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Speaker 1: Welcome back everybody. Today we're going to be looking at

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E triple P and today we're going to be looking

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at outcome evaluation and treatment planning methodologies. Treatment planning begins

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with functional analysis, case conceptualization, and smart goal setting. It's

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SMA r T. We'll look at the acronym later. Outcome

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evaluation includes standardized measures, clinical self report, behavioral observation, and

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clinical judgment. Therapeutic alliance, client motivation, and therapist skill are

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strong predictors of outcome regardless of the approach. Progress is

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tracked through baseline data, session by session monitoring. Treatment readiness

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for termination depends on goal completion, symptoms, stability, and client insight.

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We'll also be looking at ethical and managed care practices

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that require measurable outcomes, evidence based interventions and documentation of progress,

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and practice based evidence integrating real world clinical data. So

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first things first, functional analysis. What is it? It's a

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systematic behavioral assessment that dissects the environmental and internal factors

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maintaining a target behavior and identifies antecedents, events preceding the behavior,

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the behavior itself, and consequences through the whole staging process,

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right to systematic case conceptualization. Refers to the clinician's integrative

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synthesis of a client's history, symptoms, personality, traits, developmental stage,

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relational patterns, and cultural context into a coherent working theory

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that explains the origins and maintenance of the presenting problem.

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Next is smart goal setting. We talked about it a

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minute ago. It stands for specific, measurable, achievable, relevant, and

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time bound. Smart goal setting is a structure for a

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framework for formula treatment objectives. For illustration, considering a client

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experiencing panic attacks and functional analysis might reveal at the

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end of secedent, there's crowded public spaces, the behavior is

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rapid breathing and avoidance, and the consequence is temporary relief

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from anxiety through escape guiding an intervention such as gradual exposure.

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The corresponding smart goal could be the client will practice

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diaphragmic breathing and progressively crowded settings for at least through

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fifteen minutes three times per week over the next four weeks,

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as measured by a self monitoring log. Good therapy doesn't

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happen by accident. Behind every meaningful session is a map

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built not just from the client's story, but from the

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science of change. THEE triple P expects you to know

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how to draw that map, follow it, and revise it

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and outcoming Evaluation isn't just about paperwork, it's how you

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know what's working when to pivot. Evidence based treatment planning

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goal is to create a plan that's individualized, measurable, and grounded.

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In research, the functional analysis is the behavioral tool that

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identifies antecedents. What happens before behavior, what exactly is the problem,

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behavior and consequences, what form reinforces or maintains it. Example

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is a teen skip school, that's the behavior after waking

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up to parents arguing that's the antecedent and is allowed

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to stay home without consequences. That's the consequence. This pattern

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guides the intervention case. Conceptualization synthesizes client history, symptoms, personality,

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and context into a working theory. It integrates diagnosis, developmental factors.

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Relational patterns can be framed through theoretical lenses like cbt's

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psychodynamic systems family. A strong conceptualization answers why is this

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happening now and what maintains it? Goal setting, smart frameworks,

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civic clear and focus. The measurable is observable or quantifiable

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achievable is realistic for clients, context relevant connected to client's

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core values of distress, and then time bound includes a

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target time frame. Instead of improved communication, A smart goal

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becomes client will use eye statements with partner doing your

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disagreements at least three times per week over the next month.

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Selecting interventions chosen based on diagnosis, client preference, empirical support

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and cultural fit reference empirically supported treatments evidence based practices.

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Treatments should reflect ongoing formulation, not just protocol. Empirically supported

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treatments or interventions that have demonstrated efficacy and control research

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studies meeting rigorous scientific criteria. Now, evidence based practice integrates

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the best available research with clinical expertise in client preferences.

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For example, for a client with major depressive disorder who

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values family involvement and cultural traditions emphasizing collectivism, a clinician

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might select behavior activation. This is an eest while adapting

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to incorporate family supported activity, scheduling and showing cultural fit,

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and all going ref formulation based on session feedback. Another

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part is outcome monitoring methods. You don't just plan your measure.

