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Arkansas Mental Health Counselors Association

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1 Arkansas Mental Health Counselors Association
How to Start A Private Practice Little Rock, AR August 25, 2007

2 Presenters Christy Fitch-Francis, MA, LPC, NCC
ArMHCA Conference Co-Chair 9 Years Private Practice Joe Young, MA, LPC, LMFT, Supervisor ArMHCA Executive Director 17 Years Private & Group Practice Garry Teeter, MS, LPC, NCC, BCPCC, CBIS ArMHCA President 10 Years Private Practice

3 Location, Location, Location
Where to locate your office. Handicapped Accessible Parking Privacy Safety Issues Restrooms Neighbors: Business, others Easy to find Near other professional offices Comfortable, clean, inviting, peaceful lobby and office

4 Naming Your Practice Business Name vs. Your Name

5 Tax Id & NPI Numbers Incorporate Business Sole Practice Group 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 contact Missed Appointments Records Management Duty to warn Mandatory Reporting Laws

8 Intake & Assessment Client info forms Treatment Planning Case notes

9 Soap Notes Objective 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 SOAP CYA. 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 Cabinets Adolescent & Children Issues Phone Answering Returning Phone Calls Mail Releasing Records

16 The End

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