Description

Effective clinical documentation is a cornerstone of quality care and professional accountability. This session will explore the core principles of accurate, clear, timely, and confidential documentation, with an emphasis on aligning notes with legal, ethical, and billing standards. Participants will learn to identify common documentation pitfalls and implement strategies to avoid them. Through practical guidance and examples, participants will strengthen their ability to write concise, strengths-based, and client-centered notes that clearly reflect clinical interventions and client progress. The session will also cover best practices for documenting risk factors, safety plans, and crisis interventions in ways that meet both clinical and legal expectations. Finally, we’ll examine how high-quality documentation enhances continuity of care, supports interdisciplinary collaboration, and contributes to improved client outcomes. 

Learning Outcomes

At the conclusion of this training, you will be able to:

• Describe the core principles of effective clinical documentation including accuracy, clarity, timeliness and confidentiality. 
• Identify common documentation pitfalls and strategies to avoid them, ensuring compliance with legal, ethical and billing standards. 
• Enhance skills in writing concise, strengths-based, and client-centered notes that reflect clinical interventions and client progress.  
• Demonstrate the ability to document the risk factors, safety plans and crisis interventions in a way that meets both clinical and legal standards. 
• Explain how quality documentation supports continuity of care, interdisciplinary communication and positive client outcomes. 

Delivery Method
synchronous distance learning

Cost
$15.00

Credit Hours
1 (ACE)

Accreditation

University of Kentucky College of Social Work, Provider # 1377, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 9/29/22-9/29/25. Social workers completing this course receive 1 continuing education credit. 

 

Instructor

Paige Greene, LCSW, holds a bachelor’s degree in social work from California State University, Chico and a master’s degree in Socia Work from California State University, Sacramento. She is licensed in both California and Kentucky. With over 25 years of experience in the mental health field, she’s had the privilege of working with children, adolescents, adults, families and communities. Her background spans clinical practice, administration, and leadership across both the non-profit and public sectors. Currently, Paige is honored to serve as the Director of TRACS (Triage, Referral, Assistance, and Crisis Support) program where she continues her commitment to supporting mental health and well-being. Paige recently relocated from Northern California to Kentucky.  

How to Claim Credit
You must attend the training in its entirety and complete an evaluation form.  Attendance will be verified using Zoom attendance reports. 

Cancellation/Refund Policy
If this course is canceled, you will be contacted and given the option of a full refund, or course credit to be used within 1 year.

Questions
Contact Christina.Krantz@uky.edu with any questions regarding this course, registration assistance or to request accommodations.