| |
| |
| |
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 | |
| |
| |
| |
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 | |
| |
| |
| |
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 | |
| |
| |
| |
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 | |
| |
| |
| |
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 | |
| |
| |
| |
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 | |
| |
| |
Conclusions | |
| |
| |
Shortcuts for the Busy Clinician | |
| |
| |
| |
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 | |
| |
| |
| |
Measures for Tracking Clients' Progress | |
| |
| |
Overview | |
| |
| |
Description of the Measures | |
| |
| |
Brief Psychiatric Rating Scale | |
| |
| |
Bulimia Test--Revised | |
| |
| |
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 | |
| |
| |
References | |
| |
| |
Index | |