Record Keeping

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exam revision
Patrick Keep
Mind Map by Patrick Keep, updated more than 1 year ago
Patrick Keep
Created by Patrick Keep over 6 years ago
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Resource summary

Record Keeping
  1. Reasons for
    1. Ethical expectation
      1. Continuity/ aide memoire
        1. Observe change over time
          1. For other agencies
            1. Organise own thoughts
            2. Reasons against
              1. Security problems
                1. Use coding
                  1. Use a safe
                  2. Trust issues
                    1. In contract
                    2. Time consuming
                      1. Clients right to view
                        1. factual only
                        2. court access
                          1. avoids personal appearance
                        3. Case Notes
                          1. Access
                            1. Courts
                              1. Can Subpoena
                                1. Can demand a report
                                  1. Can demand a personal appearance
                                  2. Employer
                                    1. Negotiate between client and Agency
                                    2. Client
                                      1. Automatic right to view
                                      2. Accidental
                                        1. Appropriate Security
                                          1. Digital
                                            1. Register under Data Protection Act
                                            2. Safe
                                              1. Filing Cabinet
                                            3. Police
                                              1. Search Warrant signed by a circuit judge
                                            4. Format
                                              1. Respectful, specific, factual
                                                1. Issues
                                                  1. Interventions
                                                    1. Reasoning
                                                    2. Homework
                                                      1. Next session
                                                        1. Session length
                                                          1. Referring on
                                                            1. Child protection; terrorism; self harm
                                                              1. Written consent or via supervision
                                                              2. Material for supervision
                                                                1. Written consent
                                                                  1. In Contract
                                                                2. More experienced/specialised colleague
                                                                  1. Written Consent every time
                                                                3. Correspndence
                                                                4. Ink, dated and signed
                                                                  1. Contracts
                                                              3. Process Notes
                                                                1. Access
                                                                  1. Automatic client right
                                                                    1. Destroy after every session
                                                                    2. Aide memoire
                                                                      1. Destroy after every session
                                                                      2. Format
                                                                        1. Temporary
                                                                          1. Respectful, specific, some opinion
                                                                            1. Diagnoses, hunches
                                                                              1. Effect of client on counsellor
                                                                        2. Destroy after counselling ends
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