How do we measure the need for treatment?
Some needs assessments use publicly-available vital statistics, such as deaths due to opioid overdose, to estimate need for treatment, especially to identify trends. Two SAMHSA resources for assessing system capacity are the National Survey of Substance Abuse Treatment Services (N-SSATS) and the Treatment Episode Data Set (TEDS) (SAMHSA, 2017a).
What are appropriate methodologies for the evaluation of clinical interventions?
Appropriate methodologies may include systematized clinical case studies and clinical replication series, in which the clinical efficacy of an intervention is examined with a series of diverse patients who have a given disorder.
Why do we need to assess the quality of treatment?
On the clinical side, treatment providers need instruments with which to assess the quality of treatment provision, as well as the progress of their clients during treatment. Their motivation is the same as that among researchers: Such instruments are seen as essential elements in the effort to improve clinical care.
Why do we need treatment guidelines?
When there is sufficient information and the guidelines are done well, they can be a powerful way to help translate the current body of knowledge into actual clinical practice. Many treatment guidelines are disorder based.
Who develops treatment plans for patients?
By evaluating a client, a psychologist can determine a diagnosis and develop a treatment plan. A treatment plan helps organize this information in one neat document.
How can you determine the effectiveness of a treatment?
The randomized controlled trial (RCT) is the most reliable methodology for assessing the efficacy of treatments in medicine. In such a trial a defined group of study patients is assigned to either receive the treatment or not, or to receive different doses of the treatment, through a formal process of randomization.
How are treatment classified?
Theoretically, there are three classifications of medical treatment: Curative – to cure a patient of an illness. Palliative – to relieve symptoms from an illness. Preventative – to avoid the onset of an illness.
What factors determine the treatment plan an oncologist chooses for a particular patient?
The seven factors were their age at the time of decision, having a partner, having children, inability to work due to side-effects of the treatment, the nature of the side-effects, disease-related life expectancy and baseline QOL.
How do psychologists know if there therapy methods are successful?
The effectiveness of a particular therapeutic approach can be assessed in three ways: client testimonials, providers' perceptions, and empirical research.
How do psychologists know if their therapy methods are successful?
Psychologists use outcome research, that is, studies that assess the effectiveness of medical treatments, to determine the effectiveness of different therapies.
What is the difference between treatment and therapy?
Many people confuse these two terms or use them interchangeably. However, there's a distinction between the two. Therapy is mainly used to mean rehabilitation while treatment is used to mean cure.
What is Tx in therapy?
Tx is an abbreviation for Therapy.
What is DOTS program?
Directly observed treatment, short-course (DOTS, also known as TB-DOTS) is the name given to the tuberculosis (TB) control strategy recommended by the World Health Organization. According to WHO, "The most cost-effective way to stop the spread of TB in communities with a high incidence is by curing it.
What should a doctor consider before deciding on a treatment option?
When making any treatment decision, you should consider the risks, benefits, and supporting evidence for the treatment. In addition, you should consider if the treatment is compatible with your personal values and preferences and if it is accessible at a reasonable cost.
How is chemotherapy decided?
Your doctor determines how often you'll receive chemotherapy treatments based on what drugs you'll receive, the characteristics of your cancer and how well your body recovers after each treatment. Chemotherapy treatment schedules vary.
How do you write a treatment decision?
Tips to help you make a decisionMake a list of your options. Write down the names of the treatment options that your healthcare team recommends. ... Get information about each option. ... Think about what's important to you. ... Talk it over. ... Take some time to make your decision. ... Make your decision.
Breadcrumb
Needs Assessment Methodologies in Determining Treatment Capacity for Substance Use Disorders: Final Report
ABSTRACT
This project evaluated needs assessment methodologies for substance use disorder (SUD) treatment capacity, highlighting best practices and identifying gaps and opportunities for improvement.
ACRONYMS
The following acronyms are mentioned in this report and/or appendices.
EXECUTIVE SUMMARY
In September 2017, the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation contracted with the Human Services Research Institute to evaluate needs assessment methodologies for substance use disorder (SUD) treatment capacity.
INTRODUCTION AND BACKGROUND
In September 2017, the U.S.
