What is the magic number of treatment intensity?
In this guide the ideal "magic number" of treatment intensity is described as an analysis of multiple variables, such as intensity of treatment goals, client needs & severity of deficits, and client response to treatment. A range of 10-25 hours/week for focused treatment and 30-40 hours/week for comprehensive treatment is recommended.
What is the counseling intake process?
The purpose of the counseling intake process is to get an overarching picture of the client’s concerns. Then you can define the focus for the first appointment. Intake questions should address the problems the client is experiencing and gather any relevant background information.
What does “it looks like treatment at this intensity works well” mean?
All it means is—“Hey! It looks like treatment at this intensity works well…” And sometimes that intensity is based upon years of other studies (which you may be able to compare to one another, in order to make better decisions about treatment intensity).
Is infrequent or frequent therapy more effective?
Justice states, “Both theory and evidence suggest that spaced, infrequent treatment sessions can be as effective as more frequent treatment sessions if the infrequent sessions contain a high level of dose, representing children’s exposure to the presumed active ingredient of therapy.”
What is treatment intensity?
Treatment intensity, also described as treatment strength, is an elusive construct within the fields of education and social sciences (e.g., Warren et al. 2007). Yet, in the medical community, prescribing interventions according to strength and determining the therapeutic range are standard operating procedures.
How do you maximize a therapy session?
How therapy works1) Think about what you want to get out of therapy. ... 2) Make a short list of therapists you're interested in.3) Schedule consultations. ... 4) Go to your first appointment with an open mind. ... 5) Talk about your next session. ... 6) Be prepared for your next session. ... 7) Keep the dialogue open.
What are the stages of treatment in counseling?
Developed from the Trans-theoretical Model of Change1, the Stage of Change model includes five stages: pre-contemplation, contemplation, preparation, action, and maintenance.
How do you measure effectiveness of therapy?
MEASURES OF PSYCHOTHERAPEUTIC OUTCOMES Developing a technology for meas- uring outcomes is the first step in determining psychotherapy's efficacy. It involves decisions about what variables are important to assess, as well as the development of measurement tech- niques that can be used in actual treatment set- tings.
What should I focus on in therapy?
10 ideas to consider when at a loss for words in therapy1) Recent events. Many people find it helpful to talk about daily problems with a therapist. ... 2) Coping skills. ... 3) Relationship issues. ... 4) Things that cause you anxiety. ... 5) Mood changes. ... 6) Traumatic or stressful events. ... 7) Childhood memories. ... 8) Life patterns.More items...•
What is the most significant stage of counseling?
There are five major stages that we will look at today:Stage 1: Initial disclosure.Stage 2: In-depth exploration.Stage 3: Commitment to action.Stage 4: Counseling intervention.Stage 5: Evaluation, termination, or referral.
What are the four stages of treatment?
Various models exist describing the overall phases of treatment, but most have elements in common. The National Institute on Drug Abuse (NIDA) describes four stages of treatment: initiation, early abstinence, maintenance of abstinence, and advanced recovery.
What are the 5 stages of the counseling process?
The Stages of the Counseling ProcessStage one: (Initial disclosure) Relationship building. ... Stage two: (In-depth exploration) Problem assessment. ... Stage three: (Commitment to action) Goal setting. ... Stage four: Counseling intervention. ... Stage five: Evaluation, termination, or referral. ... Key steps for the client.More items...•
Why Should progress be measured in Counselling?
Tracking their progress allows you to know if both of your resources are being spent effectively — or if they're better off trying something (or someone) else. There are a wide variety of approaches to improve a person's behavioral and mental health, and not all of them will be a good fit for your patient.
How many hours of therapy do I need for my BCBA?
In other words, your insurance provider may approve 10 hours of therapy/month, but the BCBA may tell you at least 15 hours/week will be necessary. What I see happen very often, is that the families I work with receive the therapy amount they can afford and not the the therapy amount that is needed . I know this question of "How much therapy does my ...
Is ABA therapy high or low?
It is typical that the intensity of ABA begins very high, and then is carefully reduced over time until services are no longer necessary. If therapy services will be fading soon, or the client needs focused/short term help, then a lower intensity of therapy may be fine.
What is the purpose of counseling intake?
The purpose of the counseling intake process is to get an overarching picture of the client’s concerns. Then you can define the focus for the first appointment. Intake questions should address the problems the client is experiencing and gather any relevant background information. Remember that you can always collect more information ...
What are the concerns of a counselor?
It’s helpful to focus on the most notable concerns in the intake process: 1 Medical history 2 Counseling treatment history 3 Symptoms 4 Safety/suicide risk 5 Previous trauma 6 Immediate presenting concerns
What is HIPAA for therapists?
