Prn paper protocol_2.2.2011

TM c Bill Andrews 2010Wednesday, 2 February 2011 1This presentation explains how to manage data in paper format for later entry to CORE Net.This represents the most basic methodology to record progress in treatment.

Paper Protocol TM c Bill Andrews 2010Wednesday, 2 February 2011 1This presentation explains how to manage data in paper format for later entry to CORE Net.This represents the most basic methodology to record progress in treatment.

The FormsWednesday, 2 February 2011 2There are a variety of forms that a service provider may ﬁnd beneﬁcial to use.

The Forms (contextual data)Wednesday, 2 February 2011 3It is very important to capture a minimum amount of contextual data about the service user.This is represented by the forms, Therapy Assessment Form and End of Therapy Form

Paper Analogue of On-line CORE NetWednesday, 2 February 2011 4SITE ID is the name of the service the service provider is working in.The Site Speciﬁc Sub-Codes are where TOTAL scores from whatever measures chosen areentered. As can be seen, up to 6 different measures may be used.

Wednesday, 2 February 2011 5Capturing data about relationship support, medication and brief description of reason forreferral is critically important.

Keep in brief: e.g. Anxiety & loss of conﬁdence following relationship breakupWednesday, 2 February 2011 5Capturing data about relationship support, medication and brief description of reason forreferral is critically important.

Wednesday, 2 February 2011 6It is very important to capture BOTH severity AND duration of identiﬁed problems/concerns.

3Wednesday, 2 February 2011 6It is very important to capture BOTH severity AND duration of identiﬁed problems/concerns.

3 xWednesday, 2 February 2011 6It is very important to capture BOTH severity AND duration of identiﬁed problems/concerns.

Wednesday, 2 February 2011 7Similarly, on the End of Therapy Form, critical dates and ﬁnal TOTAL scores of whateveroutcome measures used are captured.

Pragmatic PreparationWednesday, 2 February 2011 8Prepare by making sure you have correct paperwork available.Decide which measures you will use.It is STRONGLY RECOMMENDED BEST PRACTICE to use measures at every session so that one

Pragmatic Preparation • PreparationWednesday, 2 February 2011 8Prepare by making sure you have correct paperwork available.Decide which measures you will use.It is STRONGLY RECOMMENDED BEST PRACTICE to use measures at every session so that one

Pragmatic Preparation • Preparation • Choice of measuresWednesday, 2 February 2011 8Prepare by making sure you have correct paperwork available.Decide which measures you will use.It is STRONGLY RECOMMENDED BEST PRACTICE to use measures at every session so that one

Pragmatic Preparation • Preparation • Choice of measures • Sessional or start and end?Wednesday, 2 February 2011 8Prepare by making sure you have correct paperwork available.Decide which measures you will use.It is STRONGLY RECOMMENDED BEST PRACTICE to use measures at every session so that one

ExampleWednesday, 2 February 2011 9

Example • Joan Doe decides to use CORE-10 at beginning and end of treatmentWednesday, 2 February 2011 9

Example • Joan Doe decides to use CORE-10 at beginning and end of treatment • Joan will need 1 Therapy Assessment/End of Therapy form (2 sided)Wednesday, 2 February 2011 9

Example • Joan Doe decides to use CORE-10 at beginning and end of treatment • Joan will need 1 Therapy Assessment/End of Therapy form (2 sided) • Joan will need 2 CORE-10 measures, 1 for start and 1 for end of treatmentWednesday, 2 February 2011 9

Wednesday, 2 February 2011 10

Client ﬁlls in the measures at start of treatmentWednesday, 2 February 2011 11

Client ﬁlls in the measures at start of treatment • Joan looks at the answers and scores the measuresWednesday, 2 February 2011 11

Client ﬁlls in the measures at start of treatment • Joan looks at the answers and scores the measures • Joan discusses any matters arising from the answers with the clientWednesday, 2 February 2011 11

