The Older Adult Psychotherapy Treatment Planner, with DSM-5 Updates, 2nd Edition

Deborah W. Frazer, Gregory A. Hinrichsen, David J. Berghuis, Arthur E. Jongsma, Jr.

• Publisher: Wiley
• Year: 2014
• Print ISBN: 9781119063117
• eBook ISBN: 9781119063872
• Edition: 3
• Topic: Psychology
• Subtopic: Research & Methodology in Psychology
• Index: Psychology

This timesaving resource features:

• Treatment plan components for 30 behaviorally based presenting problems
• Over 1, 000 prewritten treatment goals, objectives, and interventions—plus space to record your own treatment plan options
• A step-by-step guide to writing treatment plans that meet the requirements of most accrediting bodies, insurance companies, and third-party payors
• Includes new Evidence-Based Practice Interventions as required by many public funding sources and private insurers

Practice Planners ® THE BESTSELLING TREATMENT PLANNING SYSTEM FOR MENTAL HEALTH PROFESSIONALS

The Older Adult Psychotherapy Treatment Planner, Second Edition provides all the elements necessary to quickly and easily develop formal treatment plans that satisfy the demands of HMOs, managed care companies, third-party payors, and state and federal agencies

• New edition features empirically supported, evidence-based treatment interventions
• Organized around 30 behaviorally based presenting problems including depression, unresolved grief, life role transition, and substance abuse
• Over 1, 000 prewritten treatment goals, objectives, and interventions—plus space to record your own treatment plan options
• Easy-to-use reference format helps locate treatment plan components by behavioral problem
• Includes a sample treatment plan that conforms to the requirements of most third-party payors and accrediting agencies including CARF, The Joint Commission (TJC), COA, and the NCQA

Additional resources in the Practice Planners ® series:
Documentation Sourcebooks provide the forms and records that mental health??professionals need to??efficiently run their practice.
Homework Planners feature behaviorally based, ready-to-use assignments to speed treatment and keep clients engaged between sessions.

For more information on our Practice Planners ®, including our full line of Treatment Planners, visit us on the Web at: www.wiley.com/practiceplanners

Chapter 1
Activities of Daily Living (ADL/IADL) Deficits

Behavioral definitions

1. Decline in ability to accomplish one or more basic Activities of Daily Living (ADLs) independently: bathing, dressing, grooming, eating, toileting, mobility/ transferring.
2. Decline in ability to accomplish one or more Instrumental Activities of Daily Living (IADLs) independently: shopping, cooking, housekeeping, financial management, transportation, medication management.
3. Confusion or conflict among family, staff, and client about cause for, or amount of decline in, ADLs/IADLs and associated care requirements.
4. Threat to client's safety due to decline in ADLs/IADLs, such as falls, malnutrition, adverse drug reactions, or infections.
5. Conflict between expectations for and actual recovery of function after stroke, hip surgery, or other medical event.
6. Client is unwilling or unable to use adaptive equipment to compensate for decreased function.

Long-term goals

1. Identify cause(s) of decline in ADL/IADL functions and barrier(s) to recovery of function.
2. All involved persons (staff, family, physician, client) reach consensus on cause(s) for disability, prognosis, and a care plan.
3. Increase supervision/assistance to enhance safety.
4. Resolve depression and anxiety that may be interfering with motivation to recover function.
5. Maximize capacity for independent functioning in ADL and IADL spheres.
6. Adapt to current and expected level of function.

Short‐Term Objectives	Therapeutic Interventions
1. Consent to participate in evaluation of functional decline if decisionally capable; surrogate consents if the client is not decisionally capable. (1)	1. Obtain consent from the client or surrogate to address the problem of functional decline; include consent to discuss issues with others involved.
2. Client, staff, and family describe decline in function in specific detail. (2, 3)	2. Explore with the client, staff, and family their perspectives on the decline in the client's function (e.g., sudden versus gradual; precipitated or accompanied by a specific illness, medication, or event; the client's reaction to the decline).
	3. Administer a structured instrument, (e.g., Physical Self‐Maintenance Scale [PSMS, Lawton and Brody], Rapid Disability Rating Scale [RDRS, Sherwood], the Health Assessment Questionnaire [HAQ, Fries], and the Functional Independence Measure [FIM™, Hamilton] to objectively measure the client's or others' reports of functional decline.
3. Cooperate with immediate measures to improve safety. (4, 5)	4. Evaluate the client for the possibility of imminent danger to self, such as infections, malnutrition, falls, and/or adverse drug reactions.
	5. Arrange for the client's immediate protection through installation of safety devices (e.g., grab bars), addition of services (e.g., home health aide), or in severe cases, transfer to a safer environment.
4. Cooperate with a medical evaluation. (6)	6. Refer the client to a physician for evaluation of medical conditions (e.g., Parkinson's disease, stroke, arthritis) and medications (prescribed and OTC) that could be causing his/her decline in function.
5. Cooperate with psychological evaluation. (7)	7. Conduct or refer the client for a psychological evaluation to assess possible contributions of depression and/or anxiety to his/her decline in functional ability.
6. Cooperative with neuropsychological evaluation. (8)	8. Conduct or refer the client for a neuropsychological evaluation to determine if his/her functional decline is associated with cognitive decline.
7. Attend physical therapy evaluation. (9)	9. Refer the client to a physical therapist for an evaluation of his/her mobility‐related declines in function, such as balance, gait, endurance, ability to transfer, and range of motion.
8. Participate in occupational therapy assessment. (10)	10. Refer the client to an occupational therapist for an evaluation of his/her ADLs (e.g., bathing, grooming, and hygiene) and IADLs (e.g., driving and cooking).
9. Cooperate with a speech/language evaluation. (11)	11. Refer the client to a speech/ language therapist for an evaluation of his/her communi...

Table of contents

• Cover
• PracticePlanners® Series
• Title Page
• Copyright
• Dedication
• PracticePlanners® Series Preface
• Acknowledgments
• Introduction
• Chapter 1: Activities of Daily Living (ADL/IADL) Deficits
• Chapter 2: Anxiety
• Chapter 3: Caregiver Distress
• Chapter 4: Communication Deficits
• Chapter 5: Decisional Incapacity
• Chapter 6: Depression
• Chapter 7: Disruptive Behaviors of Dementia
• Chapter 8: Driving Deficit
• Chapter 9: Elder Abuse and Neglect
• Chapter 10: Falls
• Chapter 11: Grief/Loss Unresolved
• Chapter 12: Interpersonal Disputes
• Chapter 13: Life Role Transition
• Chapter 14: Loneliness/Interpersonal Deficits
• Chapter 15: Mania/Hypomania
• Chapter 16: Medical/Medication Issues Unresolved
• Chapter 17: Memory Impairment
• Chapter 18: Nutritional Deficits Unresolved
• Chapter 19: Obsessive-Compulsive Disorder
• Chapter 20: Panic/Agoraphobia
• Chapter 21: Paranoid Ideation
• Chapter 22: Persistent Pain
• Chapter 23: Phobia
• Chapter 24: Residential Issues Unresolved
• Chapter 25: Sexually Inappropriate Behavior
• Chapter 26: Sleep Disturbance
• Chapter 27: Somatization
• Chapter 28: Spiritual Confusion
• Chapter 29: Substance Abuse/Dependence
• Chapter 30: Suicidal Ideation/Behavior
• Appendix A: Bibliotherapy Suggestions
• Appendix B: Professional References for Evidence-Based Chapters
• Appendix C: Recommended Assessment Measures for Non-Evidence-Based Chapters
• Appendix D: Recovery Model Objectives and Interventions
• End User License Agreement