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Fundamentals of Psychiatric Treatment Planning
     

Fundamentals of Psychiatric Treatment Planning

by James A. Kennedy
 

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First published in 1992, Fundamentals of Psychiatric Treatment Planning outlines an approach that quickly became the definitive standard for writing treatment plans. Developed by clinical psychiatrist James A. Kennedy, this practical, intuitive method organizes psychiatric problems into seven categories: psychological impairment, social skills, violence,

Overview

First published in 1992, Fundamentals of Psychiatric Treatment Planning outlines an approach that quickly became the definitive standard for writing treatment plans. Developed by clinical psychiatrist James A. Kennedy, this practical, intuitive method organizes psychiatric problems into seven categories: psychological impairment, social skills, violence, activities of daily living, substance abuse, medical impairment, and ancillary impairment. Treatment plans are developed using information gathered with the Kennedy Axis V, an instrument that has proven more successful than both the Global Assessment of Functioning (GAF) scale and the Brief Psychiatric Rating Scale (BPRS) in establishing baselines and determining outcome measures.

Fundamentals of Psychiatric Treatment Planning serves as a powerful, highly effective tool that • Promotes a cohesive approach. By using a consistent approach to planning, the clinical team works in concert toward uniform goals and outcomes.

• Helps staff gather critical information to improve outcomes. For establishing baselines and determining outcome measures, the Kennedy Axis V instrument has proven more successful than both the GAF and the BPRS.

• Includes many examples to help staff write their own plans. Rich with real-life examples to guide staff, including problem names and descriptions, treatment modalities, and samples of individual plans for each of the seven problem categories.

In addition to the Kennedy Axis V questionnaire, Fundamentals of Psychiatric Treatment Planning includes blank forms for treatment planning and tabbed sections to allow for quick reference. New features in the second edition include the integration of nursing care plans into master treatment plans, new systematic steps for building goals and modalities, refinements to the questionnaire, and the introduction of online support via the author's website.

With its readily adaptable, uniform approach to a complex subject, Fundamentals of Psychiatric Treatment Planning, Second Edition, is a powerful, highly effective planning tool for all members of the clinical staff.

American Psychiatric Publishing

Editorial Reviews

Stacey Dixon

From its inception, this model has offered a well-tuned, sensible approach that many clinicians, facilities, and treatment teams have found helpful in their efforts to develop good treatment plans. The model allows for flexibility in the degree of specificity of the documentation -- depending on the anticipated length of stay, the thoroughness of the rest of the charting related to treatment progress, the clinical style of the treatment team, and the time constraints they face. One improvement noted in this edition is that the model now more clearly incorporates the nursing care plan into the master treatment plan to eliminate redundancy and to increase the nurse's participation in interdisciplinary treatment planning.

3 Stars from Doody
Booknews
Spiral-bound manual presents a novel approach to multidisciplinary treatment planning based on a system of categorization around level of functioning rather than diagnosis. Annotation c. Book News, Inc., Portland, OR (booknews.com)
Doody's Review Service
Reviewer: Elaine M. Scorza, MS, APRN, BC (Rush University College of Nursing)
Description: This book comprehensively and systematically describes the Kennedy Approach to Psychiatric Treatment Planning, which is based upon the Kennedy Axis V questionnaire. This questionnaire, derived from the DSM, classifies seven psychiatric problem areas.
Purpose: The purpose of this book is described as both to simplify the identification of problems and the planning related to them, and to serve as a reference, guide for teaching, and aid for treatment team members in their planning process.
Audience: The author identifies the audience as members of psychiatric treatment teams involved in care planning across a variety of settings, including inpatient, outpatient, residential, and the like. The examples, however, understandably lean more heavily on inpatient settings, as thorough application to a variety of environments most restrictive to least restrictive is valuable to the majority of treatment planners.
Features: Explanations are clearly given about how to use the book, the master and follow-up treatment plans, as well as the scales. Permission is granted for duplication of some of the forms, but permission must be obtained from the author/publisher to use certain scales. This may or may not be a limitation for some readers who wish to implement the book's contents in their entirety. Highlights of the book include the comprehensiveness, clarity, and simplicity of treatment planning, that pays attention to the requirements of regulatory bodies as well as systematic planning of care. The author is careful to point out that the manual is not intended as a standard of, or prescription for, care. Although many examples are thorough, these are by no means, the longest, shortest, or only way to characterize psychiatric problems, and it is left up to the reader to pick and choose their own words. The formats and pages may appear to be very long to readers more used to briefer care plan constructs, but it is strongly suggested that the reader be aware of the depth of each section of the treatment plan and its value. The example summary of master treatment plans in the appendix is helpful in showing how summarized data from rating master treatment plans according to the Kennedy Treatment Planning System could highlight certain outcome data or data that may need attention by the clinician or program using it.
Assessment: Overall, this is an excellent book for treatment planners in the healthcare professions that directly administer or provide healthcare services to patients.

