Clinical Case Formulations: Matching the Integrative Treatment Plan to the Client

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Praise for Clinical Case Formulations

Matching the Integrative Treatment Plan to the Client, Second Edition

"[Barbara Ingram has put] a career into the development of this book and it is wonderful! My students love that it was written with them in mind and they love the statements designed to reduce anxiety and normalize the learning process. This is an excellent book!"� Amy M. Rees-Turyn, PhD Associate Professor of Counseling Psychology, Lewis & Clark College

A step-by-step model for individualized case conceptualization

Fully revised and updated, the second edition of Clinical Case Formulations provides step-by-step tools and insightful guidance for moving from first contact with a client to the development of an effective, personalized treatment plan. Addressing the essential question every therapist faces� How do I create a treatment plan that is the best match for my client?� �this unique resource provides a systematic and thoughtful method for integrating ideas, skills, and techniques from different theoretical approaches. It combines empirical research and clinical experience to create a case formulation that is tailor-made for the client.

This comprehensive resource offers two tools to guide case formulations: a problem-oriented framework, with a list of 28 standards for evaluating its application, and a set of 30 core clinical hypotheses derived from the knowledge bases of psychology, psychiatry, counseling, and social work professions.

The new edition includes:

• Hypotheses on Emotional Focus, Trauma, and Metacognitive Perspective

• More detailed attention given to empirically supported therapies such as Dialectical Behavior Therapy (DBT) and Acceptance and Commitment Therapy (ACT)

• Discussion on the importance of bringing cultural competence to case formulation tasks with every client

• Skill-building activities throughout the text</ul>

  Offering a thorough framework to help clients experience effective clinical service, practitioners will learn to conceptualize clients' needs in ways that lead to strong and individualized treatment plans, as well as advice and guidance on what to do when selected interventions fail to produce the expected benefits.

  Clinical Case Formulations: Matching the Integrative Treatment Plan to the Client Review

  Clinical Case Formulations: Matching the Integrative Treatment Plan to the Client (Second Edition) by Barbara Lichner Ingram discusses her approach in the development of effective individualized treatment plan. The book is divided into two parts with Part One being Case Formulation skills and Part Two being Thirty Core Clinical Hypotheses.
  
  Part I: Case Formulation skills
  
  This part of the book discusses Ingram's step-by-step method for developing a case plan consists of: gathering data, defining problems, specifying outcome goals, organizing and presenting the database, creating the plan by applying core clinical hypotheses, and writing a treatment plan and monitoring progress. Her method is similar to many conventional methods of creating a treatment plan as it defines goals and problems, provides possible explanations, interventions are focused on resolving problems, and monitors progress. Outcome goals must be specific in order to be measured for efficacy. Ingram also is supportive of evidence based practices (EBP) using empirically supported data of outcomes. (On a side note many agencies, psychologists, counselors, therapists, and social workers claim to use evidence based practices but fail to provide any data to support outcomes or treatment efficacy. Essentially, they are using the latest jargon stating that they use EBP but in reality they do not. It is interesting to hear their explanations when you ask them, "How do you measure client success?" If they cannot provide you specific data then chances are they are not using evidence based practices.)
  
  Part II: Thirty Core Clinical Hypotheses
  
  The Thirty Core Clinical Hypotheses are organized into seven categories:
  
  1. Crisis, Stressful Situations, Transitions, and Trauma (CS)
  2. Body and Emotions (BE)
  3. Cognitive Models (C)
  4. Behavioral and Learning Models (BL)
  5. Existential and Spiritual Models (ES)
  6. Psychodynamic Models (P)
  7. Social, Cultural, and Environmental Factors (SC)
  
  Many of the hypotheses are based on theories and models that are common in psychology although Ingram puts them into a format that, for me, fails to translate well into a case plan. Some will find Ingram's 30 hypotheses to be overwhelming while others may find that it is a nicely packaged system. This book does provide a rather unique perspective of viewing information although translating into a case plan is not so clear. Essentially case plan formulation becomes more complicated than it needs to be and can lead clinicians to stick with their current methodology for formulating case plans. Obviously, this approach works for Ingram but I'm not convinced that it would become generally accepted by clinicians.
  
  Overall, I thought Part I of the book was more valuable than Part II which failed to really deliver on usefulness relating to the development of case plans. In some respects it appears that Ingram is attempting to over-categorize problematic areas into a schema that is difficult to follow and challenging to put into a case plan that is effective and useable for the clinician.
  
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