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DSW - Report Writing

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Question
Answer
Case notes should be written the ______day. If this is not possible then within ____ hours.   same, 72  
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What is the reasons for case notes to be completes as soon after the interview as possible?   1)accountable as records may be reviewed2)DSW does not confuse client  
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When writing case notes the should be documented...   can be done in black ink or on the computer  
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What are the three steps in the method to correct an error in a document?   1)cross out error 2)write correction above 3)initial error  
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If the agency that you are working for is "paper free" how do they want you to complete xase notes?   endered by the DSW directly into a pre-designated database  
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Case reports can be used as a form of evaluation; evaluation should occur after...   assessment, planning, goal setting and termination  
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As a DSW you are accountable to...   client, profession and the agency  
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What are the two main components to accouintability?   effectiveness and efficiency  
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Who dictates how the DSW is accountable to their profession?   SSW code of ethic  
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To be sure of your accountability as a DSW working in an agency you need to be aware of:   policies and guidelines  
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What is another word for accountability?   Responsibility  
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When writing reports it is not effective to use:   symbols or DSW jargon  
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What is a diagnosic label?   Simple way of classifying sets of behavious or symptoms  
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If a diagnostic label is included in a report you also need to remember to reference:   source and date diagnosis occurs  
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What are the two things you need to remember when writting a summary report?   Clear and concise  
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As a DSW writing reports it is important to keep in mind:   who will ready the document and why I am writing it  
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When writing effective case notes it is always importnat to ask the client what before you begin?   Is it o.k. for me to take notes  
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When an individual is taliking you should never takes notes when they are talking about:   feelings  
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When writing a formal report and you had a rough draft, what do you do with the rough draft?   Desroy it  
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In a summary report what should not be included?   personal opinions and directs quotes from client or DSW  
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Describe a process report   a narrative report of all that happened during interview incl DSW feelings  
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Under the criminal code of definition of record is as follows   Any form of record that contains personal info incl. counselling notes  
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If you as a DSW receive a request for productions of records you must:   1)determine if request or legal proceding 2)speak wioth supervisor 3)verify with court whether they need original or copy  
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What are two common problems with record keeping?   inclusion of unnessesary info and compromising clients privacy  
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What should be included in good reports?   basic intake info, police reports, CAS reports and contact/warnings  
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What are the most extensive type of report that we studuied?   Intake Social History  
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What are the catergories that are incl. in Intake Social History   Presneting problems, Psychiatric history, Substance abuse history, Family history, Education, Work history and Mental status  
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