1. Making the Clinical Feedback System (FFT-CFS) part of your therapeutic work flow Thomas L. Sexton, Ph. D., ABPP Functional Family Therapy Associates

2. FFT-Clinical Feedback System Purpose Bring information to you…at a glance to help plan sessions Allows client a “voice” in the progress Lets you know how to match to the family Domains: Service delivery (the profile of how units of service are delivered in FFT) Case planning Model Specific Adherence Treatment progress & Process (impact of treatment on client Outcomes ( Baseline & Discharage)

3. The Platform FFT-CFS is built on our CARE4software platform Built for multiple uses, models and applications Customizable Users can add measures without technical help A true “measurement feedback” system Systematic and psychometrically sound measures Clinically useful information (at a glace and in depth)

4. FFT/CFS continuous quality improvement system for Functional Family Therapy Client Session Baseline Family Functioning Youth Symptom level Measure: Com-R) SFSS (full) Post Symptoms Family functioning Measures: -Com-R -SFSS (full) Motivation EngagementBehavior Change Generalization Session Even Sessions (2 nd, 4 th, 6 th, etc.) Youth Symptom Level (SFSS-Form A) Parent & Youth Odd Sessions (1 nd, 3 th, 5 th, etc.) Session Impact (SIS EM, SIS BC, SIS Gen) Parent & Youth Case Planning Progress Notes (PN) Case Planning Session Planning Guide (SPG)

5. Functional Family Therapy Integrated Service Delivery Model Motivation Intervention Assessment EngagementBehavior Change Generalization EarlyMiddleLate Referral/Initial Assessment Your agency baseline assessment FFT baseline assessment

6. Functional Family Therapy Integrated Service Delivery Model Motivation Intervention Assessment EngagementBehavior Change Generalization EarlyMiddleLate Weekly FFT Sessions Schedule & hold session in FFT/CFS Case Planning—FFT Progress Note M easuring therapeutic Process & Client Progress 8-10 items completed by client online

7. Functional Family Therapy Integrated Service Delivery Model EarlyMiddleLate Motivation Intervention Assessment EngagementBehavior Change Generalization Discharge FFT/CFS discharge of client Outcome Assessment

8. Major sections of the FFT-CFS: 1. Schedule Where you set & close appointments Helps you organize your day—see your daily, weekly & monthly FFT calendar 2. Directory Your list of clients…access to their information Add clients, cases Case feedback…. 3. Member Your clients, documents, & sessions Feedback about your work 4. To Do list (what is incomplete and needs to be done) 5. Feedback

9. Major areas to work in Schedule page How you can click to see session…so, you can change them, close them, etc from here Directory page Everything about your clients Way to get to the client page Symptom, impact, and progress feedback Client page Referral info/background etc

10. Fitting FFT into your work flow 1. Register your information 1. Change your password 2. “clinical info” for member 2. Opening a Case Enter client & caregiver Schedule and enter baseline information Starting a “case” 3. Schedule a Session Individually/weekly (recurring) 4. Hold a session Client (youth and caregiver) complete measures on paper (electronic version to come) Therapist (completes PN and SPG on the computer) 5. Close the session 6. Schedule the next session

11. Fitting FFT into your work flow 6. Complete an FFT Progress note/enter in measures 7. Preparing for your next session Review Feedback Status (low, average, high/red, yellow & green) Youth symptoms Impact of Sessions on the family Progress (general & specific) Model adherence 8. Plan for the next session Session planning guide

12. Contact Information thsexton@thsexton@mac.com Thomas L. Sexton, Ph. D., ABPP FFT Associates Inc.