Treatment Planning in Psychotherapy: Taking the Guesswork Out of Clinical Care / Edition 1

by Sheila R. Woody

Overview

This essential book is designed to help clinicians of any theoretical orientation meet the challenges of evidence-based practice. Presented is an innovative treatment planning method known as PACC (Planning and Assessment in Clinical Care). The PACC system emphasizes setting clear goals in therapy and tracking progress over the course of treatment, independent of the specific interventions used. It comprises tools and strategies for identifying and prioritizing client problems, designing a flexible treatment and assessment plan, and selecting appropriate measures. A wealth of case examples illustrate how using PACC as an organizing framework can enhance the accountability and efficiency of clinical work while making reporting tasks easier. Special features include flowcharts to guide decision making, sample assessment tools and client forms, and instructions for graphing client progress.

Product Details

ISBN-13:	2901593851025
Publisher:	Guilford Publications, Inc.
Publication date:	08/11/2004
Edition description:	New Edition
Pages:	251
Product dimensions:	6.00(w) x 1.25(h) x 9.00(d)

About the Author

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

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