That means you need to make sure you follow privacy and security regulations to protect your client’s information. Neither you nor any members of your team can disclose intake forms, appointment notes, and any other communication without the patient’s knowledge or consent.
What is the intake process?
The intake process is a critical step toward forming a solid relationship between a therapist and client. Meeting with a client for the first time is an opportunity to learn about the person, their problems, and their goals. While intake and assessment for counseling is an administrative step before the real work begins, ...
What is intake assessment?
While intake and assessment for counseling is an administrative step before the real work begins, it’s also your first chance to start building rapport with your client. If you implement your intake assessment process properly, you’ll save time on paperwork, allowing you to focus on the client’s immediate needs during the appointment.
Why is it important to know everything about a new client?
While more information is essential to establish a solid foundation for your relationship with your client, it’s better to focus on quality over quantity. The purpose of the counseling intake process is to get an overarching picture of the client’s concerns.
Why is an organized workflow important?
An organized workflow is vital for collecting the information you need to support your conversations with the client. When you create a system, you can confidently sit down in each appointment, knowing that you’re prepared for the discussion.
Background
Neurological events such as stroke or traumatic brain injury can have significant consequences for the individual and their families. Currently, levels of optimal therapy for inpatient rehabilitation in the UK are uncertain.
The study: What they did and how they did it
The researchers recruited 161 participants with various neurological diagnoses. Participants were subsequently randomized into control and intervention groups.
The results
This study found that, after adjusting for confounders, higher levels of therapy led to a non-significant reduction of 5 days length of stay was found in the experimental group. However when taking impairment mix into account, this difference increased to a significant 14 day reduction.
Strengths and weaknesses of the study
To evaluate the study systematically, the CASP RCT tool will be used as a guideline.
Conclusion
The clinical relevance of this study is unclear. Whether or not the difference between the high intensity therapy group and the control group was statistically significant depended on the type of statistical analysis the researchers used.
What is the role of timing and intensity in rehabilitation?
The role of timing and intensity of rehabilitation therapies. In both animal and clinical studies, motor rehabilitation and training increase cortical representation and improve recovery , whereas lack of training decreases cortical representation for particular motor functions.
Is there an association between rehabilitation and better outcomes?
In clinical studies, there is an association between earlier admission to rehabilitation and better outcomes that correlates with animal work both in terms of functional gains from chronic stroke deficits and cortical reorganization. There is a likely relationship between therapy intensity and improvements in functional outcomes.
What is client centered therapy?
This approach to therapy is client-centered and utilizes tools and techniques from other approaches. Any therapist can integrate techniques from another modality. Patients are individuals and may respond to treatment in individual ways, hence the need to shift techniques to serve clients well.
What is behavioral therapy?
It works from the belief that behavior is learned and that it can be modified through interventions with a therapist.
What is humanistic therapy?
The overall motivation is for patients to achieve self-actualization through a personal approach to that height.
What is the best therapy for depression?
Psychopharmacology Therapy. Psychopharmacology therapy is the utilization of medicine to treat psychological dysfunction. It is commonly used to treat depression, anxiety, attention difficulties, and many more psychological problems. This approach works best in combination with another form of psychotherapy.
What is guided hypnosis?
This can be used in conjunction with other forms of therapy to treat many forms of habitual behavioral dysfunction. Anxiety, substance misuse, phobias, and sexual dysfunction are a few examples of the spontaneous behaviors that can be treated with hypnotherapy.
What is a therapist's skill?
Therapists develop their skills to serve their patients best, using any of a multitude of techniques to reach each patient as an individual. Some of these techniques can, however, be used in your own life too. Some clients are comfortable just being heard by their therapist.
What is drama therapy?
Drama therapy is the use of theatrical techniques to promote positive mental health and foster personal development (Landy, 1994). Here’s another excellent article outlining drama therapy and the activities that go along with it.
OK, Back to Intensity! So How Much Is needed?
- It varies per what you’re working on, how you’re working on it, and who you’re working with (can’t say that enough…)
What About For Pediatric Speech Sound Disorders?
- There is no great generaldata for pediatric speech sound disorders. But here are some things we do know: Several studies have examined treatment intensity for multiple oppositions approach, specifically, and found that: 1. “a minimum does of more than 50 trials and duration of at least 30 sessions is required… to be effective” (Williams, 2012) (achievable in twice-weekly 30 minute se…
What About For Pediatric Language Disorders?
- Yes, so, unfortunately, research on treatment intensity for language and literacy is a bit all over the place… (note: grouping literacy in with language, here, because many of these studies are targeting both) You’ll find studies showing lower intensity is just fine: 1. once per week vs. three times per week didn’t matter (Ukrainetz, 2009) 2. once per week vs. five times per week didn’t m…