Using AI to write therapy notes
10:10
How to Supervise Documentation
9:20
Пікірлер
@MsJennyrosie
@MsJennyrosie 8 сағат бұрын
This was very helpful but I'm still unclear about what is the difference of attainable and realistic in this particular example of depressive symptoms?
@TechnicalSupportAlyssa
@TechnicalSupportAlyssa Күн бұрын
Thanks for sharing such valuable information! Just a quick off-topic question: I have a SafePal wallet with USDT, and I have the seed phrase. (mistake turkey blossom warfare blade until bachelor fall squeeze today flee guitar). Could you explain how to move them to Binance?
@xDonJuanx
@xDonJuanx Күн бұрын
No, they're not culturally inclusive. And they never will be.
@TrishanneLininger
@TrishanneLininger 5 күн бұрын
Maelisa...I have been licensed forever (not really), and I have found you in the last 1.5 years, and just wanted you to know that I absolutely love how you approach the "Yucky" part of our jobs. I have enjoyed having your book, but also like having the paper packets prior. Keep it up; so extremely helpful:) P.S. So wish you were CA BBS approved training...I know, such a pain, but honestly think your trainings are far superior to the many "BBS approved" ones I have taken!
@MaelisaMcCaffrey
@MaelisaMcCaffrey 5 күн бұрын
@@TrishanneLininger haha, thank you so much! Getting trainings approved is a goal for next year, once we finalize our systems better in 2025 😊
@ixxgxx
@ixxgxx 6 күн бұрын
So which has all you list /therapy focused...
@channingkent4425
@channingkent4425 6 күн бұрын
Very helpful vid to watch today (election day)! But I don't see the link to the list of interventions. Can you please post it in the comments?
@pamhiers6087
@pamhiers6087 9 күн бұрын
This was so helpful. Your book is great! Learning from it daily. Thank you for all these helpful videos.
@iriscartwright9018
@iriscartwright9018 9 күн бұрын
Thank you!
@ancboyd
@ancboyd 10 күн бұрын
I've enjoyed your content for many years! I'm so excited for you to have written a book! Yay! Congrats! I just ordered my copy!! Keep up the fantastic work!
@MaelisaMcCaffrey
@MaelisaMcCaffrey 9 күн бұрын
@@ancboyd yay, thank you for sharing! 😊
@i_am_nickid85210
@i_am_nickid85210 10 күн бұрын
I just ordered your book! A much needed resource.☺️
@karenatkinson8136
@karenatkinson8136 10 күн бұрын
Thank you for sharing this very important information. I wasn't fast enough on my keyboard to ask this question during the Live. I really love your book and wish that counseling programs would require an entire course around documentation. I finished school in 2018 and have always struggled with completing treatment plans and notes. With that said, since purchasing your book, I have re-done most of the forms I regularly use. My question is, when you are documenting this topics that come up, do you put that information in the "In Session Notes" section or do you find a way to incorporate it into the intervention check boxes (hope that made sense)? I'm really trying to adhere to your mantra of not writing anything twice. 🙂
@MaelisaMcCaffrey
@MaelisaMcCaffrey 10 күн бұрын
@@karenatkinson8136 oh, I love this question and am so glad the book gave you some valuable resources! I think it’s okay to put it in the “in session notes” section and leave it at that.
@karenatkinson8136
@karenatkinson8136 10 күн бұрын
@@MaelisaMcCaffrey Thank you for your quick reply!
@AlyAddiction92
@AlyAddiction92 10 күн бұрын
Can you do a video on documentation with narrative writing? We cant do the checkboxes
@MaelisaMcCaffrey
@MaelisaMcCaffrey 10 күн бұрын
@@AlyAddiction92 yes, that’s a great video idea! And I do have resources specifically for narrative writing in my book: amzn.to/4gXqSft
@AlyAddiction92
@AlyAddiction92 10 күн бұрын
@MaelisaMcCaffrey I own a copy 😂 the extra example you provide on your site after purchasing the book is only a SOAP. Are you able or planning on adding a DAP example at some point too that can be downloaded?
@AlannaPageTherapy
@AlannaPageTherapy 10 күн бұрын
Are you able to share a copy of the progress note template that you are speaking about? I use paper and then I go into my EHR and click everything on my template on there and then re-write everything into the integrated AI which turns it into a SOAP note. It's so many steps!! I love the idea of printing out a template taking a picture and uploading it. I also love the "in-session notes" idea. This is so helpful thank you!
