Prn paper protocol_2.2.2011

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Transcript of Prn paper protocol_2.2.2011

Bill Andrews 2010c

TM

1Wednesday, 2 February 2011

This 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.

Bill Andrews 2010c

TM

Paper Protocol

1Wednesday, 2 February 2011

This 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 Forms

2Wednesday, 2 February 2011

There are a variety of forms that a service provider may find beneficial to use.

The Forms(contextual data)

3Wednesday, 2 February 2011

It 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 Net

4Wednesday, 2 February 2011

SITE 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 are entered. As can be seen, up to 6 different measures may be used.

Paper Analogue of On-line CORE Net

4Wednesday, 2 February 2011

SITE 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 are entered. As can be seen, up to 6 different measures may be used.

Paper Analogue of On-line CORE Net

4Wednesday, 2 February 2011

SITE 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 are entered. As can be seen, up to 6 different measures may be used.

Paper Analogue of On-line CORE Net

4Wednesday, 2 February 2011

SITE 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 are entered. As can be seen, up to 6 different measures may be used.

Paper Analogue of On-line CORE Net

4Wednesday, 2 February 2011

SITE 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 are entered. As can be seen, up to 6 different measures may be used.

Paper Analogue of On-line CORE Net

4Wednesday, 2 February 2011

SITE 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 are entered. As can be seen, up to 6 different measures may be used.

Paper Analogue of On-line CORE Net

4Wednesday, 2 February 2011

SITE 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 are entered. As can be seen, up to 6 different measures may be used.

Paper Analogue of On-line CORE Net

4Wednesday, 2 February 2011

SITE 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 are entered. As can be seen, up to 6 different measures may be used.

Paper Analogue of On-line CORE Net

4Wednesday, 2 February 2011

SITE 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 are entered. As can be seen, up to 6 different measures may be used.

Paper Analogue of On-line CORE Net

4Wednesday, 2 February 2011

SITE 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 are entered. As can be seen, up to 6 different measures may be used.

Paper Analogue of On-line CORE Net

4Wednesday, 2 February 2011

SITE 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 are entered. As can be seen, up to 6 different measures may be used.

Paper Analogue of On-line CORE Net

4Wednesday, 2 February 2011

SITE 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 are entered. As can be seen, up to 6 different measures may be used.

Paper Analogue of On-line CORE Net

4Wednesday, 2 February 2011

SITE 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 are entered. As can be seen, up to 6 different measures may be used.

Paper Analogue of On-line CORE Net

4Wednesday, 2 February 2011

SITE 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 are entered. As can be seen, up to 6 different measures may be used.

Paper Analogue of On-line CORE Net

4Wednesday, 2 February 2011

SITE 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 are entered. As can be seen, up to 6 different measures may be used.

5Wednesday, 2 February 2011

Capturing data about relationship support, medication and brief description of reason for referral is critically important.

5Wednesday, 2 February 2011

Capturing data about relationship support, medication and brief description of reason for referral is critically important.

5Wednesday, 2 February 2011

Capturing data about relationship support, medication and brief description of reason for referral is critically important.

5Wednesday, 2 February 2011

Capturing data about relationship support, medication and brief description of reason for referral is critically important.

5Wednesday, 2 February 2011

Capturing data about relationship support, medication and brief description of reason for referral is critically important.

Keep in brief: e.g. Anxiety & loss of confidence following relationship breakup

5Wednesday, 2 February 2011

Capturing data about relationship support, medication and brief description of reason for referral is critically important.

6Wednesday, 2 February 2011

It is very important to capture BOTH severity AND duration of identified problems/concerns.

6Wednesday, 2 February 2011

It is very important to capture BOTH severity AND duration of identified problems/concerns.

6Wednesday, 2 February 2011

It is very important to capture BOTH severity AND duration of identified problems/concerns.

6Wednesday, 2 February 2011

It is very important to capture BOTH severity AND duration of identified problems/concerns.

6Wednesday, 2 February 2011

It is very important to capture BOTH severity AND duration of identified problems/concerns.

3

6Wednesday, 2 February 2011

It is very important to capture BOTH severity AND duration of identified problems/concerns.

