prn paper protocol_2.2.2011
TRANSCRIPT
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