This annotated PDF explains how to use the PRN paper system to track progress in treatment with service users and prepare for data entry to CORE Net

1. TM
c Bill Andrews 2010
Wednesday, 2 February 2011 1
This presentation explains how to manage data in paper format for later entry to CORE Net.
This represents the most basic methodology to record progress in treatment.

2. Paper Protocol
TM
c Bill Andrews 2010
Wednesday, 2 February 2011 1
This presentation explains how to manage data in paper format for later entry to CORE Net.
This represents the most basic methodology to record progress in treatment.

3. The Forms
Wednesday, 2 February 2011 2
There are a variety of forms that a service provider may find beneficial to use.

4. The Forms
(contextual data)
Wednesday, 2 February 2011 3
It is very important to capture a minimum amount of contextual data about the service user.
This is represented by the forms, Therapy Assessment Form and End of Therapy Form

5. Paper Analogue of On-line CORE Net
Wednesday, 2 February 2011 4
SITE ID is the name of the service the service provider is working in.
The Site Specific Sub-Codes are where TOTAL scores from whatever measures chosen are
entered. As can be seen, up to 6 different measures may be used.

6. Paper Analogue of On-line CORE Net
Wednesday, 2 February 2011 4
SITE ID is the name of the service the service provider is working in.
The Site Specific Sub-Codes are where TOTAL scores from whatever measures chosen are
entered. As can be seen, up to 6 different measures may be used.

7. Paper Analogue of On-line CORE Net
Wednesday, 2 February 2011 4
SITE ID is the name of the service the service provider is working in.
The Site Specific Sub-Codes are where TOTAL scores from whatever measures chosen are
entered. As can be seen, up to 6 different measures may be used.

8. Paper Analogue of On-line CORE Net
Wednesday, 2 February 2011 4
SITE ID is the name of the service the service provider is working in.
The Site Specific Sub-Codes are where TOTAL scores from whatever measures chosen are
entered. As can be seen, up to 6 different measures may be used.

9. Paper Analogue of On-line CORE Net
Wednesday, 2 February 2011 4
SITE ID is the name of the service the service provider is working in.
The Site Specific Sub-Codes are where TOTAL scores from whatever measures chosen are
entered. As can be seen, up to 6 different measures may be used.

10. Paper Analogue of On-line CORE Net
Wednesday, 2 February 2011 4
SITE ID is the name of the service the service provider is working in.
The Site Specific Sub-Codes are where TOTAL scores from whatever measures chosen are
entered. As can be seen, up to 6 different measures may be used.

11. Paper Analogue of On-line CORE Net
Wednesday, 2 February 2011 4
SITE ID is the name of the service the service provider is working in.
The Site Specific Sub-Codes are where TOTAL scores from whatever measures chosen are
entered. As can be seen, up to 6 different measures may be used.

12. Paper Analogue of On-line CORE Net
Wednesday, 2 February 2011 4
SITE ID is the name of the service the service provider is working in.
The Site Specific Sub-Codes are where TOTAL scores from whatever measures chosen are
entered. As can be seen, up to 6 different measures may be used.

13. Paper Analogue of On-line CORE Net
Wednesday, 2 February 2011 4
SITE ID is the name of the service the service provider is working in.
The Site Specific Sub-Codes are where TOTAL scores from whatever measures chosen are
entered. As can be seen, up to 6 different measures may be used.

14. Paper Analogue of On-line CORE Net
Wednesday, 2 February 2011 4
SITE ID is the name of the service the service provider is working in.
The Site Specific Sub-Codes are where TOTAL scores from whatever measures chosen are
entered. As can be seen, up to 6 different measures may be used.

15. Paper Analogue of On-line CORE Net
Wednesday, 2 February 2011 4
SITE ID is the name of the service the service provider is working in.
The Site Specific Sub-Codes are where TOTAL scores from whatever measures chosen are
entered. As can be seen, up to 6 different measures may be used.

16. Paper Analogue of On-line CORE Net
Wednesday, 2 February 2011 4
SITE ID is the name of the service the service provider is working in.
The Site Specific Sub-Codes are where TOTAL scores from whatever measures chosen are
entered. As can be seen, up to 6 different measures may be used.

17. Paper Analogue of On-line CORE Net
Wednesday, 2 February 2011 4
SITE ID is the name of the service the service provider is working in.
The Site Specific Sub-Codes are where TOTAL scores from whatever measures chosen are
entered. As can be seen, up to 6 different measures may be used.

18. Paper Analogue of On-line CORE Net
Wednesday, 2 February 2011 4
SITE ID is the name of the service the service provider is working in.
The Site Specific Sub-Codes are where TOTAL scores from whatever measures chosen are
entered. As can be seen, up to 6 different measures may be used.

19. Paper Analogue of On-line CORE Net
Wednesday, 2 February 2011 4
SITE ID is the name of the service the service provider is working in.
The Site Specific Sub-Codes are where TOTAL scores from whatever measures chosen are
entered. As can be seen, up to 6 different measures may be used.