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Outcome evaluations track progress, so some standardized measures include PHQ

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nine for instance assessments, a GAT seven, the OQ forty

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five for overall functioning, administered, pre mative, post treatment or

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session by session benefits, easy to score tracks, twin track

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trends over time compare against norms. Limitations may not capture

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nuance change or context specific issues. In addition, let's see

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here we look at I lost my sorry, folks, I

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lost my place where I was discussing some of the

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techniques we were doing. So we're eest now we're back

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over here. So behavioral assessment is the other one for

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outcoming valuations. Behavioral assessment frequency, duration or intensity of target

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behaviors like panic, attacks, sleep hours, substance use often done

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via behavior logs or therapists. Observation especially help when CBT, exposure, therapy,

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or parent management. Client self report is valuable when clients

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reflect on subjective experience, quality of life, therapeutic satisfaction. You

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can use it. You can use journals, bood trackers, and

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weekly check in. Self report may fluctuate with emotional state,

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clinical judgment, therapists. Impressions based on session content, affect, engagement, insight,

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and relational shifts must be used again alongside objective data.

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Though factors that influence treatment outcome we talked about it.

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Therapeutic alliance is the strongest predictor of outcome across all modalities.

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Includes agreement on goals, task collaboration, emotional bond Ruptures should

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be dressed directly, addressed directly. Repair predicts greater long term success.

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Client variables motivation, readiness for change, psychological mindedness and incsycopacity,

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social support, co recurring disorders, substance use and trauma history.

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Therapists variables empathy, authenticity and flexibility, cultural humility, adherence. The

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treatment model tracking progress and making adjustments. Treatment isn't static,

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it evolves. Therapists must monitor progress towards goals and adjust

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techniques accordingly. Trates use for tracking use a treatment progress

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note template, tie to smart goals, readminister measures like PHQ

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nine or the GAD seven reviewed goal attainment state. Galing

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is the client closer to their own definition of success,

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went to a just treatment plateau in progress, use, symptoms, emerge,

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goals no longer feel relevant, client resistance, life events, shift priorities,

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and some of the intervention adjustments might include switching where

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to modalities, tightening focus, or different skills. The therapeutic alliance

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is the collaborative relationship between therapists and client, encompassing bond

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agreement on goals agreement on tasks. Meta analytic research consistently

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identifies it as one of the most robust predictors of

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positive outcomes. Cultural humility evolves a lifelong commitment of self

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reflection openness to the client's cultural world view. For instance,

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the therapist notices a plateau and client's anxiety reduction after

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six sessions using clinical judgment alongside behavioral logs showing persistent avoidance,

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the therapist identifies a recent life event, job loss, shifting priorities.

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Treatment is adjusted by incorporating solving skills from CBT and

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scheduling a booster session. Focus on relapse prevention, readiness retermination.

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Termination is about the absence of symptoms, its about sufficiency

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of change and readiness to maintain gains. Indicators of readiness

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include client has met the key treatment goals, increased use

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of coping strategies outside greater autonomy, insider relational functioning, symptoms

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stable for a certain for sustained period, client can reflect

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on growth and anticipate few future challenges. Therapists should plan

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for termination, collaboratively, allow reflection on the process, ethical and

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systemic considerations. APA Ethics Code ten point zero one. Treatment

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must be planned collaboratively and based on best available evidence.

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Inform consent includes goals, methods and alternatives. Outcome valuation insurreans

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we're doing no harm in delivering beneficial care. Manage care

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and documentation and sure as require measurable goals. Progress tracking

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and justification for continued treatment must document medical necessity using

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functional impairment and diagnosis. Failure to demonstrate progress can lead

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to denial coverage. Empirically supported treatments must be used appropriately,

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not rigidly. Adaptations must be clinically justified and culturally responsive.

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Practice based evidence collecting and analyzing your own outcome data

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in real time support continuous improvement, Therapist accountability and contact

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specific insight. Treatment planning transcends mere documentation. So that's it

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for now, folks. Hopefully you enjoyed the podcast and we

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will catch you next time.