The Value of Treatment-Goal Themes for Treatment Planning and Outcome Evaluation of Psychiatric Inpatients

Abstract

Coding of treatment-goal themes with the BIT-T provides researchers as well as practitioners with valuable information that goes beyond psychopathological diagnoses. This information can be used clinically for treatment planning as well as outcome evaluation.

Relevance of therapy goals in outpatient cognitive-behavioral and psychodynamic psychotherapy

“…Overall, psychotherapy outpatients generate more treatment goals than inpatients (Grosse Holtforth, Reubi, Ruckstuhl, Berking, & Grawe, 2004). With regard to goal congruence, correlations between patients' and therapists' goals are surprisingly small, considering that treatment goals were operationalized according to the BIT-T root categories and thus were assessed on a rather high level of abstraction.…”

Les directives psychiatriques anticipées (DPA) et le rôle de l’autonomie

“…Quand les préférences de traitement sont négociées dans un processus décisionnel partagé, il est plus facile de cerner les intentions de la personne et de les respecter par la suite (Grosse et al, 2004 ;Linhorst et al, 2002). Les personnes souffrant de maladie mentale font rarement appel aux DPA pour refuser tout traitement médical , et il ne faut pas considérer les personnes qui souffrent d'un épisode de psychose aiguë comme étant en perte totale d'autonomie, étant donné que les personnes affichant des symptômes psychotiques peuvent rester aptes à prendre certains types décisions, mais pas dans tous les domaines.…”

A treatment goal checklist for people with personality disorder

“…The BIT-T consists of five domains: coping with specific problems and symptoms (12 items); interpersonal goals (6 items); well-being and functioning (3 items); existential issues (2 items); and personal growth (4 items). They have shown the BIT-T to be clinically useful in identifying treatment goals beyond diagnostic symptoms (Grosse Holtforth et al, 2004). This suggests that a treatment goal checklist may be of use in working with service users diagnosed with personality disorder (PD).…”