20. Wednesday, 2 February 2011 5
Capturing data about relationship support, medication and brief description of reason for
referral is critically important.

21. Wednesday, 2 February 2011 5
Capturing data about relationship support, medication and brief description of reason for
referral is critically important.

22. Wednesday, 2 February 2011 5
Capturing data about relationship support, medication and brief description of reason for
referral is critically important.

23. Wednesday, 2 February 2011 5
Capturing data about relationship support, medication and brief description of reason for
referral is critically important.

24. Wednesday, 2 February 2011 5
Capturing data about relationship support, medication and brief description of reason for
referral is critically important.

25. Keep in brief: e.g. Anxiety & loss of confidence following relationship breakup
Wednesday, 2 February 2011 5
Capturing data about relationship support, medication and brief description of reason for
referral is critically important.

26. Wednesday, 2 February 2011 6
It is very important to capture BOTH severity AND duration of identified problems/concerns.

27. Wednesday, 2 February 2011 6
It is very important to capture BOTH severity AND duration of identified problems/concerns.

28. Wednesday, 2 February 2011 6
It is very important to capture BOTH severity AND duration of identified problems/concerns.

29. Wednesday, 2 February 2011 6
It is very important to capture BOTH severity AND duration of identified problems/concerns.

30. Wednesday, 2 February 2011 6
It is very important to capture BOTH severity AND duration of identified problems/concerns.

31. 3
Wednesday, 2 February 2011 6
It is very important to capture BOTH severity AND duration of identified problems/concerns.

32. 3 x
Wednesday, 2 February 2011 6
It is very important to capture BOTH severity AND duration of identified problems/concerns.

33. 3 x
Wednesday, 2 February 2011 6
It is very important to capture BOTH severity AND duration of identified problems/concerns.

34. Wednesday, 2 February 2011 7
Similarly, on the End of Therapy Form, critical dates and final TOTAL scores of whatever
outcome measures used are captured.

35. Wednesday, 2 February 2011 7
Similarly, on the End of Therapy Form, critical dates and final TOTAL scores of whatever
outcome measures used are captured.

36. Wednesday, 2 February 2011 7
Similarly, on the End of Therapy Form, critical dates and final TOTAL scores of whatever
outcome measures used are captured.

37. Wednesday, 2 February 2011 7
Similarly, on the End of Therapy Form, critical dates and final TOTAL scores of whatever
outcome measures used are captured.

38. Wednesday, 2 February 2011 7
Similarly, on the End of Therapy Form, critical dates and final TOTAL scores of whatever
outcome measures used are captured.

39. Wednesday, 2 February 2011 7
Similarly, on the End of Therapy Form, critical dates and final TOTAL scores of whatever
outcome measures used are captured.

40. Wednesday, 2 February 2011 7
Similarly, on the End of Therapy Form, critical dates and final TOTAL scores of whatever
outcome measures used are captured.

41. Pragmatic Preparation
Wednesday, 2 February 2011 8
Prepare by making sure you have correct paperwork available.
Decide which measures you will use.
It is STRONGLY RECOMMENDED BEST PRACTICE to use measures at every session so that one

42. Pragmatic Preparation
• Preparation
Wednesday, 2 February 2011 8
Prepare by making sure you have correct paperwork available.
Decide which measures you will use.
It is STRONGLY RECOMMENDED BEST PRACTICE to use measures at every session so that one

43. Pragmatic Preparation
• Preparation
• Choice of measures
Wednesday, 2 February 2011 8
Prepare by making sure you have correct paperwork available.
Decide which measures you will use.
It is STRONGLY RECOMMENDED BEST PRACTICE to use measures at every session so that one

44. Pragmatic Preparation
• Preparation
• Choice of measures
• Sessional or start and end?
Wednesday, 2 February 2011 8
Prepare by making sure you have correct paperwork available.
Decide which measures you will use.
It is STRONGLY RECOMMENDED BEST PRACTICE to use measures at every session so that one

45. Example
Wednesday, 2 February 2011 9

46. Example
• Joan Doe decides to use CORE-10 at beginning and end of
treatment
Wednesday, 2 February 2011 9

47. Example
• Joan Doe decides to use CORE-10 at beginning and end of
treatment
• Joan will need 1 Therapy Assessment/End of Therapy form (2
sided)
Wednesday, 2 February 2011 9

48. Example
• Joan Doe decides to use CORE-10 at beginning and end of
treatment
• Joan will need 1 Therapy Assessment/End of Therapy form (2
sided)
• Joan will need 2 CORE-10 measures, 1 for start and 1 for
end of treatment
Wednesday, 2 February 2011 9

49. Wednesday, 2 February 2011 10

50. Client fills in the measures at start of treatment
Wednesday, 2 February 2011 11

51. Client fills in the measures at start of treatment
• Joan looks at the answers and scores the measures
Wednesday, 2 February 2011 11

52. Client fills in the measures at start of treatment
• Joan looks at the answers and scores the measures
• Joan discusses any matters arising from the answers
with the client
Wednesday, 2 February 2011 11

