Treatment Planning in Psychotherapy

Taking the Guesswork Out of Clinical Care

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

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Paperback
August 11, 2004
ISBN 9781593851026
Price: $39.00
251 Pages
Size: 6" x 9"
Copyright Date: 2003
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September 26, 2012
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251 Pages
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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