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Treatment Planning in Psychotherapy : Taking the Guesswork Out of Clinical Care - Jerusha B. Detweiler-Bedell

Treatment Planning in Psychotherapy

Taking the Guesswork Out of Clinical Care

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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.

"This book is a marvelous contribution to the evidence-based practice movement in mental health. The authors' Planning and Assessment in Clinical Care (PACC) system helps the empirically oriented practitioner operationalize the steps necessary to identify and prioritize client problems, establish mutually agreed-upon treatment goals, and measure the outcomes of psychotherapy. PACC breathes new life into the long-advocated but little-implemented practice of integrating single-client evaluation designs into routine clinical practice. The case studies exemplify the best of evidence-based care in psychotherapy. This will make a superb primary practice textbook for graduate students in professional psychology, social work, psychiatry, counseling, and nursing."--Bruce A. Thyer, PhD, LCSW, School of Social Work, Florida State University

"This book is a boon for the practicing clinician as well as the graduate student beginning psychotherapy training or taking a course in behavioral assessment. Step by step, Woody et al. coach the reader in the use of an empirically oriented but idiographic approach to psychotherapy. Readers interested in problem-oriented psychotherapy, regardless of their specific theoretical orientation, will find much of value in this user-friendly work replete with examples of the complex cases encountered in real practice."--Dianne L. Chambless, PhD, Department of Psychology, University of North Carolina at Chapel Hill

"Woody et al. have provided a highly useful guide for clinicians of all levels of experience, regardless of theoretical orientation. The PACC model provides general strategies and concrete plans for tailoring treatment to each patient. Clinicians will find specific ideas on planning the different phases of treatment, harnessing client motivation, and overcoming pitfalls, as well as tools for assessment and progress evaluation. The Appendix includes a full range of widely studied self-report instruments that will prove invaluable."--Robert L. Leahy, PhD, Department of Psychiatry, Weill-Cornell University Medical College; Director, American Institute for Cognitive Therapy

The PACC Approach to Treatment Planningp. 1
PACC: Going beyond Randomized Clinical Trialsp. 4
PACC: Enhancing Accountabilityp. 6
Guiding Principles of Our Approachp. 7
Overview of the Modelp. 8
What Are the Benefits of the PACC Approach?p. 9
What the PACC Approach Is Notp. 16
Time and Costp. 19
Developing a Problem Listp. 21
Why Formalize the Problem List?p. 22
Domains of Functioning: A Biopsychosocial Perspectivep. 25
An Outline for Biopsychosocial Assessmentp. 34
Case Formulation and the Problem Listp. 40
Prioritizing Problemsp. 45
Reexamining the Problem Listp. 48
Shortcuts for the Busy Clinicianp. 53
Treatment Planning Using a Phase Approachp. 54
From Problem Identification to Problem Solvingp. 55
Treatment Planning as the Therapist's Mapp. 55
Treatment Phasesp. 58
Effectiveness of Phase Models of Psychotherapyp. 63
Phases in the PACC Approachp. 64
Outlining Expectations for Progress within Phasesp. 65
Treatment Aimsp. 66
Treatment Strategiesp. 71
Choosing Aims and Strategies: Case Examplep. 74
Challenges in Implementing the Treatment Planp. 75
Shortcuts for the Busy Clinicianp. 81
Ongoing Measurementp. 84
Benefits of Ongoing Measurementp. 85
Obstacles to Routine Measurementp. 88
Completing the Measures Section of the Treatment Phase Formp. 90
Establishing a Measurement Planp. 96
Case Study: Group Treatment for Social Phobiap. 110
Shortcuts for the Busy Clinicianp. 113
Illustrating Progress through Graphingp. 118
Why Graph?: Rationale for Visual Inspection of the Datap. 119
Creating Graphsp. 123
Graphing Progress with Microsoft Excelp. 129
Reviewing Progress and Moving across Phasesp. 136
Case Examplep. 138
Research Implicationsp. 144
Shortcuts for the Busy Clinicianp. 145
Review of Progressp. 146
Strategies for Implementing a Progress Reviewp. 147
Cultural Considerations in Conducting the Progress Reviewp. 152
Conducting Progress Reviews with Clients with Personality Disordersp. 153
Readiness to Change and the Progress Reviewp. 155
Reasons to Move to a New Treatment Phasep. 156
Seeking Consultation to Improve Treatment Deliveryp. 159
When a Lapse Has Occurredp. 164
Case Examplep. 165
Troubleshooting: Anticipating Barriers to Conducting Progress Reviewsp. 166
Conclusionsp. 168
Shortcuts for the Busy Clinicianp. 169
Iterative Treatment Planning and Its Applicationsp. 171
The Decision Treep. 171
Case Study: Using the Decision Treep. 175
Ethical Implications of Using PACCp. 188
Applications of PACCp. 191
Final Commentsp. 198
Measures for Tracking Clients' Progressp. 201
Overviewp. 203
Description of the Measuresp. 203
Brief Psychiatric Rating Scalep. 208
Bulimia Test--Revisedp. 210
Center for Epidemiologic Studies--Depression Scale (CES-D)p. 217
Daily Spiritual Experiences Scalep. 218
Kansas Marital Satisfaction Scalep. 219
Psychotic Symptoms Rating Scalesp. 220
Rosenberg Self-Esteem Scalep. 224
Yale-Brown Obsessive Compulsive Scale (Y-BOCS)p. 225
Sources for Other Measuresp. 230
Referencesp. 233
Indexp. 243
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9781593851026
ISBN-10: 1593851022
Audience: General
Format: Paperback
Language: English
Number Of Pages: 251
Published: 11th August 2004
Country of Publication: US
Dimensions (cm): 22.9 x 15.2  x 1.91
Weight (kg): 0.38

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