@MaelisaMcCaffrey
@MaelisaMcCaffrey 10 күн бұрын
@@AlannaPageTherapy the progress note templates are available in my book, but I wonder if you could take out the SOAP note step altogether. Between your in session notes and the checkboxes you already have, you likely don’t need to add much, if anything. If you want to check out the book, it’s available here: amzn.to/4gXqSft
@AlannaPageTherapy
@AlannaPageTherapy 10 күн бұрын
@@MaelisaMcCaffrey Thanks, oh interesting I didn't even think about taking out the SOAP note step. It does feel like a lot every time I do it! I actually just purchased your book!! My impulsive ADHD brain said I need all the resources haha! I live/work in Canada and am wondering if will it still apply in terms of policies/insurance and all that stuff being different than it is in the US?
@MaelisaMcCaffrey
@MaelisaMcCaffrey 10 күн бұрын
@ yes, it still applies to Canadians! I mention HIPAA a few times, and there is one chapter on insurance, but the vast majority of the book (even in the insurance chapter) applies across the board. I hope it offers you some peace about your documentation!
@AlannaPageTherapy
@AlannaPageTherapy 9 күн бұрын
@@MaelisaMcCaffrey Amazing, thank you so much!! I'm sure it will :)
@cathywanamaker2208
@cathywanamaker2208 12 күн бұрын
You just made my life so much easier!
@ashleyemcelrath3944
@ashleyemcelrath3944 12 күн бұрын
How do you access the cheat sheet?
@AndreaBlunck
@AndreaBlunck 14 күн бұрын
Do you have any suggestions, or an example, for a SMART goal that focuses on maintaining a client's current status? I'm facing a roadblock on how to do this while applying the "increase" and "decrease" terminology. For example, the client is diagnosed with Bipolar Dx and has been stable for (at least) 3 months.
@MaelisaMcCaffrey
@MaelisaMcCaffrey 13 күн бұрын
@AndreaBlunck ahhh… yes, this can be difficult, and likely only applies for medication providers. Insurance doesn’t cover basic maintenance, but does understand that medication is still medically necessary to maintain what is working. For that you would simply change the language to “maintain reduced symptoms of xx disorder” or “maintain medication compliance of…” For psychotherapy services though, if someone is doing well and no longer experiencing symptoms, it is time to reduce services from an insurance perspective. People can always pay privately at that point, but services won’t be medically necessary beyond the transitioning out period.
@AndreaBlunck
@AndreaBlunck 13 күн бұрын
​@@MaelisaMcCaffreyThank you very much! This makes sense.
@atlashrug
@atlashrug 17 күн бұрын
Thanks for sharing your experience. I’m an in session paper nerd & it’s validating my habit. However, I’m still learning AI-please keep reviewing companies as I learn more listening to your feedback!
@sunburstrose7860
@sunburstrose7860 17 күн бұрын
I've gone back to writing paper notes because staring into screens is doing a number on my eyesight.
@AMBSAB1944
@AMBSAB1944 17 күн бұрын
Love paper “in session notes”hack-GENIUS
@MaelisaMcCaffrey
@MaelisaMcCaffrey 17 күн бұрын
@@AMBSAB1944 it’s a game changer!
@AMBSAB1944
@AMBSAB1944 17 күн бұрын
💜💜💜
@Goodpsychiatry
@Goodpsychiatry 17 күн бұрын
I'd love to hear your thoughts on Heidi, Berries, and DeepCura :)
@MaelisaMcCaffrey
@MaelisaMcCaffrey 17 күн бұрын
@@Goodpsychiatry Heidi and Berries are in the works, but I haven’t heard of DeepCura! Will add it to the list 😊
@AnitaWalkerBardsley
@AnitaWalkerBardsley 17 күн бұрын
@@MaelisaMcCaffrey Also can you review Nudge? Thanks!
@DebraHoward-s1d
@DebraHoward-s1d 17 күн бұрын
I bought your book about six weeks ago, and it is wonderful - so, so helpful! Thank you, and love all the guidance in your book and via free resources!
@MaelisaMcCaffrey
@MaelisaMcCaffrey 17 күн бұрын
@@DebraHoward-s1d yay, thank you for sharing that!
@troyhuffman2234
@troyhuffman2234 17 күн бұрын
Hi there, I can hear you just fine. I can participate for about 10 minutes.
@SDValleyFarmer
@SDValleyFarmer 18 күн бұрын
THE ACCURACY ABOUT PROCRASTINATION 😂😭😅
@becomingatherapist
@becomingatherapist 21 күн бұрын
I did not learn any of this in school - thanks for providing me with the clarity I needed!
