What Is Therapy Notes Software and Why Do You Need It?
In recent decades, societal attitudes toward maintaining good mental health have taken huge and welcome steps forward. Medical practitioners in 2024, whether focused on the mind or the body, recognize that mental health is critical to human flourishing.
That attitude was not always as prevalent as it is today. A 2017 article in BCMJ’s MC Medical Journal looks at how attitudes toward the human mind have changed over time, from the horrors of medieval treatments to the emergence of human, scientifically based therapies.
As author Marc Jutras notes, a key point of understanding has emerged: “Against the backdrop of these broad theoretical frameworks, modern approaches to the diagnosis and treatment of psychopathology began to emerge and, along with these, the need to systematically categorize mental illness became apparent.”
That recognition led to the creation in 1952 of the “Diagnostic and Statistical Manual of Mental Disorders”, the standard reference work in the mental health field today. Along with the DSM and changing attitudes came a recognition of the importance of documenting patient care.
Why Notes Matter for Delivering Quality Care
The details and subtleties that can be involved in taking therapy notes underscore just how important a role the software can and must play. Four essential reasons to seek out the best possible software:
- Creating a comprehensive and accurate portrait of the patient allows practitioners to focus on understanding and treatment, confident that the software is capturing the details of each case for later reference.
- Providing an overview allows for planning and assessment, which is key in a field where many patients undergo long-term treatment; software must facilitate comprehensive treatment plans that can be adjusted.
- Collaborating with other members of a patient’s care team is easier when working from a clear, comprehensive, and easily shared record; such collaboration is particularly important if a patient changes providers.
- Confidentiality and privacy are paramount in healthcare, and therapy notes constitute a legal record of the doctor/patient relationship, interventions, and outcomes; any software must be HIPAA-compliant and secure.