Jennifer Berton, PhD, LICSW, CADC-II
Webinar
Thursday, February 26, 2026
9 am – 12 pm (ET)
3 CECs
Registration Fee: $75
10% discount for UConn SSW Alumni and Current SSW Field Instructors
Clinical documentation is more than “notes for the file.” It’s a clinical tool, a continuity-of-care roadmap, and a legal/ethical record of the services you provide. This training gives mental health professionals a practical, real-world framework for writing documentation that is clear, clinically meaningful, and defensible—without turning notes into novels.
Participants will learn how to document with intention: capturing the clinical story, supporting medical necessity, reflecting sound clinical reasoning, and aligning with ethical standards and payer expectations. We’ll cover what to include (and what to avoid), how to write notes that are both professional and human, and how to create consistency across intake, treatment planning, progress notes, risk documentation, and discharge.
This training is designed for clinicians across settings (private practice, agencies, community mental health, integrated care) and is appropriate for both early-career and seasoned providers who want to tighten up their documentation habits.
Learning Objectives:
- Identify the essential elements of clinically sound documentation across the full episode of care.
- Write progress notes that clearly communicate clinical reasoning, client response, and medical necessity using behaviorally specific, objective language.
- Develop treatment plan goals and objectives that are individualized, measurable, and aligned with the client’s presenting concerns and level of care.
- Discuss how to identify stakeholders, anticipate their interest and needs, and modify documentation as needed.