How to document for caregivers, teachers, and clinicians

Abstract

Within the practice of school psychology there is growing research and focus on making sure psychoeducational reports are clear and understandable for stakeholders. This style of report writing, sometimes called the consumer-responsive approach, focuses on accessibility and utility of reports (Lichtenstein & Ecker, 2019). This type of documentation is also a helpful guide for other clinical documentation beyond psychoeducational reports. Given recent changes in electronic medical records to increase patient and caregiver access to records, the consumer-responsive approach offers a model to guide practices that ensure clinical documentation is accessible and useful to primary stakeholders and consumers.