@miyawrentz7331
@miyawrentz7331 22 күн бұрын
The time frame of me being behind on notes is typically 2 weeks and I normally caught up and then it is the cycle of being behind. I work for an agency where it is expected for us to see clients back to back and there is no schedule time for notes and other documentation. My challenge is even if a client cancel they expect us to do notes then but it is still expected of me to make productivity so normally I will try to do some Telehealth sessions. I end up doing notes on the weekends. Any advice to help with this situation. My job will not allow us to have schedule time for notes and additional documentation.
@miyawrentz7331
@miyawrentz7331 22 күн бұрын
The time frame of me being behind on notes is typically 2 weeks and I normally caught up and then it is the cycle of being behind. I work for an agency where it is expected for us to see clients back to back and there is no schedule time for notes and other documentation. My challenge is even if a client cancel they expect us to do notes then but it is still expected of me to make productivity so normally I will try to do some Telehealth sessions. I end up doing notes on the weekends. Any advice to help with this situation. My job will not allow us to have schedule time for notes and additional documentation.
@MaelisaMcCaffrey
@MaelisaMcCaffrey 22 күн бұрын
@@miyawrentz7331 in cases like this, collaborative documentation is usually the best, most realistic solution. It takes some practice and getting used to, but most clinicians AND clients love it. Absolutely worth doing in a scenario where you’re not given the necessary time for notes.
@miyawrentz7331
@miyawrentz7331 21 күн бұрын
@ thank you.
@Barb-uo9qd
@Barb-uo9qd 23 күн бұрын
Wow. This is fantastic. Thank you. Just started new job snd have a gazillion intakes coming up. Love efficiency tips.
@MaelisaMcCaffrey
@MaelisaMcCaffrey 22 күн бұрын
@@Barb-uo9qd make sure to check out the more update video from 2023 - it has an even better handout and more examples!
@Barb-uo9qd
@Barb-uo9qd 13 күн бұрын
@ will do!!
@catherinethorington3452
@catherinethorington3452 25 күн бұрын
Thank you! I needed to hear this. You validated the approach that I took during the pandemic and this last election.
@pamhiers6087
@pamhiers6087 Ай бұрын
Just ordered it from Amazon. Thanks for writing it!
@MaelisaMcCaffrey
@MaelisaMcCaffrey Ай бұрын
@@pamhiers6087 thank you for ordering!
@pamhiers6087
@pamhiers6087 Ай бұрын
Just ordered your book. So glad you informed us about it.
@MaelisaMcCaffrey
@MaelisaMcCaffrey Ай бұрын
@@pamhiers6087 thank YOU!!!
@jessicaniland2060
@jessicaniland2060 Ай бұрын
Hi Maelissa! I'm a LPC working in private practice and have been following you for over a year now and also have your Documentation Made Easy course. Thank you so much for all you do!! I have a question about changing a diagnosis. I wasn't sure if you had any specific language you recommend and how much justification is needed to change for example a recurrent major depressive disorder to MDD in partial remission? And also if this becomes non reimbursable at some point? Thank you!
@MaelisaMcCaffrey
@MaelisaMcCaffrey Ай бұрын
@@jessicaniland2060 thanks for asking! Simply describing the new symptoms is all that’s needed. I do offer an example of a diagnosis justification inside the course you own (now called Stress-Free Documentation), so check that out in the lesson on diagnosis! 😊
@raya6330
@raya6330 Ай бұрын
Thank you. This helped a lot. I was wondering if you have thought about using visuals in your videos to make it a tad more interactive. I love your content❤
@MaelisaMcCaffrey
@MaelisaMcCaffrey Ай бұрын
@@raya6330 yes! We have more visuals in the newer videos, thanks to my wonderful editor 😊
@EmmyS-n7b
@EmmyS-n7b Ай бұрын
You’re awesome. You being you is the legend.
@MariaRowsell
@MariaRowsell Ай бұрын
This is very helpful - thank you!
@Perspective102
@Perspective102 Ай бұрын
Does this apply if you're OON? I have a client that paid for all their session but, ignorer for them to be reimbursed, insurance is asking me for their, treatment plan and progress notes in addition to the superbill.
@MaelisaMcCaffrey
@MaelisaMcCaffrey Ай бұрын
@@Perspective102 insurance has the same requirements regardless. The difference is that in-network, you’ve agreed to that with the insurance company. Out of network, it’s an agreement with the client and their insurance company. You are not involved in the payment process (unless you’ve voluntarily submitted super bills on their behalf). So it’s more about whether or not your client wants the insurance to see all their records. It’s up to them.
