Treatment Planning in Psychotherapy Taking the Guesswork Out of Clinical Care

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

• ISBN13: 9781572308053
• ISBN10: 1572308052
• Edition: 1st
• Format: Hardcover
• Copyright: 2002-10-23
• Publisher: The Guilford Press

Summary

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.

Author Biography

About the authors
Sheila R. Woody, PhD, is Associate Professor of Psychology at the University of British Columbia and a registered psychologist in British Columbia, Canada.
Jerusha Detweiler-Bedell, PhD, is Assistant Professor of Psychology at Lewis and Clark College in Portland, Oregon.
Bethany A. Teachman, PhD, is Assistant Professor of Psychology at the University of Virginia.
Todd O'Hearn, PhD, 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.

Table of Contents

The PACC Approach to Treatment Planning	1	(20)
PACC: Going beyond Randomized Clinical Trials	4	(2)
PACC: Enhancing Accountability	6	(1)
Guiding Principles of Our Approach	7	(1)
Overview of the Model	8	(1)
What Are the Benefits of the PACC Approach?	9	(7)
What the PACC Approach Is Not	16	(3)
Time and Cost	19	(2)
Developing a Problem List	21	(33)
Why Formalize the Problem List?	22	(3)
Domains of Functioning: A Biopsychosocial Perspective	25	(9)
An Outline for Biopsychosocial Assessment	34	(6)
Case Formulation and the Problem List	40	(5)
Prioritizing Problems	45	(3)
Reexamining the Problem List	48	(5)
Shortcuts for the Busy Clinician	53	(1)
Treatment Planning Using a Phase Approach	54	(30)
From Problem Identification to Problem Solving	55	(1)
Treatment Planning as the Therapist's Map	55	(3)
Treatment Phases	58	(5)
Effectiveness of Phase Models of Psychotherapy	63	(1)
Phases in the PACC Approach	64	(1)
Outlining Expectations for Progress within Phases	65	(1)
Treatment Aims	66	(5)
Treatment Strategies	71	(3)
Choosing Aims and Strategies: Case Example	74	(1)
Challenges in Implementing the Treatment Plan	75	(6)
Shortcuts for the Busy Clinician	81	(3)
Ongoing Measurement	84	(34)
Benefits of Ongoing Measurement	85	(3)
Obstacles to Routine Measurement	88	(2)
Completing the Measures Section of the Treatment Phase Form	90	(6)
Establishing a Measurement Plan	96	(14)
Case Study: Group Treatment for Social Phobia	110	(3)
Shortcuts for the Busy Clinician	113	(5)
Illustrating Progress through Graphing	118	(28)
Why Graph?: Rationale for Visual Inspection of the Data	119	(4)
Creating Graphs	123	(6)
Graphing Progress with Microsoft Excel	129	(7)
Reviewing Progress and Moving across Phases	136	(2)
Case Example	138	(6)
Research Implications	144	(1)
Shortcuts for the Busy Clinician	145	(1)
Review of Progress	146	(25)
Strategies for Implementing a Progress Review	147	(5)
Cultural Considerations in Conducting the Progress Review	152	(1)
Conducting Progress Reviews with Clients with Personality Disorders	153	(2)
Readiness to Change and the Progress Review	155	(1)
Reasons to Move to a New Treatment Phase	156	(3)
Seeking Consultation to Improve Treatment Delivery	159	(5)
When a Lapse Has Occurred	164	(1)
Case Example	165	(1)
Troubleshooting: Anticipating Barriers to Conducting Progress Reviews	166	(2)
Conclusions	168	(1)
Shortcuts for the Busy Clinician	169	(2)
Iterative Treatment Planning and Its Applications	171	(30)
The Decision Tree	171	(4)
Case Study: Using the Decision Tree	175	(13)
Ethical Implications of Using PACC	188	(3)
Applications of PACC	191	(7)
Final Comments	198	(3)
APPENDIX Measures for Tracking Clients' Progress	201	(32)
Overview	203	(1)
Description of the Measures	203	(5)
Brief Psychiatric Rating Scale	208	(2)
Bulimia Test---Revised	210	(7)
Center for Epidemiologic Studies---Depression Scale (CES-D)	217	(1)
Daily Spiritual Experiences Scale	218	(1)
Kansas Marital Satisfaction Scale	219	(1)
Psychotic Symptoms Rating Scales	220	(4)
Rosenberg Self-Esteem Scale	224	(1)
Yale-Brown Obsessive Compulsive Scale (Y-BOCS)	225	(5)
Sources for Other Measures	230	(3)
References	233	(10)
Index	243