How to discuss confidentiality with therapy patients
It’s key to broach the subject up front so there are no surprises later on.
Wiley PracticePlanners help mental health clinicians better treat their clients by providing customizable, evidence-based treatment goals, objectives, and interventions.
Every client is different. Even if you specialize in certain populations or diagnoses, each person you treat has a unique story contributing to their presenting problem. Your education and experience as a therapist can help guide you in setting goals and creating treatment plans for your clients. But sometimes, it helps to have resources on hand to support your therapy process.
Using a treatment planner, such as the Wiley PracticePlanner, can help you provide the best possible care to your clients, expanding your insights on how to set treatment goals and identify appropriate interventions. Keep reading to learn more about how a Wiley treatment planner can support you as a therapist.
A Wiley treatment planner, also called a PracticePlanner, is part of a series of books published by John Wiley & Sons, Inc. The planners help mental health clinicians better treat their clients by providing customizable, evidence-based treatment goals, objectives, and interventions for specific psychological diagnoses. Along with treatment planning, Wiley treatment planners include templates therapists can use for progress notes and homework assignments.
There are several different treatment planners, including ones for adult, adolescent, and child psychotherapy and addiction treatment. Each PracticePlanner is written to align with expectations from third-party and federal payers.
Therapists commonly use Wiley treatment planners to improve their client care and make administrative work, such as documentation, less stressful. “I've had a copy of the Wiley treatment planner in my office bookshelf for six years now and refer to it often,” says Maddie Tong, a licensed therapist and Headway’s senior associate of clinical education. “I feel more confident and comfortable starting with new clients knowing this is available for me to refer to to improve treatment.”
Clarifying treatment goals is essential for supporting your client through their mental health journey. A treatment planner, Tong says, can help you identify goals and objectives based on your client’s presenting concerns and diagnosis. With clarity on therapy objectives, you can use time with your clients more efficiently. You can also effectively communicate what the client can expect in sessions, building confidence and rapport in the process.
Along with helping you pinpoint therapy goals for clients, the Wiley treatment planner also provides suggested interventions that can help you reach those milestones. “Particularly in starting out as a therapist, this was extremely helpful to familiarize myself with what interventions and exercises could help me reach certain goals with clients,” she says.
The administrative side of therapy can be time-consuming. Using a treatment planner can help improve your clinical documentation, promoting organization and compliance. “I feel my notes in general have gotten clearer and more clinically attuned after utilizing the treatment planner,” says Tong.
Sometimes clients come to therapy not knowing what “better” or “progress” may look like. And while no healing is linear, Tong says having a robust conversation around treatment, progress, and goals — with the help of a Wiley treatment planner — can set the client up for better success in getting their needs met and finding clarity in what that looks like.
Wiley treatment planners were originally (and still are) published as books. But you can also access them online, commonly through electronic health record (EHR) systems. When you know you’ll be working on a treatment plan for a client, it may help to review the planner around a few potential diagnoses or concerns you know the client wants to address.
Though no treatment plan is one-size-fits-all, the treatment planner can be used for ideas on objectives and interventions as well as compliant documentation. It should always be used in tandem with conversations you're having with the client themselves to make sure it fits their needs and desires for treatment. “Treatment planning should be a collaborative process between therapist and client,” says Tong.
Here is an example of a Wiley treatment plan addressing a client’s loneliness symptoms.
If you’re not sure how to proceed in a situation, Tong suggests reaching out to a clinical supervisor or trusted colleague for help navigating difficult decisions and next steps in supporting your client.
Mandated reporting is a big, important responsibility, but it shouldn’t harm your therapeutic relationship. When confidentiality is a part of the conversation from the beginning of treatment, your clients should be aware that mandated reporting is in place to protect people — not to punish them or to betray their trust.
“Our goal is to be able to best support them and their safety in an ethical way,” says Tong. “The hope is that incorporating confidentiality and the possibility of reporting into the room helps build trust and helps clients feel more secure in the relationship.”
When you’re a Headway provider, you get complimentary access to built-in documentation templates designed to make your note-taking fast, easy, and compliant.
Learn more about Headway’s EHR features and enhanced rates today; and start seeing insurance clients in less than 30 days.
It’s key to broach the subject up front so there are no surprises later on.
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