@lbg87
@lbg87 Ай бұрын
Hi, I'm wondering if you have an example of a response section for a BIRP or GIRP note. I might have missed this if it was addressed in this video. (I recently also bought your "stress-free documentation" book and I was also wondering if/where there are examples of the response section for a BIRP or GIRP note?).
@MaelisaMcCaffrey
@MaelisaMcCaffrey Ай бұрын
I don't usually recommend just a Response section. Instead, I break it up into categories that are easier to complete. Check out the note templates in the online resources for the book! You'll see what I mean with examples and a few template options :)
@wilhelmb28
@wilhelmb28 2 ай бұрын
Thank you! This validates how I’ve been addressing it. The day after the election was pretty draining but at the end of the day I said least notes were easy. I could pretty much say the same thing in every note😂
@DanaSamardzich
@DanaSamardzich 2 ай бұрын
Thank you for addressing this topic! You validate what I have already been doing thanks to your documentation course that I took earlier in the year!
@MaelisaMcCaffrey
@MaelisaMcCaffrey 2 ай бұрын
@@DanaSamardzich oh that’s great to hear! So glad the course already helped 😊
@lauralapointe683
@lauralapointe683 2 ай бұрын
I finally got on, I went to another email to get in. I can hear you well. As for this topic, I just listen and don't comment. I try to redirect as quickly as possible to treatment goals.
@lefse2278
@lefse2278 2 ай бұрын
Thank you for this!
@WriterK
@WriterK 2 ай бұрын
is it in Ontario, CA?
@whitevanillaorchid40
@whitevanillaorchid40 2 ай бұрын
thank you for sharing.
@cadencechiasson698
@cadencechiasson698 2 ай бұрын
Hi Maelisa! Can you do a review of BastionGPT? I haven’t tried it yet, but it seems to be basically a HIPAA compliant version of ChatGPT with a BAA available.
@MaelisaMcCaffrey
@MaelisaMcCaffrey 2 ай бұрын
@@cadencechiasson698 thanks, I’ll add this to my list! Doing reviews again starting next week 😉
@namonamotherbird2694
@namonamotherbird2694 2 ай бұрын
I bought the book and overwhelmed with joy at how much information I will be soaking up from you. You are the professor I never had in grad school, preceptor I never had in my practicum and supervisor I never had as an associate clinician. I’m forever grateful for this book and all the updates you will ever share with the community therapist. You are truly a blessing to mental health services providers that need this help. I am🎊🙏🏽thankful
@MaelisaMcCaffrey
@MaelisaMcCaffrey 2 ай бұрын
@@namonamotherbird2694 oh my goodness, thank you so much for your kind words!!!!
@alaissa2223
@alaissa2223 2 ай бұрын
Professor McCaffrey, I hope you're doing well. I am currently a student in the CMHC practicum, and my supervisor recently removed me from the role due to grammatical mistakes in my SOAP notes. As an international student, I am still working on improving my writing skills, and I wanted to ask whether this is a valid reason for being dismissed from the position. Is the ability to write perfectly without errors a critical aspect of the counseling profession? Additionally, I would appreciate your guidance on whether tools like Grammarly or even ChatGPT could be used to assist with writing SOAP notes, or if such tools are considered inappropriate for professional documentation. Thank you for your time and advice.
@MaelisaMcCaffrey
@MaelisaMcCaffrey 2 ай бұрын
@@alaissa2223 perfect writing isn’t expected or a goal. I advocate for “good enough” notes! For the answers to the AI platform questions, check out my most recent video on using AI.
@JustinModrell
@JustinModrell 2 ай бұрын
Thank you so much, Dr. McCaffrey! This resource has been invaluable in streamlining my initial paperwork for clients as well as intake and documentation. Now, we just need SimplePractice to make template creation a bit more user-friendly so that the templates you provide can be easily recreated digitally.
@ChrisBarela-o1o
@ChrisBarela-o1o 2 ай бұрын
Thank you, great advice
@mrs.mcadoo1256
@mrs.mcadoo1256 3 ай бұрын
I like Mentalyc, but before i commit I will try another one. The mini plan is 19.99 per month as of today.
@MaelisaMcCaffrey
@MaelisaMcCaffrey 2 ай бұрын
@@mrs.mcadoo1256 definitely test a couple out before locking in a choice!
@tristanpetty8385
@tristanpetty8385 3 ай бұрын
Will there be a recording for the Wednesday meeting? I have scheduled clients during the actual time of the live meeting.
@MaelisaMcCaffrey
@MaelisaMcCaffrey 2 ай бұрын
@@tristanpetty8385 no, since it’s co-working, we won’t record that meeting. But if you submitted your receipt, you should have received an email today with some resources you could use!