INTRODUCTION

ABOUT PRACTICEPLANNERS® TREATMENT PLANNERS

Pressure from third-party payors, accrediting agencies, and other outside parties has increased the need for clinicians to quickly produce effective, high-quality treatment plans. Treatment Planners provide all the elements necessary to quickly and easily develop formal treatment plans that satisfy the needs of most third-party payers and state and federal review agencies.

Each Treatment Planner:

• Saves you hours of time-consuming paperwork.
• Offers the freedom to develop customized treatment plans.
• Includes over 1,000 clear statements describing the behavioral manifes-tations of each relational problem, and includes long-term goals, short-term objectives, and clinically tested treatment options.
• Has an easy-to-use reference format that helps locate treatment plan components by behavioral problem.

As with the rest of the books in the PracticePlanners® series, our aim is to clarify, simplify, and accelerate the treatment planning process so you spend less time on paperwork and more time with your clients.

ABOUT THIS FIFTH EDITION ADOLESCENT PSYCHOTHERAPY TREATMENT PLANNER

This fifth edition of the Adolescent Psychotherapy Treatment Planner has been improved in many ways:

• Updated with new and revised evidence-based Objectives and Interventions
• Revised, expanded, and updated Appendix B: Professional References
• Many more suggested homework assignments from the companion book, The Adolescent Psychotherapy Homework Planner, have been integrated into the Interventions
• Extensively expanded and updated self-help book list in Appendix A: Bibliotherapy Suggestions
• Appendix C: New Recovery Model listing Goals, Objectives, and Interventions allowing for the integration of a recovery model orientation into treatment plans
• Addition of a chapter on Overweight/Obesity
• Renamed chapter titles including the changing of Mental Retardation to Intellectual Development Disorder, Mania/Hypomania to Bipolar Disorder, Depression to Unipolar Depression, Sexual Acting Out to Sexual Promiscuity, Autism/Pervasive Developmental Disorder to Autism Spectrum Disorder, Anger Management to Anger Control Problems, Social Phobia/Shyness to Social Anxiety, and Chemical Dependence to Substance Use
• Integrated DSM-5 diagnostic labels and codes into the Diagnostic Suggestions section of each chapter
• A new Appendix D presenting location and availability information in an alphabetical index of objective assessment instruments and structured clinical interviews cited in interventions

Evidence-based practice (EBP) is steadily becoming the standard of care in mental healthcare as it has in medical healthcare. Professional organizations such as the American Psychological Association, National Association of Social Workers, and the American Psychiatric Association, as well as consumer organizations such the National Alliance for the Mentally Ill (NAMI) have endorsed the use of EBP. In some practice settings, EBP is becoming mandated. It is clear that the call for evidence and accountability is being increasingly sounded. So, what is EBP and how is its use facilitated by this Planner?

Borrowing from the Institute of Medicine's definition (Institute of Medicine, 2001), the American Psychological Association (APA) has defined EBP as "the integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences" (APA Presidential Task Force on Evidence-Based Practice, 2006). Consistent with this definition, we have identified those psychological treatments with the best available supporting evidence, added Objectives and Interventions consistent with them in the pertinent chapters, and identified these with this symbol: . As most practitioners know, research has shown that although these treatment methods have demonstrated efficacy (e.g., Nathan & Gorman, 2007), the individual psychologist (e.g., Wampold, 2001), the treatment relationship (e.g., Norcross, 2002), and the patient (e.g., Bohart & Tallman, 1999) are also vital contributors to the success of psychotherapy. As noted by the APA, "Comprehensive evidence-based practice will consider all of these determinants and their optimal combinations" (APA, 2006, p. 275). For more information and instruction on constructing evidence-based psychotherapy treatment plans, see our DVD-based training series entitled Evidence-Based Psychotherapy Treatment Planning (Jongsma & Bruce, 2010-2012).

The sources listed in Appendix B: Professional References and used to identify the evidence-based treatments integrated into this Planner are many. They include supportive studies from the psychotherapy outcome literature; current expert individual, group, and organizational reviews; as well as evidence-based practice guideline recommendations. Examples of specific sources used include the Cochrane Collaboration reviews, the work of the Society of Clinical Psychology (Division 12 of the American Psychological Association) and the Society of Clinical Child and Adolescent Psychology (Division 53 of the American Psychological Association) identifying research-supported psychological treatments, evidence-based treatment reviews such as those in Nathan and Gorman's A Guide to Treatments That Work (2007), and Weisz and Kazdin's Evidence-Based Psychotherapies for Children and Adolescents (2010), as well as evidence-based practice guidelines from professional organizations such as the American Psychiatric Association, the American Academy of Child & Adolescent Psychiatry, the National Institute for Health and Clinical Excellence in Great Britain, the National Institute on Drug Abuse (NIDA), the Substance Abuse and Mental Health Services Administration (SAMHSA), and the Agency for Healthcare Research and Quality (AHRQ), to name a few.

Although each of these sources uses its own criteria for judging levels of empirical support for any given treatment, we favored those that use more rigorous criteria typically requiring demonstration of efficacy through randomized controlled trials or clinical replication series, good experimental design, and independent replication. Our approach was to evaluate these various sources and include those treatments supported by the highest level of evidence and for which there was consensus in conclusions/recommendations. For any chapter in which EBP is identified, references to the sources used are listed in Appendix B: Professional References and can be consulted by those interested in further information regarding criteria and conclusions. In addition to these references, this appendix also includes references to Clinical Resources. Clinical Resources are books, manuals, and other resources for clinicians that describe the details of the application, or "how to" of the treatment approaches described in a chapter.

There is debate regarding evidence-based practice among mental health professionals who are not always in agreement regarding the best treatment or how to weigh the factors that contribute to good outcomes. Some practitioners are skeptical about changing their practice on the basis of research evidence, and their reluctance is fueled by the methodological challenges and problems inherent in psychotherapy research. Our intent in this book is to accommodate these differences by providing a range of treatment plan options, some supported by the evidence-based value of "best available research," others reflecting common clinical practices of experienced clinicians, and still others representing emerging approaches so the user can construct what they believe to be the best plan for their particular client.

Each of the chapters in this edition has also been reviewed with the goal of integrating homework exercise options into the Interventions. Many (but not all) of the client homework exercise suggestions were taken from and can be found in the Adolescent Psychotherapy Homework Planner (Jongsma, Peterson, & McInnis, 2014). You will find many more homework assignments suggested for your consideration as part of the Intervention process in this fifth edition of the Adolescent Psychotherapy Treatment Planner than in previous editions.

The bibliotherapy suggestions in Appendix A of this Planner have been significantly expanded and updated from previous editions. It includes many recently published offerings as well as more recent editions of books cited in our earlier editions. All of the self-help books and client workbooks cited in the chapter Interventions are listed in this appendix. There are also many additional books listed that are supportive of the treatment approaches described in the respective chapters. Each chapter has a list of self-help books consistent with its topic and listed in this appendix.

In its final report entitled Achieving the Promise: Transforming Mental Health Care in America, the President's New Freedom Commission on Mental Health called for recovery to be the "common, recognized outcome of mental health services" (New Freedom Commission on Mental Health, 2003). To define recovery, the Substance Abuse and Mental Health Services Administration (SAMHSA) within the U.S. Department of Health and Human Services and the Interagency Committee on Disability Research in partnership with six other federal agencies convened the National Consensus Conference on Mental Health Recovery...