Presentation on theme: "Arkansas Mental Health Counselors Association"— Presentation transcript:
1 Arkansas Mental Health Counselors Association How to Start A Private PracticeLittle Rock, ARAugust 25, 2007
2 Presenters Christy Fitch-Francis, MA, LPC, NCC ArMHCA Conference Co-Chair9 Years Private PracticeJoe Young, MA, LPC, LMFT, SupervisorArMHCA Executive Director17 Years Private & Group PracticeGarry Teeter, MS, LPC, NCC, BCPCC, CBISArMHCA President10 Years Private Practice
3 Location, Location, Location Where to locate your office.Handicapped AccessibleParkingPrivacySafety IssuesRestroomsNeighbors: Business, othersEasy to findNear other professional officesComfortable, clean, inviting, peaceful lobby and office
5 Tax Id & NPI NumbersIncorporate BusinessSole PracticeGroup Practice
6 Financial Policies Setting your fee Billing – online & electronic Collecting at time of service vs. billing clients
7 Informed Consent Informed Consent – Counselor info Practice policies – after hours contactMissed AppointmentsRecords ManagementDuty to warnMandatory Reporting Laws
8 Intake & AssessmentClient info formsTreatment PlanningCase notes
9 Soap NotesObjective for the session: In one sentence, what did you plan to do?S: (Subjective) What are the most striking things that your client said? Often using your client's own words is desirable.O: (Objective) What do you see? Use observations rather than inferences.A: (Assessment) What did you conclude from your observations? Your assessment should follow from your S & O.P: (Plan) When do you plan to meet next? What will you do next time? What homework, if any, did you give? This should match the session objective for your next session and should follow from A. Sign and date your note, adding your title.
10 Soap Notes Remember, notes should: Be succinct, only focusing on the most important aspects of the session.Be objective. Others watching your session should be able to agree with what you saw.Be strength-based. Write as you would like to be written about. (Clients have the right to read what you write about them.) This does not mean that you need to lie, play pollyanna, or obscure. Just be respectful.
11 SOAPCYA. Document your client's suicidality, homicidality, and anything you did to keep your client and significant others safe.CYCA. Every piece of information does not need to be in your note, especially information that might embarrass your client if he or she were to read it or it were to end up in court.
12 Objective for the session: Facilitate generating solutions for meeting family’s current needs. S: "I am not running now." "I am afraid to know [about sickle cell diagnosis]." "I think it is God that is taking care of all this stuff."O: Mrs. Smith was confident and composed as she talked about her accomplishments of the last week. She became more hesitant, breaking eye contact, as she addressed concerns about her son’s possible illness.
13 A: While Mrs. Smith reports a history of running from problems, she has increasingly been able to address her family’s basic needs. She continues to run, however, from problems where she is ambivalent and perceives herself as incapable of resolving the stressor. In these situations she seems to use her faith as a crutch rather than as a support, failing to see ways she could help God or herself.
14 P: Next: Fridays at Transfer considerable self-efficacy in other situations to stressors that continue to feel overwhelming. 2/19/02 Jeanne M. Slattery, Ph.D., Licensed Psychologist
15 Confidentiality HIPPA Considerations – HIPPA act posted in lobby Locked File CabinetsAdolescent & Children IssuesPhone AnsweringReturning Phone CallsMailReleasing Records