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

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

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

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

Activity Review --What Dx from lyrics? What additional from video?

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

Do a Client Map Number Timing Mediations needed Adjunct services Prognosis

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

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

Psychotherapeutic Approaches Psychoanalysis Psychodynamic Behavior Therapy Cognitive Therapy No Treatment

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

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

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

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

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

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

?’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?

Activity TWISTED SISTER