CURRENT PRACTICES IN THE FIELD
In the environmental scan, we identified two types of needs assessments related to SUD treatment capacity. The first type, which we call "mandated," consists of needs assessments conducted to fulfill program requirements by federal agencies or national organizations.
OPPORTUNITIES FOR FURTHER RESEARCH AND ENHANCEMENT OF SUBSTANCE USE DISORDER NEEDS ASSESSMENT
Opportunities for improving the methodology and utility of needs assessment are discussed below. Some of these are suggested by best or exemplary practices in the field, many of which are associated with academic research studies supported with grants from federal agencies.
What is treatment guidelines?
That is, treatment guidelines are patient directed or patient focused as opposed to practitioner focused, and they tend to be condition or treatment specific (e.g., pediatric immunizations, mammography, depression).
Why are guidelines important for treatment?
Good guidelines allow for flexibility in treatment selection so as to maximize the range of choices among effective treatment alternatives.
Why are guideline panels recommended?
It is recommended that guideline panels make detailed recommendations to facilitate independent evaluation of the reliability of the guidelines they produce. Ascertaining whether the guidelines are interpreted and applied consistently by health care professionals comprises one assessment of reliability.
What is the purpose of failure to disclose scientific justification for a guideline?
Moreover, failure to disclose the scientific justification for a guideline violates a basic principle of science, which requires open scrutiny and debate. Without the disclosure of adequate scientific information, guidelines are mere expressions of opinion.
Why are guidelines promulgated?
Guidelines are promulgated to encourage high quality care. Ideally, they are not promulgated as a means of establishing the identity of a particular professional group or specialty, nor are they used to exclude certain persons from practicing in a particular area.
What factors affect outcome?
Such factors as the professional's skill, experience, gender, language, and ethnic background can affect outcome in ways that are only partly understood. Criterion 7.1 It is recommended that guidelines take into account the effect of the health care professional's training, skill, and experience on treatment outcome.
What is a treatment with proven effectiveness in one type of setting?
A treatment with proven effectiveness in one type of setting (e.g., the home, the school, day treatment, the clinic, the office, or the institution) may vary in effectiveness when it is offered in other settings. Good guidelines specify the settings in which the treatment has been documented to be effective.
What is the primary focus of psychodynamic therapy?
PSYCHODYNAMIC THERAPY - A form of depth psychology, the primary focus of which is to reveal the unconscious content of a client's psyche in an effort to alleviate psychic tension. In this way it is similar to psychoanalysis, however, psychodynamic therapy tends to be more brief and less intensive than psychoanalysis.
What is multimodal therapy?
MULTIMODAL THERAPY - A therapeutic approach that treats and changes clients' problems in one of seven modalities and the interaction between these modalities. These modalities include: behavior, affect/emotion, sensation, imagery, cognition/thought, interpersonal relationships, and drugs/biology.
What is a therapist for couples?
This therapy provides a safe place where couples can talk and work through their issues. The therapist can help the couple develop new, better, and more efficient ways of communicating and conflict resolution . The therapist can also intervene to help the couple see and respect each other's point of view.
What is interpersonal therapy?
INTERPERSONAL THERAPY (IPT) - Used to treat depression and other conditions as well as to improve interpersonal relationships. This treatment modality focuses on interpersonal disputes/conflicts, transitions that one may be facing, an well as grief that extends beyond normal bereavement period.
What is CAT therapy?
ANALYTIC - Cognitive analytic therapy ( CAT) is a system of treatment in which the therapist helps the patient to understand why things have gone wrong in the past and explores how to make sure that they don’t go wrong in the future. In simple terms, what it seeks to do is to apply the step-by-step pragmatism of cognitive therapy to some ...
What is behavioral behavior therapy?
BEHAVIORAL - employs learning theory to effect changes in behavior. It is usually symptom focused as opposed to working on unconscious material. Unlearning unwanted behaviors (even thoughts and feelings can be viewed as behaviors) and learning desired behaviors is the work of behavior therapy.
What does psychotherapy help clients with?
Psychologists that use this theory today help clients to interpret his/her unconscious wishes and motives and the conflict that one feels. This can assist the client in alleviating his/her symptoms and helping the client have a greater understanding of his/her self.
What is the intent of therapy for indolent lymphoma?
Curative intent: to achieve a possible cure where the disease might be eradicated and never returns. This is a common intent of therapy for aggressive lymphoma and Hodgkin disease.