3 x

6Wednesday, 2 February 2011

It is very important to capture BOTH severity AND duration of identified problems/concerns.

3 x

6Wednesday, 2 February 2011

It is very important to capture BOTH severity AND duration of identified problems/concerns.

7Wednesday, 2 February 2011

Similarly, on the End of Therapy Form, critical dates and final TOTAL scores of whatever outcome measures used are captured.

7Wednesday, 2 February 2011

Similarly, on the End of Therapy Form, critical dates and final TOTAL scores of whatever outcome measures used are captured.

7Wednesday, 2 February 2011

Similarly, on the End of Therapy Form, critical dates and final TOTAL scores of whatever outcome measures used are captured.

7Wednesday, 2 February 2011

Similarly, on the End of Therapy Form, critical dates and final TOTAL scores of whatever outcome measures used are captured.

7Wednesday, 2 February 2011

Similarly, on the End of Therapy Form, critical dates and final TOTAL scores of whatever outcome measures used are captured.

7Wednesday, 2 February 2011

Similarly, on the End of Therapy Form, critical dates and final TOTAL scores of whatever outcome measures used are captured.

7Wednesday, 2 February 2011

Similarly, on the End of Therapy Form, critical dates and final TOTAL scores of whatever outcome measures used are captured.

Pragmatic Preparation

8Wednesday, 2 February 2011

Prepare 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 always has a final measure in cases of dropout.Decide on how you wish to manage RISK assessment.

Pragmatic Preparation

• Preparation

8Wednesday, 2 February 2011

Prepare 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 always has a final measure in cases of dropout.Decide on how you wish to manage RISK assessment.

Pragmatic Preparation

• Preparation

• Choice of measures

8Wednesday, 2 February 2011

Prepare 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 always has a final measure in cases of dropout.Decide on how you wish to manage RISK assessment.

Pragmatic Preparation

• Preparation

• Choice of measures

• Sessional or start and end?

8Wednesday, 2 February 2011

Prepare 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 always has a final measure in cases of dropout.Decide on how you wish to manage RISK assessment.

Example

9Wednesday, 2 February 2011

Example

• Joan Doe decides to use CORE-10 at beginning and end of treatment

9Wednesday, 2 February 2011

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)

9Wednesday, 2 February 2011

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 treatment

9Wednesday, 2 February 2011

10Wednesday, 2 February 2011

Client fills in the measures at start of treatment

11Wednesday, 2 February 2011

Client fills in the measures at start of treatment

• Joan looks at the answers and scores the measures

11Wednesday, 2 February 2011

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

11Wednesday, 2 February 2011

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 score

11Wednesday, 2 February 2011

x

x

x

x

x

x

x

x

x

x

x

12Wednesday, 2 February 2011

The service user fills in the chosen outcome measures at the start of sessions. The service provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x

x

x

x

x

x

x

x

x

x

2

x

12Wednesday, 2 February 2011

The service user fills in the chosen outcome measures at the start of sessions. The service provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x

x

x

x

x

x

x

x

x

x

2

3

x

12Wednesday, 2 February 2011

The service user fills in the chosen outcome measures at the start of sessions. The service provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x

x

x

x

x

x

x

x

x

x

2

3

2

x

12Wednesday, 2 February 2011

The service user fills in the chosen outcome measures at the start of sessions. The service provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x

x

x

x

x

x

x

x

x

x

2

3

2

2

x

12Wednesday, 2 February 2011

The service user fills in the chosen outcome measures at the start of sessions. The service provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x

x

x

x

x

x

x

x

x

x

2

3

2

2

0

x

12Wednesday, 2 February 2011

The service user fills in the chosen outcome measures at the start of sessions. The service provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x

x

x

x

x

x

x

x

x

x

2

3

2

2

0

0

x

12Wednesday, 2 February 2011

The service user fills in the chosen outcome measures at the start of sessions. The service provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x

x

x

x

x

x

x

x

x

x

2

3

2

2

0

0 0

x

12Wednesday, 2 February 2011

The service user fills in the chosen outcome measures at the start of sessions. The service provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x

x

x

x

x

x

x

x

x

x

2

3

2

2

0

0 0

x 3

12Wednesday, 2 February 2011

The service user fills in the chosen outcome measures at the start of sessions. The service provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x

