PSYC-528 Evidence-Based Practice, Case Conceptualization & Treatment Planning Flashcards
ADDRESSING model
“ADDRESSING” model is a framework that facilitates recognition and understanding of the complexities of individual identity.
Age Disability at birth Disability acquired Religion Ethnicity Socioeconomic status Sexual orientation Indeginous population Nation of origin Gender (Pronouns)
Adjunct treatment
one or more secondary interventions used concurrently with a primary intervention to enhance treatment effectiveness.
ex. medication may be used concurrently with cognitive behavior therapy, with CBT as the primary form of intervention
Case conceptualization/formulation
The case conceptualization (sometimes called a case formulation) is the clinician’s collective understanding of the client’s problems as viewed through a particular theoretical orientation; as defined by the biological, psychological, and social contexts of the client; and as supported by a body of research and practice that links a set of co-occurring symptoms to a diagnosis and, ultimately, a treatment plan.
A strong case conceptualization is guided by the utilization of a theoretical orientation that provides a framework for the clinician from which to condense and synthesize multiple pieces of information into a coherent and well-developed narrative.
Client factors
The client factors include the client’s level of motivation, perceptions of the therapy, commitment to the therapy framework, and integration of concepts into everyday life.
Other factors that contribute to successful therapy mentioned include: being collaborative, teaching skills and giving tangible assignments, consistency of the therapist, higher number of sessions, client’s personality, and client’s ability to feel safe.
Common factors
in psychotherapy, any of several variables that are common to various types of therapy, such as the therapeutic alliance, and that promote therapeutic success regardless of the different approaches used;
common factors can thus be contrasted with factors that are unique to a particular therapy, such as the use of interpretation. The concept of common factors is a premise underlying integrative psychotherapy.
Efficacy vs effectiveness research
Efficacy trials (explanatory trials) determine whether an intervention produces the expected result under ideal circumstances.
Effectiveness trials (pragmatic trials) measure the degree of beneficial effect under “real world” clinical settings.
Empirically Supported Treatments
Empirically supported therapies (ESTs) are behavioral health interventions that have met stringent scientific criteria:
1) at least 2 randomized controlled trials (RCT) comparing treatment to placebo and/or established treatment, a large # of single case experimental design studies, or meta-analysis;
2) well-defined treatment protocol that can be independently replicated usually following a manual;
3) independent investigators reach similar conclusions; form basis of evidence based practice
Evidence based practice
the integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences
The purpose of EBPP is to promote effective psychological practice and enhance public health by applying empirically supported principles of psychological assessment, case formulation, therapeutic relationship, and intervention.
Ex. Exposure therapy
Failure to respond
Situations in which patients do not respond to standard treatments for their disorder
Informed Consent for Treatment
the consent by a client to a proposed medical or psychotherapeutic procedure, or for participation in a research project or clinical study.
In order for the consent to be informed the client must first achieve a clear understanding of the relevant facts, risks and benefits, and available alternatives involved. Informed consent requires legal documentation in all 50 states.
The concept of informed consent originated with the recognition that individuals have rights: to freedom, autonomy and human dignity.
Clients (whether in inpatient or outpatient treatment) possess these rights and cannot be denied their rights due to mental health status or condition.
Legal Aspects: Comprehension, Capacity, and Voluntary
Practice Guidelines
APA practice guidelines provide evidence-based recommendations for the assessment and treatment of psychiatric disorders and are intended to assist in clinical decision making by presenting systematically developed patient care strategies in a standardized format.
Precipitants of the problem
Proximal factors that trigger or worsen the client’s symptoms and problems.
Precipitants can be internal—physiological symptoms that trigger a panic attack—or external—a stressful life event that triggers a depressive episode.
Primary vs. Secondary evidence
Primary: Original materials gathered in research and using first-hand accounts
Secondary: Interpretation and analysis of primary source
Problem list
An important task during the assessment phase of therapy is to identify client difficulties. The Problem List worksheet is a helpful way of gathering information about current problems and includes client and therapist versions.
Mechanisms of action
Factors which cause and maintain a client’s symptoms