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A BPS Approach To Outcomes Assessment

Topics: Psychology, Psychiatry / Pages: 6 (568 words) / Published: Apr 12th, 2015
A BPS Approach to
Outcomes
Assessment

The Bio Psycho Social Perspective
The Treatment process

• Assessment
• Treatment Planning
• Treatment
• Outcomes assessment

The Bio Psycho Social Perspective
The Treatment process – Assessment

The Bio Psycho Social Perspective
The Treatment process
Treatment Planning

The Bio Psycho Social Perspective
The Treatment process – Treatment

Outcomes assessment
“it is not sufficient for a practitioner to know that a particular treatment can work ,or does work on average … The practitioner needs to know what treatment is likely to work for a particular individual, and then whether the selected treatment is working for this patient” (Howard,

Why evaluate?

• Accountability
• Patient Safety
• Ethical Obligations
• Patient Centered

Types of measures
• Condition Specific measures - typically focus on the symptomatology that reflects the status of the medical condition a patient has • Generic Measures comprehensive assessments of health-related functioning across domains in a person’s life that are not specific to a particular disease or condition Condition Specific Measures

• Assess aspects of functioning related to patients specific condition • Highly Sensitive - Small changes in the status of these conditions will be able to be measured Condition Specific Measures
Examples

Beck
Depression
Inventory
(BDI-II)

State-Trait
Anxiety
Inventory

Dyadic
Adjustment
Scale

Generic Measures (global measures)

• Assess a full range of physical, psychological, and social aspects of health
• Focus on patients’ perceptions of their physical, psychological, and social functioning and their overall quality of life

Generic Measures
Examples - Generic measures typically include several domains of functioning

36-item
Short-Form
Health
Survey

the Brief
Symptom
Inventory

the Outcome
Questionnair
e-45

The Importance of assessment in the treatment process..All the assessments! What outcomes measures should I use?? • Outcome measures need to provide information that is useful for the purpose.
• They should be practical in terms of the time and monetary demands involved.
• Maximize the usefulness and interpretability of the information obtained.
• Use standardized instruments for assessing therapy outcome Best Practice- The BPS approach to
Outcomes assessment

Best Practice- The BPS approach to
Outcomes assessment

Best Practice- The BPS approach to
Outcomes assessment

Aggregate
Outcome data for quality improvment Administering multiple measurements over the course of treatment is useful Follow up is very importa nt Using Biopsychosocial Measures
• Assessment of problems and strengths across the
26 component areas of the biopsychosocial domains
• Emphasizes the identification, utilization, and development of patient strengths
• Assess BPS factors during all phases of the treatment cycle. References
• Melchert, T. (2011). Foundations of professional psychology: The end of theoretical orientations and the emergence of the biopsychosocial approach. Waltham, MA: Elsevier.
• Strengthening the scientific foundations of professional psychology: Time for the next steps.
Melchert, Timothy P. ; Professional Psychology: Research and Practice, Vol 38(1), Feb, 2007. pp.
34-43. Publisher: American Psychological Association [Journal Article], Database: PsycARTICLES
• Beyond
Theoretical Orientations: The Emergence of a Unified Scientific Framework in Professional Psycho logy. Melchert, Timothy P. Professional Psychology: Research & Practice. Feb2013, Vol. 44 Issue 1, p11-19. 9p. DOI: 10.1037/a0028311.
• An examination of racial bias in the Beck Depression Inventory-II. Sashidharan, Tracy Pawlow,
Laura A. Pettibone, Jonathan C. ; Cultural Diversity and Ethnic Minority Psychology, Vol 18(2),
Apr, 2012. pp. 203-209. Publisher: Educational Publishing Foundation [Journal Article],
Database: PsycARTICLES

• Theoryand Evidence- Based Intervention: Practice-Based Evidence--Integrating Positiv e Psychology into a Clinical Psychological Assessment and Intervention Model a nd How to Measure
Outcome. Nissen, Poul. Online Submission, Psychology Research v1 n2 p91-105 Aug
2011. 2011 15 pp. (ED535718)

References: • Melchert, T. (2011). Foundations of professional psychology: The end of theoretical orientations and the emergence of the biopsychosocial approach Melchert, Timothy P. ; Professional Psychology: Research and Practice, Vol 38(1), Feb, 2007. pp. Apr, 2012. pp. 203-209. Publisher: Educational Publishing Foundation [Journal Article], Database: PsycARTICLES 2011. 2011 15 pp. (ED535718)

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