Treatment Planning in Psychotherapy

Taking the Guesswork Out of Clinical Care


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Sheila R. Woody,Jerusha Detweiler-Bedell,Bethany A. Teachman,Todd O'Hearn
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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

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