance. PDF The Power of Documentation - NAEYC 10 Medical Terms That Every Medical Social Worker Should Know This list isnt comprehensive, but its robust enough to provide you with ideas and serve as a handy reference. <>>> Words & Phrases to Describe Behavior | Healthy Living 0000001863 00000 n 8 0 obj 11 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> endobj Social workers have busy schedules and a wide range of responsibilities in addition to managing and supporting multiple clients, including documentation, reporting, billing and collaboration. Strategies to cope in a triggering situation can also be developed. Cognitive Restructuring One of the core components of Cognitive Behavioral Therapy or CBT, cognitive restructuring operates on the assumption that its not what happens to us that makes us unhappy, anxious, or depressed rather, its how we think about what happens to us. Like other medical records, treatment records are protected under the Health Insurance Portability and Accountability Act (HIPAA). Acces PDF Documentation Descriptive Words Documentation Descriptive Words Take social work supervision into the new millennium! Lock any computers or other devices on which you store treatment notes, and consider adding a feature that enables you to wipe your device if someone steals it. You can memorialize strategies that worked and those that did not, while monitoring progress over time. But well-written case notes are a valuable practice tool. A social workers obligation to hand over case notes in response to a subpoena varies from state to state, and may also depend on the subpoena itself.