Topic 6 DQ1: There is much controversy on record keeping. Agencies require records after each session, and private therapists say less is better so courts cannot interpret the notes in the wrong context. What do you feel is practical and still within your legal obligation?

I believe it’s necessary for psychologists to focus on the accuracy of their documentation. Adequate records
keeping will benefit both the client and the clinician. It’s also necessary to document every encounter with a
client where the psychologist’s professional services were provided. Developing treatment plans, assessment,
and client progress, should all be a part of the record keeping process. Appropriate records keeping can provide
a great deal of protection to clients and psychologists in the event of legal or ethical proceedings. Accurate
records keeping are typically a stipulation for third-party reimbursement for psychological services. The process

of keeping good records involves the attention of understanding legal obligations, ethical standards, and other
external limitations, as well as the demands of the professional framework (APA, 2007). Records keeping
guidelines are intended to assist psychologists in the accuracy of their documentation in the event of legal
ramifications. A psychologist should clarify all issues and concerns regarding financial policies during the start
of treatment and must exercise their ethical obligation to bill clients and insurers with a great deal of honesty.
Improper bookkeeping that includes manipulation can cause some psychologists an unforeseen amount of
trouble in the end.

Reference:

American Psychological Association, Committee on Legal Issues. (2006). Strategies for private practitioners
coping with subpoenas or compelled testimony for client records or test data. Professional Psychology:
Research and Practice, 37, 215–222