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A survey of the record-keeping practices of clinical psychologists

✍ Scribed by Joyce M. Scaife; Michael Pomerantz

Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
286 KB
Volume
6
Category
Article
ISSN
1063-3995

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✦ Synopsis

The current paper describes the results of a questionnaire survey of the record-keeping practices of clinical psychologists working in one NHS region in the UK. Issues explored include the reasons given for keeping case-notes; the content of notes; security, access, retrieval and destruction of notes; requests for access to notes and knowledge of notekeeping policy. The analysis of data includes a breakdown by years in profession and by speciality.

The results are based on 123 returns and indicate some commonly held views and practice, for example that note-keeping is generally regarded as a requirement of professional practice, that notes act for the majority of respondents as an aide meΓ‚moire and that clinical psychologists almost universally keep their notes in a specific psychology file even if they also keep notes elsewhere. The results also show much individual diversity and uncertainty as to what constitutes good practice.

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