With so much going on in your therapy practice (and life) I wanted to give you one quick tip on how to help with the stress and struggle with documenting goals in play therapy!
Now, did you know that setting goals is so much more valuable than the plan you have on file in case you get audited by the insurance company or someone requests records? Check out this post HERE about why setting goals is like GOLD for the rest of your therapy relationship!
If you casually flip through all 110,723,302 pages of documentation I have created in my child therapy career there is one thing you will never see.
This is also one of the things I never recommend to anyone who has ever been in any of my consultation or supervision groups. It is also something that I (thankfully) learned really early in my career.
And it all started with this one sentence “You are not the custody evaluator”.
Figuring out what exactly needs to go into a progress note can be intimidating.
AND that intensifies when your progress notes include Play Therapy. So… how do you communicate in your progress notes that you are not “just playing” with a client but you are actually engaging in therapeutic play therapy interventions and techniques?
How do you clarify that you weren’t “just playing doctor for fun” but that you were working on goals and themes related to nurturing, support, and family?
I am not kidding when I say everything goes in the file.
If I take a time machine back to my early days of practicing therapy (before the world thankfully went digital) files could be huuuuuge. Some clients (depending on the presenting concern, need for records, and how long they had been seen) could have 2 or 3 files as part of their file set.
When you think of a board report in the world of mental health therapy what comes up for you?
Well….besides a little bit of panic-heart-racing-sweaty feelings?
I'm Ann Meehan, an LPCC,