During a case plan discussion, your client corrects you about wanting to continue seeing Doctor Jones. How should you document this?

Documenting client preferences accurately is crucial in case management, particularly regarding their treatment plans. When a client corrects you about wanting to continue seeing a specific doctor, it's vital to reflect this accurately in the documentation. Writing the correct information ensures that there is a clear, accurate record of the client's wishes, which is important for continuity of care and supports client autonomy. By signing and dating the note, you also provide a timeline and accountability for the documentation, confirming that the information was acknowledged and agreed upon during the session.

In contrast, ignoring the correction misses the opportunity to respect the client's preferences and could lead to confusion in future appointments. Updating the notes later without discussion may not accurately reflect the client's immediate wishes and could undermine their trust in the case management process. Asking the client to write down their preferences may create unnecessary steps and could distract from the collaborative nature of the case planning conversation. Documenting the client's correction right away is the best practice to ensure clarity and respect for their choices in their treatment journey.