Evidence-based assessment meets evidence-based treatment: An approach to science-informed case conceptualization

Lillian M. Christon, Bryce D. McLeod, Amanda Doss

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Though case conceptualization is considered to be a component of evidence-based practice, the case conceptualization process is not always guided by scientific findings. Case conceptualization is a collaborative process of generating hypotheses about causes, antecedents, and maintaining influences for an individual client's problems within a biopsychosocial context. We argue that adopting a scientific approach to case conceptualization informed by research findings and evidence-based assessment tools can help inform clinical decision-making from intake to treatment termination. Our approach to case conceptualization involves 5 stages. In the first stages, a clinician synthesizes and integrates research evidence from various literatures to identify presenting problems and casual and maintaining factors (Stage 1), to classify diagnoses (Stage 2), to inform the development of hypotheses about variables contributing to a client's problems (Stage 3), and to select a treatment approach and plan (Stage 4). In the final stage, the clinician takes a scientific approach to developing individualized assessment methods that can be used to test and revise hypotheses through the treatment process and to measure outcomes (Stage 5). A case example illustrating practical use of these steps is presented.

Original languageEnglish (US)
Pages (from-to)36-48
Number of pages13
JournalCognitive and Behavioral Practice
Volume22
Issue number1
DOIs
StatePublished - 2015

Keywords

  • Case conceptualization
  • Clinical decision-making
  • Evidence-based assessment
  • Evidence-based practice
  • Evidence-based treatment

ASJC Scopus subject areas

  • Clinical Psychology

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