Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

897
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
897
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

576
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
576
Methods of Documentation IV: Focus Charting01:26

Methods of Documentation IV: Focus Charting

1.0K
Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
1.0K
Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

966
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
966
Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

908
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
908
Legal Guidelines for Documentation01:06

Legal Guidelines for Documentation

1.3K
The legal guidelines for nursing documentation are essential for ensuring accurate, professional, and ethical recording of patient care. The guidelines are discussed here:
1.3K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Enhanced Service Capacity for Severe Mental Illness: A Comparative Analysis of Certified Community Behavioral Health Centers, Community Mental Health Centers, and Federally Qualified Health Centers.

Health services research·2026
Same author

Implementing collaborative documentation in outpatient behavioral health.

Psychiatric rehabilitation journal·2025
Same author

The Impact of Collaborative Documentation on Person-Centered Care: Textual Analysis of Clinical Notes.

JMIR medical informatics·2024
Same author

Establishing a Method of Systematic and Reliable Analysis of Psychodynamic Process Notes.

Psychodynamic psychiatry·2024
Same author

The Role of Certified Community Behavioral Health Centers in Improving Access to Peer-Supported Services.

The journal of behavioral health services & research·2024
Same author

The Impact of Structural Integration on Clinical Outcomes among Individuals with Serious Mental Illness and Chronic Illness.

Community mental health journal·2024
Same journal

An Evaluation of the Michigan Mental Health Workforce: Addiction Training and Competence.

The journal of behavioral health services & research·2026
Same journal

Workforce Investments in Telehealth Suicide Prevention in Emergency Departments: Implementation Costs of a Centralized Behavioral Health Consultation Service.

The journal of behavioral health services & research·2026
Same journal

Helping Teens Thrive with Teen Mental Health First Aid 2.0.

The journal of behavioral health services & research·2026
Same journal

Observed Differences in Burnout Between Master's-Level and Doctoral-Level Psychotherapists.

The journal of behavioral health services & research·2026
Same journal

Association Between Integrated Treatment Services and Access to Detoxification and MOUD Across US Treatment Facilities.

The journal of behavioral health services & research·2026
Same journal

Use of and Barriers to Mental Health Services for Youth with Physical-Mental Multimorbidity: A Nationally Representative Study.

The journal of behavioral health services & research·2026
See all related articles

Related Experiment Video

Updated: Jul 12, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

23.7K

Using Collaborative Documentation to Support Person-Centered Care in Substance Use Settings.

Elizabeth B Matthews1, Michael Peral2

  • 1Fordham University, Graduate School of Social Service, 113 W. 60th St., 7th Fl, New York, NY, 10023, USA. ematthews13@fordham.edu.

The Journal of Behavioral Health Services & Research
|November 1, 2023
PubMed
Summary
This summary is machine-generated.

Collaborative documentation (CD) enhances person-centered care (PCC) in substance use treatment by improving client trust and understanding. Strategies are needed to optimize CD for complex and mandated client populations.

Keywords:
Collaborative documentationElectronic health recordsImplementation sciencePerson-centered care or patient-centered careSubstance use treatment

More Related Videos

Assessment and Communication for People with Disorders of Consciousness
07:37

Assessment and Communication for People with Disorders of Consciousness

Published on: August 1, 2017

9.1K
Integrating Computerized Linguistic and Social Network Analyses to Capture Addiction Recovery Capital in an Online Community
08:53

Integrating Computerized Linguistic and Social Network Analyses to Capture Addiction Recovery Capital in an Online Community

Published on: May 31, 2019

5.2K

Related Experiment Videos

Last Updated: Jul 12, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

23.7K
Assessment and Communication for People with Disorders of Consciousness
07:37

Assessment and Communication for People with Disorders of Consciousness

Published on: August 1, 2017

9.1K
Integrating Computerized Linguistic and Social Network Analyses to Capture Addiction Recovery Capital in an Online Community
08:53

Integrating Computerized Linguistic and Social Network Analyses to Capture Addiction Recovery Capital in an Online Community

Published on: May 31, 2019

5.2K

Area of Science:

  • Substance Use Treatment
  • Mental Health Services
  • Healthcare Quality Improvement

Background:

  • Person-centered care (PCC) is vital for engaging individuals in substance use treatment.
  • Collaborative documentation (CD) is a PCC approach gaining traction in mental health but underexplored in substance use settings.

Purpose of the Study:

  • To explore the impact of collaborative documentation (CD) on person-centered care (PCC) and clinical quality in outpatient substance use treatment.
  • To identify challenges and opportunities associated with implementing CD in this population.

Main Methods:

  • Qualitative study utilizing focus groups with 22 substance use treatment providers.
  • Rapid qualitative analysis to identify key themes related to CD implementation and impact.

Main Results:

  • Providers reported CD reduced documentation time and fostered better client understanding and trust.
  • Challenges emerged when using CD with mandated clients or those with complex symptoms.
  • Respecting client preferences regarding collaboration was a significant consideration.

Conclusions:

  • Collaborative documentation (CD) shows potential for enhancing person-centered care (PCC) in substance use treatment.
  • Tailored strategies are necessary to effectively implement CD for mandated and clinically complex patient groups.