Portland Community College | Portland, Oregon

Course Number:
AD 154
Course Title:
Client Record Management and Addiction
Credit Hours:
Lecture Hours:
Lecture/Lab Hours:
Lab Hours:
Special Fee:

Course Description

Provides the student the knowledge and skills needed to plan treatment and manage client records. Explores methods for making decisions regarding goals and objectives to be reached by clients during and after treatment. Covers all aspects of client record management including federal and state regulations and American Society of Addiction Medicine (ASAM) placement criteria. Prerequisites: AD 101. Prerequisites/concurrent: WR 122. Audit available.

Intended Outcomes for the course

At the conclusion of this course students will be able to:
1- Create, edit, and maintain accurate, clinically relevant records of A&D client care which meet clinical, legal, regulatory, accreditation, and reimbursement criteria.
2- Apply a working knowledge of the legal and clinical parameters governing A&D client continuum of care: induction/intake, assessment, treatment planning, treatment provision, discharge planning, referral, and summary of care.

Course Activities and Design

  1. The ability to read and interpret material for clinical usage.
  2. Ability to address the testing issue with tact and compassion.

Outcome Assessment Strategies

  1. Written examinations will determine comprehension of factual data.
  2. Complete intake summary, treatment place, progress notes, discharge summary, urinalysis protocol, informed consent and confidentiality form.