What is the most appropriate goal of lymphoma therapy?
For example, for aggressive lymphomas the most appropriate goal of therapy is usually to cure . For lymphomas with a variable clinical course a period of observation might be needed to judge its behavior.
How to treat lymphoma?
We suggest that you avoid the following : 1 Start a treatment without first consulting at least one lymphoma expert - unless symptoms or clear dangers indicate a strong need to treat, and you are comfortable with the rationale. 2 Base your treatment decision on the outcomes of other patients. Keep in mind that each lymphoma and patient can be unique. 3 Believe conspiracy theories used to promote unorthodox therapies. Consider that these theories require the complicity of multiple scientists, doctors, and regulators - who also get cancer and whose loved ones, spouses, parents, grandparents and children also get cancer.
What is the goal of aggressive therapy?
The goal of aggressive therapy is to get a durable response, and a possible cure. It may be that the aggressive approach is more reasonable for the young patient, especially if it's determined that you have high-risk disease.
Do follicular lymphomas require immediate treatment?
Some patients with widespread disease have no symptoms or signs of progression for years and do not require immediate therapy, while others cases demonstrate rapid tumor growth and need early treatment." Source towercancerfoundation.org/
Is aggressive therapy better than cure?
Virtually every treatment approach has potential tradeoffs: An aggressive therapy might give a better chance for a complete and more durable remission (or cure), but can have greater toxicities in the short or long term.
Can indolent lymphoma be treated with radiotherapy?
Yes. Stage I and II (localized) indolent lymphoma are typically treated at diagnosis with curative intent with localized radiotherapy. The cure rate is about 50% according to some reports.
What are some examples of treatment populations?
Examples of different treatment populations include: children. seniors. couples. survivors of abuse. transgender people. people with drug addiction. ethnic minorities. Of course, there are many different populations that you can work with.
Why do people seek therapy?
There are also many people who seek therapy because they need help navigating everyday life transitions such as getting older, graduating college, or ending a relationship, and therapists can play an invaluable role in helping people navigate the complexities of relating to others and living in a modern world.
Why is it important to be a therapist?
As a therapist, it's important to decide which theories and therapy practices you wish to incorporate into your practice and gain adequate training to use them effectively. It is common for therapists to utilize more than one type of therapy in their counseling practice.
What is the best way to become an ethical therapist?
Therapy Models, Theories, and Practices. While graduate programs in counseling and psychology will teach you the general skills and knowledge needed to become an ethical therapist, most therapists will seek additional, specialized training in specific therapy models or practices.
Is there a career path for a therapist?
There is no single career path that fits all therapists, and few therapists treat every issue and every population. If you have an idea about the people with whom you would like to work or the issues you would like to address as a therapist, this can help guide your graduate school choices, coursework, internships, and other career preparations.
Can a therapist treat every issue?
No therapist can masterfully treat every issue in every population. Instead, consider choosing specific issues that you think you can excel at treating. For example, you might narrow your work focus to address trauma for people who have been abused, survived a natural disaster, or experienced workplace discrimination. In addition, diagnosed mental health conditions such as depression, schizophrenia, or obsessive compulsions often require expert intervention and treatment strategies tailored to address the underlying causes.
How is treatment effectiveness measured?
There are three main ways in which treatment effectiveness is measured: the patient's own impression of wellness, the therapist's impression, and some controlled research studies.
What are the shortcomings of a therapist's evaluation?
Shortcomings of Therapist's Evaluations. Therapists' evaluations of patients are subject to all of the same problems as patients' evaluations. They, too, may mistake regression to the mean for positive effects of treatment.
Why is cognitive therapy effective?
These kinds of studies have shown that for depression and panic disorders, cognitive therapy is most effective, potentially because these disorders are in part caused by the kind of negative thinking directly addressed by cognitive therapy.
Why is empathy important in therapy?
Importance of Empathy In The Treatment Process. Regardless of the strategy they use, therapists who are warm and empathetic tend to have the highest rates of success with their patients. On the other hand, therapists who behave inappropriately can hinder therapeutic progress, or even do more harm than good.
Is stigma associated with therapy?