Client ﬁlls in the measures at start of treatment • Joan looks at the answers and scores the measures • Joan discusses any matters arising from the answers with the client • Joan ﬁlls in the Therapy Assessment Form and the TOTAL CORE-10 scoreWednesday, 2 February 2011 11

x x x x x x x x x xWednesday, 2 February 2011 12The service user ﬁlls in the chosen outcome measures at the start of sessions. The serviceprovider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x 2 x x x x x x x x xWednesday, 2 February 2011 12The service user ﬁlls in the chosen outcome measures at the start of sessions. The serviceprovider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x 2 x 3 x x x x x x x xWednesday, 2 February 2011 12The service user ﬁlls in the chosen outcome measures at the start of sessions. The serviceprovider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x 2 x 3 x 2 x x x x x x xWednesday, 2 February 2011 12The service user ﬁlls in the chosen outcome measures at the start of sessions. The serviceprovider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x 2 x 3 x 2 x 2 x x x x x xWednesday, 2 February 2011 12The service user ﬁlls in the chosen outcome measures at the start of sessions. The serviceprovider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x 2 x 3 x 2 x 2 x 0 x x x x xWednesday, 2 February 2011 12The service user ﬁlls in the chosen outcome measures at the start of sessions. The serviceprovider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x 2 x 3 x 2 x 2 x 0 x 0 x x x xWednesday, 2 February 2011 12The service user ﬁlls in the chosen outcome measures at the start of sessions. The serviceprovider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x 2 x 3 x 2 x 2 x 0 x 0 0 x x x xWednesday, 2 February 2011 12The service user ﬁlls in the chosen outcome measures at the start of sessions. The serviceprovider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x 2 x 3 x 2 x 2 x 0 x 0 0 x 3 x x xWednesday, 2 February 2011 12The service user ﬁlls in the chosen outcome measures at the start of sessions. The serviceprovider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x 2 x 3 x 2 x 2 x 0 x 0 0 x 3 x 1 x xWednesday, 2 February 2011 12The service user ﬁlls in the chosen outcome measures at the start of sessions. The serviceprovider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x 2 x 3 x 2 x 2 x 0 x 0 0 x 3 x 1 x 2 xWednesday, 2 February 2011 12The service user ﬁlls in the chosen outcome measures at the start of sessions. The serviceprovider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x 2 x 3 x 2 x 2 x 0 x 0 0 x 3 x 1 x 2 x 2Wednesday, 2 February 2011 12The service user ﬁlls in the chosen outcome measures at the start of sessions. The serviceprovider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x 2 x 3 x 2 x 2 x 0 x 0 0 x 3 x 1 x 2 x 2 17Wednesday, 2 February 2011 12The service user ﬁlls in the chosen outcome measures at the start of sessions. The serviceprovider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x 2 x 3 x 2 x 2 x 0 x 0 0 x 3 x 1 x 2 x 2 17 0Wednesday, 2 February 2011 12The service user ﬁlls in the chosen outcome measures at the start of sessions. The serviceprovider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

Practice Joan Doe 1/1/2011 Jane Smith 48 Part time self white british 18/12/2010 1/1/2011Wednesday, 2 February 2011 13The score is written in the appropriate box on the Therapy Assessment Form.

Practice Joan Doe 1/1/2011 Jane Smith 48 Part time x self white british 18/12/2010 1/1/2011Wednesday, 2 February 2011 13The score is written in the appropriate box on the Therapy Assessment Form.

Practice Joan Doe 1/1/2011 Jane Smith 48 Part time x self white british 17 18/12/2010 1/1/2011Wednesday, 2 February 2011 13The score is written in the appropriate box on the Therapy Assessment Form.

Client ﬁlls in a CORE-10 at last sessionWednesday, 2 February 2011 14

Client ﬁlls in a CORE-10 at last session • Joan scores the measure in exactly the same wayWednesday, 2 February 2011 14

Client ﬁlls in a CORE-10 at last session • Joan scores the measure in exactly the same way • Joan enters the ﬁnal total score on the End of Therapy FormWednesday, 2 February 2011 14

x 1 x 2 x 1 x 0 x 0 x 0 0 x 1 x 1 x 1 x 0Wednesday, 2 February 2011 15

x 1 x 2 x 1 x 0 x 0 x 0 0 x 1 x 1 x 1 x 0 7Wednesday, 2 February 2011 15

x 1 x 2 x 1 x 0 x 0 x 0 0 x 1 x 1 x 1 x 0 7 0Wednesday, 2 February 2011 15

Client fills in a CORE-10 at last session • Joan enters the final total score on the End of Therapy Form 1/1/2011 1/2/2011 4 0Wednesday, 2 February 2011 16The TOTAL score from the LAST measure used is entered on the End of Therapy Form.In cases of unplanned endings the last available measure becomes the final score. This is whyis is best to ALWAYS measure at EVERY session.

Client fills in a CORE-10 at last session • Joan enters the final total score on the End of Therapy Form 1/1/2011 1/2/2011 4 0 xWednesday, 2 February 2011 16The TOTAL score from the LAST measure used is entered on the End of Therapy Form.In cases of unplanned endings the last available measure becomes the final score. This is whyis is best to ALWAYS measure at EVERY session.

