[NP-Clinical] mental health template/documentation

[Alfredo Bimbela]

Hi Lisa,

I work part-time at a University in the area of mental health/psychiatry. There are a number of great resources as pointed out by Priscilla Merrill. You might also want to consider the following publication:

NURSE PRACTITIONERS: What you Need to Know to Practice in Mental Health/Psychiatry (Electronic or Print Version)

If you just want a template for documentation, I am happy to send you the one I use (We use electronic charting). To save my hands from a ton of typing, I also use speech recognition along with a modified template tailored for mental health. 

Hope this helps,

Alfredo Bimbela, PhD, FNP-C
www.bimbelapublications.com (Just updated the website)

Lisa Meyer <meyerlm at chartermi.net> wrote:       I am starting a new, part-time position in a few  weeks in a university counseling center.  I will primarily see students who  have been evaluated by a counselor and sent to me either because they desire to  try medication, are already on a med and need to maintain refills while at  school, or want to discuss some aspect of medication management with me.   Though I will not be providing counseling, during the initial evaluation I will  need to confirm the counselor's diagnosis and discuss treatment options with the  student.  These visits are 40 min. and are more in-depth.  I will see  any student on meds at least every 2 weeks for a briefer (20 min.) appt. to  assess SE's, compliance, efficacy, etc.  They see thier counselor weekly  between appt's with me.
  
 I am looking to create some type of documentation  template that I will be able to type my documentation on using my PC.  We  do not have transcriptionists, and my handwritting is not great.  I think  having one for each visit type would be best.  I have searched the net  looking for something I might modify, and am not coming up with much.  Does  anyone working in mental health have something they would be willing to share  that might be helpful?  
  
 Thanks!
  
 Lisa
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