Making the Clinical Feedback System (FFT-CFS) part of your therapeutic work

flow

Thomas L. Sexton, Ph. D., ABPPFunctional Family Therapy Associates

FFT-Clinical Feedback System

PurposeBring information to you…at a glance to help plan sessionsAllows client a “voice” in the progressLets 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)

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)

FFT/CFScontinuous quality improvement system for Functional

Family Therapy

Client SessionBaselineFamily

Functioning Youth

Symptom level

Measure:Com-R)

SFSS (full)

PostSymptoms

Family functioning

Measures: -Com-R

-SFSS (full)Motivation

Engagement Behavior Change

Behavior Change

Generalization

Generalization

Session

Even Sessions(2nd, 4th, 6th, etc.)

Youth Symptom Level(SFSS-Form A)Parent & Youth

Odd Sessions(1nd, 3th, 5th, etc.)

Session Impact(SIS EM, SIS BC,

SIS Gen)Parent & Youth

Case PlanningProgress

Notes (PN)

Case PlanningSession Planning

Guide (SPG)

Functional Family TherapyIntegrated Service Delivery Model

Motivation

Intervention

Assessment

Engagement Behavior Change

Behavior Change

Generalization

Generalization

Early Middle Late

Referral/Initial AssessmentYour agency baseline

assessmentFFT baseline assessment

Functional Family Therapy

Integrated Service Delivery Model

Motivation

Intervention

Assessment

Engagement Behavior Change

Behavior Change

Generalization

Generalization

Early Middle Late

•Weekly FFT Sessions• Schedule & hold session in FFT/CFS

• Case Planning—FFT Progress Note• Measuring therapeutic Process &

Client Progress• 8-10 items completed by client online

Functional Family Therapy

Integrated Service Delivery Model

Early Middle Late

Motivation

Intervention

Assessment

Engagement Behavior Change

Behavior Change

Generalization

Generalization

Discharge• FFT/CFS discharge of client

•Outcome Assessment

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

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

Fitting FFT into your work flow

1. Register your information1. 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

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

Contact Information

thsexton@mac.com

Thomas L. Sexton, Ph. D., ABPP

FFT Associates Inc.