Client fills in a CORE-10 at last session • Joan enters the final total score on the End of Therapy Form 1/1/2011 1/2/2011 4 0 7 xWednesday, 2 February 2011 16The TOTAL score from the LAST measure used is entered on the End of Therapy Form.In cases of unplanned endings the last available measure becomes the final score. This is whyis is best to ALWAYS measure at EVERY session.

SummaryWednesday, 2 February 2011 17

Summary • ALWAYS fully ﬁll in a Therapy Assessment Form and End of Therapy Form for every client INCLUDING CASES THAT DROP OUTWednesday, 2 February 2011 17

Summary • ALWAYS fully ﬁll in a Therapy Assessment Form and End of Therapy Form for every client INCLUDING CASES THAT DROP OUT • BEST PRACTICE to measure with at least 1 measure every session (e.g. CORE-10) in case client drops out prematurelyWednesday, 2 February 2011 17

Summary • ALWAYS fully ﬁll in a Therapy Assessment Form and End of Therapy Form for every client INCLUDING CASES THAT DROP OUT • BEST PRACTICE to measure with at least 1 measure every session (e.g. CORE-10) in case client drops out prematurely • AT A VERY MINIMUM Use at least 1 measure at start and end of treatmentWednesday, 2 February 2011 17

Summary • ALWAYS fully ﬁll in a Therapy Assessment Form and End of Therapy Form for every client INCLUDING CASES THAT DROP OUT • BEST PRACTICE to measure with at least 1 measure every session (e.g. CORE-10) in case client drops out prematurely • AT A VERY MINIMUM Use at least 1 measure at start and end of treatment • It is ONLY the TOTAL scores from the FIRST and FINAL sessions that are scored on the forms, ready for entry into CORE NetWednesday, 2 February 2011 17

Summary • ALWAYS fully ﬁll in a Therapy Assessment Form and End of Therapy Form for every client INCLUDING CASES THAT DROP OUT • BEST PRACTICE to measure with at least 1 measure every session (e.g. CORE-10) in case client drops out prematurely • AT A VERY MINIMUM Use at least 1 measure at start and end of treatment • It is ONLY the TOTAL scores from the FIRST and FINAL sessions that are scored on the forms, ready for entry into CORE Net • Regardless of how many measures you use, the scoring process is the sameWednesday, 2 February 2011 17

Pragmatic Approach Feedback protocol in Trauma TreatmentWednesday, 2 February 2011 18

The MeasuresWednesday, 2 February 2011 19

The Measures • CORE-10 is a good overall measure of distress (Score higher than 10 is in the ‘clinical’ range)Wednesday, 2 February 2011 19

The Measures • CORE-10 is a good overall measure of distress (Score higher than 10 is in the ‘clinical’ range) • IES is a good measure of the more typical trauma- speciﬁc symptoms. It covers both avoidance and intrusion.Wednesday, 2 February 2011 19

The Measures • CORE-10 is a good overall measure of distress (Score higher than 10 is in the ‘clinical’ range) • IES is a good measure of the more typical trauma- speciﬁc symptoms. It covers both avoidance and intrusion. • Use the measures at start and end of treatmentWednesday, 2 February 2011 19

The Measures • CORE-10 is a good overall measure of distress (Score higher than 10 is in the ‘clinical’ range) • IES is a good measure of the more typical trauma- speciﬁc symptoms. It covers both avoidance and intrusion. • Use the measures at start and end of treatment • You may wish to also use the CORE-10 and/or IES at each session to measure progressWednesday, 2 February 2011 19

The Measures • CORE-10 is a good overall measure of distress (Score higher than 10 is in the ‘clinical’ range) • IES is a good measure of the more typical trauma- speciﬁc symptoms. It covers both avoidance and intrusion. • Use the measures at start and end of treatment • You may wish to also use the CORE-10 and/or IES at each session to measure progress • It is ONLY the TOTAL scores from CORE-10 and IES that are transferred to the Therapy Assessment Form and End of Therapy FormWednesday, 2 February 2011 19

Data Contribution • You now have everything ready to enter your data into CORE NetWednesday, 2 February 2011 20

TM c Bill Andrews 2010Wednesday, 2 February 2011 21

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Prn paper protocol_2.2.2011

by Bill Andrews on Feb 03, 2011

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Prn paper protocol_2.2.2011 — Presentation Transcript