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  • Essay / Counselor Recordkeeping System - 802

    A clear and well-organized recordkeeping system is essential for the counselor providing treatment, nutritional assessment, and consultation services. But setting up such systems can be difficult. On the one hand, an advisor must grapple with the balance between the need to maintain clients' privacy and confidentiality and the need to communicate with insurers, other treating professionals, and broader health systems. The counselor's records must also comply with state and federal laws (King & Klawitter, 2007). . Additionally, an advisor must plan for retirement and eventual disposal of records. For the advisor to have these records, the information must be documented. Some of the things that need to be documented include counseling sessions, patient's family history, payment history, emergency contacts and patient's vital signs, privacy law, informed consent, medical history past and present. All information of all clients remains confidential and may be the appointment schedule, content of counseling sessions, any information containing records, and the outcome of counseling are confidential by state law (King & Klawitter, 2007). This type of confidential service is provided and maintained by all medical personnel. Joséphine's file includes both a paper file and an electronic database. Its records are very secure, physically and electronically, therefore protected by the same confidentiality and privacy laws. Most counseling centers have patients who see more than one counselor; this may include a psychologist and a counselor depending on the problem at hand. In this case, there will be sharing of information so that they can consult each other to provide and provide effective services. The only members who can...... middle of paper ...... board requirement. Other negative barriers that may be identified include feeling depressed, sad, and/or anxious. Using her culture, she may also have difficulty telling her mother that her cooking is causing her problems. As a counselor, I will need to work with her through any uncertainty by supporting her in her change efforts and helping her identify inconsistencies among herself. objectives and values. Involving him in activities, such as support groups, can also be effective. As for his mother, I might suggest going to the kitchen and helping his mother cook. As she continues to do this, she may suggest removing something and adding healthier choices. With her sadness, depression, and anxiety, I would suggest she start recording when these feelings start to appear, what time of day, and how often during the day they appear..