“Ellen Luepker gives her readers the best of both worlds – a masterful synthesis of contemporary regulatory requirements grounded in clinical sensitivity and wisdom.” - Jon G. Allen, PhD, senior staff psychologist, The Menninger Clinic; professor, Baylor College of Medicine, Texas, USA
“I have used the first edition for years to teach therapists and case managers the basics of good record keeping, and this new edition updates and adds depth…The chapter on ‘Teaching Record Keeping’should be required reading for every social work and counseling school in the country. This is must reading for anyone who is called to court to testify or who wishes to become an expert witness or develop a forensic practice.” - R. Keith Myers, LICSW, vice president, Clinical and Training Services, Wellspring Family Services; affiliate faculty, University of Washington School of Social Work, USA
“Ellen Luepker’s work provides a remarkably complete and readable volume on the current processes concerned with clinical record-keeping and confidentiality. Whether a student, teacher or clinician, this book is a must-have resource for practice information.” - Barbara Berger, PhD, Institute for Clinical Social Work, Illinois, USA
“Within an ethical and most professional framework…this book assists therapists in meeting regulations for record keeping while at the same time assuring ways to protect the client. It will become an important resource for psychotherapists.” - Florence Lieberman, DSW, professor emerita, Hunter College School of Social Work, USA
“Rooted in 30 years of experience with patients, Ellen Luepker provides detailed practical guidelines and especially wonderful examples of how to keep written records that actually improve therapy and meet the requirements of the legal system. Practicing therapists will find [this] detailed guide to be one of the most useful books they read all year.” - Thomas T. Frantz, PhD, professor of Counseling Psychology, University at Buffalo, USA
“Ellen Luepker has finally made practical common sense out of the thicket of clinical, ethical, and legal requirements for record-keeping. For HIPAA implementation, this should be on the ‘must read’ list of every practitioner!” - Hubert H. Humphrey III, JD, former Minnesota Attorney General
“Luepker’s book comprehensively and competently addresses an urgent need in contemporary mental health practice, and deserves a place in the libraries of community mental health practitioners, clinicians in private practice, social work educators and professionals from related fields of practice.” - Lana Sue I. Ka’opua, PhD, associate professor, Cancer Prevention and Control Program, University of Hawaii Cancer Center, USA
"Record Keeping in Psychotherapy and Counseling was an invaluable resource to me as I launched a private practice. The success of this book is due to Ellen Luepker's dedication to ethical standards in patient care, coupled with her devotion to providing the highest level of clinical care. Ellen's book provides an opportunity for new and seasoned therapists to learn how to address challenging situations." - Kate Cosgriff, Water’s Edge Psychotherapy, Ltd.
"This book deserves a place next to the DSM on every therapist’s reference shelf, the shelves of therapists of other treatment professions as well as those of social work clinicians. There are interesting case examples, and much of the text is written in easy-to-read conversational language. [It is] a 306-page, tightly packaged reference tome. The information is detailed and covers every area for which appropriate and adequate record-keeping is essential. Always with record-keeping as context, this work offers a richness of guidance and information in every area of treatment...a fascinating and credible resource for currently practicing psychotherapists. Using the typical on-line protocol for scoring the value of an item – one to five stars - I give this book a resounding ***** assessment." - Inge Oppenheimer, LCSW, BCD, American Association of Psychoanalysis in Clinical Social Work Newsletter
Praise for the Previous Edition
“This book is a lively, reader-friendly compendium of essential knowledge for every clinician that provides specific advice and examples of clinical records while illuminating a wide spectrum of legal, ethical and complex clinical issues.” - Judith Wallerstein, PhD, author, The Unexpected Legacy of Divorce
3 Stars from Doody
This book is a lively, reader-friendly compendium of essential knowledge for every clinician that provides specific advice and examples of clinical records while illuminating a wide spectrum of legal, ethical and complex clinical issues.
Ph.D., author, The Unexpected Legacy of Divorce
Within an ethical and most professional framework…this book assists therapists in meeting regulations for record keeping while at the same time assuring ways to protect the client. It will become an important resource for psychotherapists.
DSW, Professor Emerita, Hunter College School of Social Work
Rooted in 30 years of experience with patients, Ellen Luepker provides detailed practical guidelines and especially wonderful examples of how to keep written records that actually improve therapy and meet the requirements of the legal system. Practicing therapists will find [this] detailed guide to be one of the most useful books they read all year.
Ph.D., Professor of Counseling Psychology, University at Buffalo
Reviewer: Nicholas Greco IV, MS, BCETS, CATSM (C3 Education and Research, Inc.)
Description: This book successfully discusses the need for accurate record keeping and the various liabilities that may occur when documentation is ignored, overlooked, or misunderstood.
Purpose: According to the author, the purpose of the book is to meet the urgent need for knowledge about record keeping in clinical practice, supervision, and training. This is a worthy objective, and one with which I agree. She does an impressive job in conveying to the reader the importance of documentation not only for the obvious interactions with patients/clients but also the everyday, mundane issues which can be overlooked in dealing with patients/clients. The author has met her objectives.
Audience: Mental health professionals (clinical and counseling psychologists, psychiatrists, social workers, etc.) in practice, those who supervise trainees, those in academia, and those who are in training will benefit from this book. The author brings over 30 years of clinical expertise to this book and is a licensed psychologist and licensed independent clinical social worker. Her degree of knowledge and experience are quite evident as one reads through the chapters.
Features: This book begins by describing the purpose of clinical records. Documentation of informed consent, confidentiality, exceptions to confidentiality, and protecting confidentiality are discussed in great detail. I especially liked the short but appropriately placed chapter on teaching record keeping. The chapter on planning for interruptions or closures of psychotherapy practice is a must-read. The sample forms on such topics as treatment plans, closing summaries, and authorization for release of information form will be most beneficial to the busy clinician.
Assessment: In a time when clinicians are overworked and inundated by various forms, rules, and HIPPA requirements, this book provides the clinician with some needed confidence and friendly reminders in achieving solid documentation standards in one's respective practice.