Description
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.
Chapter
CHAPTER 1. The PACC Approach to Treatment Planning
PACC: Going beyond Randomized Clinical Trials
PACC: Enhancing Accountability
Guiding Principles of Our Approach
What Are the Benefits of the PACC Approach?
What the PACC Approach Is Not
CHAPTER 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
Reexamining the Problem List
Shortcuts for the Busy Clinician
CHAPTER 3. Treatment Planning Using a Phase Approach
From Problem Identification to Problem Solving
Treatment Planning as the Therapist’s Map
Effectiveness of Phase Models of Psychotherapy
Phases in the PACC Approach
Outlining Expectations for Progress within Phases
Choosing Aims and Strategies: Case Example
Challenges in Implementing the Treatment Plan
Shortcuts for the Busy Clinician
CHAPTER 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
CHAPTER 5. Illustrating Progress through Graphing
Why Graph?: Rationale for Visual Inspection of the Data
Graphing Progress with Microsoft Excel
Reviewing Progress and Moving across Phases
Shortcuts for the Busy Clinician
CHAPTER 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
Troubleshooting: Anticipating Barriers to Conducting Progress Reviews
Shortcuts for the Busy Clinician
CHAPTER 7. Iterative Treatment Planning and Its Applications
Case Study: Using the Decision Tree
Ethical Implications of Using PACC
APPENDIX. Measures for Tracking Clients’ Progress
Description of the Measures
Brief Psychiatric Rating Scale
Center for Epidemiologic 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
Treatment Planning in Psychotherapy
：Taking the Guesswork Out of Clinical Care
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