Stigma's Associated With Psychological Treatment. Therapy can only be effective if patients participate; many feel that there is a stigma associated with people who see therapists, or that therapy is just too expensive. In general, women are more likely to seek help than men.
Does systematic desensitization help with phobias?
For specific phobias, systematic desensitization really does help patients face their fears. Influence of Attitude On Treatment Effectiveness. Studies also isolated certain characteristics of the patient and the therapist that affect how well any of these treatments will work.
What is a lab test?
Lab tests. These may include, for example, a check of your thyroid function or a screening for alcohol and drugs. A psychological evaluation. A doctor or mental health professional talks to you about your symptoms, thoughts, feelings and behavior patterns.
What is the difference between psychotherapy and talk therapy?
Psychotherapy, also called talk therapy, involves talking about your condition and related issues with a mental health professional. During psychotherapy, you learn about your condition and your moods, feelings, thoughts and behavior. With the insights and knowledge you gain, you can learn coping and stress management skills.
What to do before a doctor appointment?
Before your appointment, make a list of: Any symptoms you or people close to you have noticed, and for how long. Key personal information, including traumatic events in your past and any current, major stressors. Your medical information, including other physical or mental health conditions.
Can psychiatric medications help with mental health?
Although psychiatric medications don't cure mental illness, they can often significantly improve symptoms. Psychiatric medications can also help make other treatments, such as psychotherapy, more effective. The best medications for you will depend on your particular situation and how your body responds to the medication.
Patient Characteristics
Program–Level Characteristics
- Program–level characteristics (panel II in figure 1) are general factors related to the program’s organization and structure, policies, services, treatment orientation, social environment, and readiness for organizational change. Relevant organizational or structural variables include ownership, physical design features (e.g., number of buildings), size (number of patients), aggre…
Therapeutic Alliance
- One of the key factors affecting the impact of alcohol treatment, especially psychosocial treatments, is the quality of the alliance or relationship that is developed between the therapist and client (panel IV in figure 1). A positive therapeutic alliance can be viewed as a necessary but insufficient condition for patients’ becoming involved in treatment, making treatment–specified i…
Treatment Provided/Treatment Involvement
- Alcohol treatment programs typically provide psychosocial and/or pharmacologic interventions to patients. To the extent that it is constant across all patients, treatment provided is a program–level characteristic (panel II in figure 1). In most programs, however, the treatment provided varies across patients (panel V). For example, it may be thought that some patients req…
Proximal Outcomes
- Proximal outcome variables (Rosen and Proctor 1981; panel VII in figure 1) refer to cognitions, attitudes, personality variables, or behaviors that, according to the treatment theory under investigation, should be affected by the treatment provided, and should, in turn, lead to positive ultimate outcomes (e.g., abstinence or reduced alcohol consumption). An Institute of Medicine (…
Ultimate Outcomes
- Ultimate outcomes (panel VIII in figure 1) refer to the end points that the treatment is supposed to effect. All treatment programs for alcohol use disorders attempt to impact drinking behavior, with many seeking to eliminate it entirely and others seeking to limit it to levels that do not cause adverse consequences. Some programs also seek to have a broader impact on patient functioni…
Table 1.—Measures of General Program–Level Characteristics
- Measure: National Drug and Alcoholism Treatment Unit Survey (NDATUS) Citation: Office of Applied Studies 1991 Description: The NDATUS is a brief questionnaire (five pages) that covers (a) the overall organization and structure of programs (ownership, funding sources and levels, organizational setting, capacity in different treatment settings using different treatment modaliti…
Table 2.—Measures of Treatment Orientation
- Measure: Drug and Alcohol Program Treatment Inventory (DAPTI) Citation: Peterson et al. 1994a, Swindle et al. 1995 Description:The DAPTI assesses the distinctive goals and activities of Alcoholics Anonymous/12–step treatment, the therapeutic community approach, cognitive–behavioral treatment, insight/psychodynamic treatment, rehabilitation, dual diagnosis …
Treatment Provided/Patient Involvement in Treatment
- In pharmacologic studies, treatment provided and patients’ compliance with treatment are assessed in terms of medications taken. Developments such as Medication Event Monitoring System (MEMS) vials that record the dates and times they are opened (e.g., Namkoong et al. 1999; Krystal et al. 2001) can yield more accurate compliance data than patient reports or pill co…