Psychological Diagnoscs and Quality Management (MSc Alexandra Faessler)

1. Psychological Diagnos.cs Quality Management M. Sc. Alexandra Faessler

2. University Psychiatric Clincs Basel Ambulatory (CBT)

3. Why do we do diagnos.cs? +pro -‐contra à Evidence based prac.ce in psychology à Empirically supported treatments

4. Sam

5. Procedure Start of therapy End of therapy Pre assessment: -‐Case history ques.onnarie -‐Screening SKID II -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI -‐CTQ Post assessment: -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI Quality assessment GAS = Goal aRainment scale + Protocol aTer each session + Speciﬁc ques.onnaires + Speciﬁc ques.onnaires

6. Procedure Start of therapy End of therapy Pre assessment: -‐Case history ques.onnarie -‐DIPS -‐Screening SKID II -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI -‐CTQ Post assessment: -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI Quality assessment GAS = Goal aRainment scale + Protocol aTer each session + Speciﬁc ques.onnaires + Speciﬁc ques.onnaires

7. Case history ques.onnaire

9. Diagnos.cs

10. Diagnosis: Screenings •  DIPS= Diagnos.c Interview for mental disorders Margraf, Schneider & Suppiger, 2005 – Social Phobia (ICD-‐10 F40.1) – Dysthymia (ICD-‐10 F34.1) – Not passed Exams (ICD-‐10 Z55.2) •  SKID II (Structured clinical interview for DSM-‐IV) – No ﬁndings Fydrich et al., 1997

12. BSCL = Brief Symptom Checklist Franke, G. H. (2015). BSCL-‐53®-‐S. Brief Symptom-‐Checklist–Standard–German Manual.

13. 20 25 30 35 40 45 50 55 60 65 70 75 80 Auswertungsproﬁl BSCL Eintri9 T-‐Wert

14. Depression

16. BDI II Becks Depression Inventory

17. Result BDI II -‐ Depression

19. More ques.onnaires… •  BAI = Becks Anxiety Inventory (Beck et al., 1988) •  PSQI = The PiNsburgh Sleep Quality Index (PSQI) (Riemann & Backhaus, 1996) •  CTQ = Childhood Trauma QuesRonnaire (Wingenfeld & Spitzer 2010) •  Speciﬁc ques.onnaires –  SIAS = Social interacRon anxiety quesRonnaire –  SPS = Social phobia quesRonnaire (Kupper & Denolet 2012) ...

20. Speciﬁc ques.onnaires

21. Pre-‐ assessment results: Outcome

23. Protocol aTer each session •  Including: – Important events – What happened in the therapy session – Homework – Thoughts for next session

25. Quality assessment •  Self-‐report ques.onnaire •  Therapy session 15, 30, 45,… last •  Measured on a 1 (very unsa.sﬁed) to 6 (very sa.sﬁed) scale Sa.sfac.on with… -  Registra.on -  Care of therapist -  Competencies of the therapist -  Free choice in therapy -  Result of the therapy at the current moment

26. Quality assessment Quality –  Diagnos.cs and procedure –  Background and treatment possibili.es –  Therapy process –  Steps helped me to get beRer –  Most important issues were topic –  Daily life

27. Quality assessment Open ques.ons: – Posi.ve… – What you could do beRer… – Most important…

28. What do we do with it? •  Discuss with supervisor •  Collect data (Acess) for quality management

29. Goalsekng Folie 29 Single and small steps Subgoal Subgoal Subgoal Subgoal Therapy goal Start EVALUATION

30. SMART goals S = Speciﬁc ac.ons M = Meaningful A = ARainable R = Resources T = Time Kiresuk, T. J., Smith, A., & Cardillo, J. E. (2014). Goal aRainment scaling: Applica.ons, theory, and measurement. Psychology Press.

31. Measuring Goals Goal aRainmant scale (GAS) •  Pa.ent and therapist decide together about the goal •  Define SMART goals •  Define how the goal might get beRer or worse •  Define .me to reach the goal Kiresuk, T. J., Smith, A., & Cardillo, J. E. (2014). Goal aRainment scaling: Applica.ons, theory, and measurement. Psychology Press.

32. GAS Points Percentage Wording +2 90–100 % most favorable outcome +1 75–89 % greater than expected outcome 0 50–74 % expected outcome -‐1 25–49 % less than expected outcome -‐2 Under 25 % most unfavorable outcome Kiresuk, T. J., Smith, A., & Cardillo, J. E. (2014). Goal aRainment scaling: Applica.ons, theory, and measurement. Psychology Press.

33. How about this goals? «I don’t want to feel fear any more» «I want to loose 2 kg in the next 3 months» «I just want to be happy» «I want to know, who I am» «In 6 months, I want to ﬂy to Basel to visit Alexandra» «In 1 month I would like just to wash my hands 6 .mes a day» Kiresuk, T. J., Smith, A., & Cardillo, J. E. (2014). Goal aRainment scaling: Applica.ons, theory, and measurement. Psychology Press.

34. Other methods: Metaphors Kanfer et al. (1996) pp. 442-‐446)

36. Post-‐ assessment results

Psychological Diagnoscs and Quality Management (MSc Alexandra Faessler)

Recommended

Recommended

More Related Content

Similar to Psychological Diagnoscs and Quality Management (MSc Alexandra Faessler)

Similar to Psychological Diagnoscs and Quality Management (MSc Alexandra Faessler) (20)

More from ipz

More from ipz (18)

Recently uploaded

Recently uploaded (20)

Psychological Diagnoscs and Quality Management (MSc Alexandra Faessler)