BHS-012 — Documentation & Compliance in Behavioral Health

COURSE DESCRIPTION — BHS-012
Title: Documentation & Compliance in Behavioral Health
CEUs: 1.5 Hours | Audience: HHAs, CNAs, PCAs, DSPs

Overview:
Accurate documentation is one of the most critical professional responsibilities of a home care worker. This course covers what to document, how to write objective care notes, HIPAA privacy requirements, and mandatory reporting obligations — equipping caregivers with the skills to document with confidence and compliance.

Learning Objectives:
– Explain the purpose and importance of accurate documentation
– Identify what must and must not be documented
– Write objective, factual, and professional care notes
– Understand HIPAA basics and client privacy requirements
– Recognize and fulfill mandatory reporting obligations

Topics Covered:
Purposes of documentation, objective vs. subjective documentation, DAP note format, HIPAA and protected health information, privacy violations and consequences, mandatory reporting categories and process.