Product Details

ISBN-13:
9781585624782
Publisher:
American Psychiatric Publishing, Incorporated
Publication date:
06/28/2013
Pages:
350
Sales rank:
710,400
Product dimensions:
8.54(w) x 11.02(h) x 0.66(d)
Age Range:
18 Years

What People are Saying About This

Stacey Dixon
From its inception, this model has offered a well-tuned, sensible approach that many clinicians, facilities, and treatment teams have found helpful in their efforts to develop good treatment plans. The model allows for flexibility in the degree of specificity of the documentation — depending on the anticipated length of stay, the thoroughness of the rest of the charting related to treatment progress, the clinical style of the treatment team, and the time constraints they face. One improvement noted in this edition is that the model now more clearly incorporates the nursing care plan into the master treatment plan to eliminate redundancy and to increase the nurse's participation in interdisciplinary treatment planning. (Psychiatric Services)
Margaret Knight

This book provides an interesting framework for conceptualizing treatment planning around the psychosocial domains of the Kennedy Axis V. It is an excellent text for the beginner or the veteran clinician. It will see high use in an era of evidence based treatment.

For the 2nd time, Dr. James Kennedy has authored a treatment-planning book which clearly delineates the steps and eases the process of treatment planning and documentation. This organized and methodical guide provides a simple yet comprehensive approach to the clinicians' most important work. Each section is scripted to carefully and completely address any question or concern about the treatment planning process. The inclusion of the Nursing Care Plan into the Master Treatment Plan is a significant addition. Dr. Kennedy's inclusive discussion of all aspects of treatment planning makes it clear that he has analyzed the process fully.

Lauren Parsons

Dr. Kennedy has taken the concept of global assessment of functioning to a new level. By breaking functional level into domains, a previously non specific scale has become a tangible measure of outcomes and a vital tool in the evaluation and treatment of mental illness. One of the singularly most difficult concepts in treatment planning is that of 'measurability'. Dr. Kennedy has provided a tool that can be used by all levels of mental health providers to quantify function as well as measure improvement -- possibly the single most important factor to monitor.

Peter C. Kosanovich

This manuscript was a pleasure to review. I found Kennedy's common sense approach to treatment planning to be an efficient and effective means for identifying and achieving appropriate, measured and positive patient outcomes. The guidelines and standards provided in this manual are essential for operating in the demanding environment of managed care. I believe that this manual will have staff from inpatient and outpatient clinics asking, 'Why haven't we been doing this?' I have been using Kennedy's Axis V (Subscales) for evaluating patients in our Psychiatric Partial Hospital Program at our Community Mental Health Center. It was used as the basis for establishing accurate, functional levels and for providing clear clinical direction. It always hit the mark. I have also used them as a teaching tool for our caseworkers and case managers in order to facilitate their oversight of milieu and treatment modality.

Jeff Bearden

This book provides an interesting framework for conceptualizing treatment planning around the psychosocial domains of the Kennedy Axis V. It is an excellent text for the beginner or the veteran clinician. It will see high use in an era of evidence based treatment.

James E. Smith

This second edition of Dr. Kennedy's Fundamentals of Psychiatric Treatment Planning is an impressive body of work that will undoubtedly prove itself to be both helpful and timely. The focus on treatment outcome measures affords clinicians a powerful tool for guiding and evaluating the effectiveness of their work at a time when increased accountability is demanded of all providers. It offers an organized framework for psychiatric treatment wherein all clinical staff, as well as the patient, have the opportunity to become real players in the work of affecting meaningful change.

Meet the Author

James A. Kennedy, M.D., is Associate Professor of Psychiatry at the University of Massachusetts Medical School in Worcester, Massachusetts, Director of the Demonstration Unit at Westborough State Hospital in Westborough, Massachusetts, and President of KennedyMD Consulting in Shrewsbury, Massachusetts.

American Psychiatric Publishing

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