ECPY 621 – Class 2

1. ECPY 621 – Class 2 CPT, Case Conceptualization, and Treatment Planning

2. Overview • Pass out CD’s • Review last week • CPT coding • Activity – Video • Case Conceptualization • Measurable Goals • Activity

3. 90801 90802 90804-90809 90810-90815 90816-90822 90823-90829 90845 – 90847 90857 90882 90885 90887 Testing 96100 – 96117 CPT coding

4. CPT coding cont’ • Forms – Appendix E • RUV’s – Appendix F • HIPPA – Appendix H

5. Activity • Review --What Dx from lyrics? • What additional from video?

7. Do a Client Map - Seligman • Diagnosis • Objectives of Tx • Assessments • Clinician characteristics • Location of Tx • Interventions to be used* • Emphasis of Tx*

8. Do a Client Map • Number • Timing • Mediations needed • Adjunct services • Prognosis

9. Interventions – Elements of • Maintaining positive therapeutic alliance • Providing support • Providing information/education • Reducing painful feelings • Decreasing specific maladaptive behaviors • Modifying specific misperceptions • Helping put concerns in context

10. Emphasis • Insight vs. action • Directive vs. vocative • Systemic vs. client centered • Group vs. individual • Short vs. long term • Planned vs. spontaneous • With vs. without homework

11. Psychotherapeutic Approaches • Psychoanalysis • Psychodynamic • Behavior Therapy • Cognitive Therapy • No Treatment

12. Jongsma • Steps – choose problem, choose LT goal, choose short term goals • Quantitative Treatment Plan (p 13) • Areas of concern • Customize • Use as guide • Dx first • MAKE MEASUREABLE

13. Case Conceptualization 1. Identifying data: age, sex, race, marital/family status, school and/or job status, living situation, etc. 2. Presenting problem: client's words and from counselor's point of view; prioritize problems 3. History of presenting problem: duration of presenting problem; precipitating events for seeking counseling, (sudden or insidious), previous problem solving and resources used

14. Case Conceptualization 4. Previous counseling or help seeking: attitudes about that, results 5. Medical concerns: illnesses/ problems; medications 6. Alcohol and drug use 7. Social history physical, social, emotional, spiritual; support systems 8. Family history: past and present relationship with family, problems an strengths of family

15. Case Conceptualization 9. Mental status: • affect: appropriate, blunted, constricted • judgment: intact, impaired • oriented or disoriented • thought process: intact, flight of ideas • mood: anxious, depressed • memory: intact, impaired • speech‑ normal, loud, soft, pressured • suicidal or homicidal ideation • attitude: cooperative, angry

16. Case Conceptualization 10. Symptomatology: frequency, duration, intensity of symptoms: Depression as evidenced by _________________ Anxiety as evidenced by ___________________ Stress as evidenced by _____________________ 11. a) Impairment in functioning: school, social relations, family, job b) Current functioning as compared to past year

17. Case Conceptualization 12. Strengths, assets: 13. Counseling goals: Long and Short Term (Measurable) 14. Counseling techniques, strategies, interventions

18. ?’s determining ‘Measurable’ • Measurable Long term and Short Term Goals • Who will measure? • What is the goal? • Where is the behavior now? • When will we measure? • How will we measure?

19. Activity • TWISTED SISTER