This user-friendly book helps clinicians of any theoretical orientation meet the challenges of evidence-based practice. Presented are tools and strategies for setting clear goals in therapy and tracking progress over the course of treatment, independent of the specific interventions used. A wealth of case examples illustrate how systematic treatment planning can enhance the accountability and efficiency of clinical work and make reporting tasks easier–without taking up too much time. Special features include flowcharts to guide decision making, sample assessment tools, sources for a variety of additional measures, and instructions for graphing client progress. Ideal for busy professionals, the book is also an invaluable text for graduate-level courses and clinical practica.
Зміст
1. The PACC Approach to Treatment Planning PACC: Going beyond Randomized Clinical Trials PACC: Enhancing Accountability Guiding Principles of Our Approach
Overview of the Model
What Are the Benefits of the PACC Approach?
What the PACC Approach Is Not
Time and Cost
2. Developing a Problem List
Why Formalize the Problem List?
Domains of Functioning: A Biopsychosocial Perspective
An Outline for Biopsychosocial Assessment
Case Formulation and the Problem List
Prioritizing Problems
Reexamining the Problem List
Shortcuts for the Busy Clinician
3. Treatment Planning Using a Phase Approach From Problem Identification to Problem Solving Treatment Planning as the Therapist’s Map
Treatment Phases
Effectiveness of Phase Models of Psychotherapy
Phases in the PACC Approach
Outlining Expectations for Progress within Phases
Treatment Aims
Treatment Strategies
Choosing Aims and Strategies: Case Example
Challenges in Implementing the Treatment Plan
Shortcuts for the Busy Clinician
4. Ongoing Measurement
Benefits of Ongoing Measurement
Obstacles to Routine Measurement
Completing the Measures Section of the Treatment Phase Form
Establishing a Measurement Plan
Case Study: Group Treatment for Social Phobia
Shortcuts for the Busy Clinician
5. Illustrating Progress through Graphing
Why Graph?: Rationale for Visual Inspection of the Data
Creating Graphs
Graphing Progress with Microsoft Excel
Reviewing Progress and Moving across Phases
Case Example
Research Implications
Shortcuts for the Busy Clinician
6. Review of Progress
Strategies for Implementing a Progress Review
Cultural Considerations in Conducting the Progress Review
Conducting Progress Reviews with Clients with Personality Disorders
Readiness to Change and the Progress Review
Reasons to Move to a New Treatment Phase
Seeking Consultation to Improve Treatment Delivery
When a Lapse Has Occurred
Case Example
Troubleshooting: Anticipating Barriers to Conducting Progress Reviews
Conclusion
Shortcuts for the Busy Clinician
7. Iterative Treatment Planning and Its Applications
The Decision Tree
Case Study: Using the Decision Tree
Ethical Implications of Using PACC
Applications of PACC
Final Comments
Appendix: Measures for Tracking Clients’ Progress
Overview
Description of the Measures
Brief Psychiatric Rating Scale
Bulimia Test-Revised
Center for Epidemiological Studies-Depression Scale (CES-D)
Daily Spiritual Experiences Scale
Kansas Marital Satisfaction Scale
Psychotic Symptoms Rating Scales
Rosenberg Self-Esteem Scale
Yale-Brown Obsessive Compulsive Scale (Y-BOCS)
Sources for Other Measures
Про автора
Sheila R. Woody, Ph D, is Associate Professor of Psychology at the University of British Columbia and a registered psychologist in British Columbia, Canada.
Jerusha Detweiler-Bedell, Ph D, is Assistant Professor of Psychology at Lewis and Clark College in Portland, Oregon.
Bethany A. Teachman, Ph D, is Assistant Professor of Psychology at the University of Virginia.
Todd O’Hearn, Ph D, was previously Director of the Yale Psychological Services Clinic and served on the teaching faculty in Yale’s Department of Psychology. Currently he is developing a private practice in the Santa Barbara area.
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