x

x

x

x

x

x

x

x

x

2

3

2

2

0

0 0

x 3

1

12Wednesday, 2 February 2011

The service user fills in the chosen outcome measures at the start of sessions. The service provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x

x

x

x

x

x

x

x

x

x

2

3

2

2

0

0 0

x 3

1

2

12Wednesday, 2 February 2011

The service user fills in the chosen outcome measures at the start of sessions. The service provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x

x

x

x

x

x

x

x

x

x

2

3

2

2

0

0 0

x 3

1

2

2

12Wednesday, 2 February 2011

The service user fills in the chosen outcome measures at the start of sessions. The service provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x

x

x

x

x

x

x

x

x

x

2

3

2

2

0

0 0

x 3

1

2

2

17

12Wednesday, 2 February 2011

The service user fills in the chosen outcome measures at the start of sessions. The service provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x

x

x

x

x

x

x

x

x

x

2

3

2

2

0

0 0

x 3

1

2

2

17 0

12Wednesday, 2 February 2011

The service user fills in the chosen outcome measures at the start of sessions. The service provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

x

x

x

x

x

x

x

x

x

x

2

3

2

2

0

0 0

x 3

1

2

2

17 0

12Wednesday, 2 February 2011

The service user fills in the chosen outcome measures at the start of sessions. The service provider 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

1/1/201118/12/2010

13Wednesday, 2 February 2011

The 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

1/1/201118/12/2010

13Wednesday, 2 February 2011

The 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

1/1/201118/12/2010

13Wednesday, 2 February 2011

The 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

1/1/201118/12/2010

13Wednesday, 2 February 2011

The 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

1/1/201118/12/2010

13Wednesday, 2 February 2011

The score is written in the appropriate box on the Therapy Assessment Form.

17

Practice Joan Doe

1/1/2011 Jane Smith

48 Part time

x

self white british

1/1/201118/12/2010

13Wednesday, 2 February 2011

The score is written in the appropriate box on the Therapy Assessment Form.

Client fills in a CORE-10 at last session

14Wednesday, 2 February 2011

Client fills in a CORE-10 at last session

• Joan scores the measure in exactly the same way

14Wednesday, 2 February 2011

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 Form

14Wednesday, 2 February 2011

x

x

x

x

x

x

x

x

x

1

2

1

0

0

0 0

x 1

1

1

0

15Wednesday, 2 February 2011

x

x

x

x

x

x

x

x

x

1

2

1

0

0

0 0

x 1

1

1

0

7

15Wednesday, 2 February 2011

x

x

x

x

x

x

x

x

x

1

2

1

0

0

0 0

x 1

1

1

0

7 0

15Wednesday, 2 February 2011

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

16Wednesday, 2 February 2011

The 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 why is 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

x

16Wednesday, 2 February 2011

The 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 why is 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

x

16Wednesday, 2 February 2011

The 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 why is 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

x

16Wednesday, 2 February 2011

The 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 why is is best to ALWAYS measure at EVERY session.

Summary

17Wednesday, 2 February 2011

Summary• ALWAYS fully fill in a Therapy Assessment Form and End of

Therapy Form for every client INCLUDING CASES THAT DROP OUT

17Wednesday, 2 February 2011

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

17Wednesday, 2 February 2011

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

17Wednesday, 2 February 2011

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

17Wednesday, 2 February 2011

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 same

17Wednesday, 2 February 2011

Pragmatic ApproachFeedback protocol in Trauma Treatment

18Wednesday, 2 February 2011

The Measures

19Wednesday, 2 February 2011

The Measures

• CORE-10 is a good overall measure of distress (Score higher than 10 is in the ‘clinical’ range)

19Wednesday, 2 February 2011

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.

19Wednesday, 2 February 2011

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

19Wednesday, 2 February 2011

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

19Wednesday, 2 February 2011

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 Form

19Wednesday, 2 February 2011

Data Contribution

• You now have everything ready to enter your data into CORE Net

20Wednesday, 2 February 2011

Bill Andrews 2010c

TM

21Wednesday, 2 February 2011