53. Client fills in the measures at start of treatment
• Joan looks at the answers and scores the measures
• Joan discusses any matters arising from the answers
with the client
• Joan fills in the Therapy Assessment Form and the
TOTAL CORE-10 score
Wednesday, 2 February 2011 11

54. x
x
x
x
x
x
x
x
x
x
Wednesday, 2 February 2011 12
The service user fills in the chosen outcome measures at the start of sessions. The service
provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

55. x 2
x
x
x
x
x
x
x
x
x
Wednesday, 2 February 2011 12
The service user fills in the chosen outcome measures at the start of sessions. The service
provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

56. x 2
x 3
x
x
x
x
x
x
x
x
Wednesday, 2 February 2011 12
The service user fills in the chosen outcome measures at the start of sessions. The service
provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

57. x 2
x 3
x 2
x
x
x
x
x
x
x
Wednesday, 2 February 2011 12
The service user fills in the chosen outcome measures at the start of sessions. The service
provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

58. x 2
x 3
x 2
x 2
x
x
x
x
x
x
Wednesday, 2 February 2011 12
The service user fills in the chosen outcome measures at the start of sessions. The service
provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

59. x 2
x 3
x 2
x 2
x 0
x
x
x
x
x
Wednesday, 2 February 2011 12
The service user fills in the chosen outcome measures at the start of sessions. The service
provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

60. x 2
x 3
x 2
x 2
x 0
x 0
x
x
x
x
Wednesday, 2 February 2011 12
The service user fills in the chosen outcome measures at the start of sessions. The service
provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

61. x 2
x 3
x 2
x 2
x 0
x 0 0
x
x
x
x
Wednesday, 2 February 2011 12
The service user fills in the chosen outcome measures at the start of sessions. The service
provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

62. x 2
x 3
x 2
x 2
x 0
x 0 0
x 3
x
x
x
Wednesday, 2 February 2011 12
The service user fills in the chosen outcome measures at the start of sessions. The service
provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

63. x 2
x 3
x 2
x 2
x 0
x 0 0
x 3
x 1
x
x
Wednesday, 2 February 2011 12
The service user fills in the chosen outcome measures at the start of sessions. The service
provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

64. x 2
x 3
x 2
x 2
x 0
x 0 0
x 3
x 1
x 2
x
Wednesday, 2 February 2011 12
The service user fills in the chosen outcome measures at the start of sessions. The service
provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

65. x 2
x 3
x 2
x 2
x 0
x 0 0
x 3
x 1
x 2
x 2
Wednesday, 2 February 2011 12
The service user fills in the chosen outcome measures at the start of sessions. The service
provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

66. x 2
x 3
x 2
x 2
x 0
x 0 0
x 3
x 1
x 2
x 2
17
Wednesday, 2 February 2011 12
The service user fills in the chosen outcome measures at the start of sessions. The service
provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

67. x 2
x 3
x 2
x 2
x 0
x 0 0
x 3
x 1
x 2
x 2
17 0
Wednesday, 2 February 2011 12
The service user fills in the chosen outcome measures at the start of sessions. The service
provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

68. x 2
x 3
x 2
x 2
x 0
x 0 0
x 3
x 1
x 2
x 2
17 0
Wednesday, 2 February 2011 12
The service user fills in the chosen outcome measures at the start of sessions. The service
provider transfers the scores to the ‘OFFICE USE ONLY’ section and adds up the score.

69. Practice Joan Doe
1/1/2011 Jane Smith
48 Part time
self white british
18/12/2010 1/1/2011
Wednesday, 2 February 2011 13
The score is written in the appropriate box on the Therapy Assessment Form.

70. Practice Joan Doe
1/1/2011 Jane Smith
48 Part time
x
self white british
18/12/2010 1/1/2011
Wednesday, 2 February 2011 13
The score is written in the appropriate box on the Therapy Assessment Form.

71. Practice Joan Doe
1/1/2011 Jane Smith
48 Part time
x
self white british
18/12/2010 1/1/2011
Wednesday, 2 February 2011 13
The score is written in the appropriate box on the Therapy Assessment Form.

72. Practice Joan Doe
1/1/2011 Jane Smith
48 Part time
x
self white british
18/12/2010 1/1/2011
Wednesday, 2 February 2011 13
The score is written in the appropriate box on the Therapy Assessment Form.

73. Practice Joan Doe
1/1/2011 Jane Smith
48 Part time
x
self white british
18/12/2010 1/1/2011
Wednesday, 2 February 2011 13
The score is written in the appropriate box on the Therapy Assessment Form.

74. Practice Joan Doe
1/1/2011 Jane Smith
48 Part time
x
self white british
17
18/12/2010 1/1/2011
Wednesday, 2 February 2011 13
The score is written in the appropriate box on the Therapy Assessment Form.

75. Client fills in a CORE-10 at last session
Wednesday, 2 February 2011 14

76. Client fills in a CORE-10 at last session
• Joan scores the measure in exactly
the same way
Wednesday, 2 February 2011 14

77. Client fills in a CORE-10 at last session
• Joan scores the measure in exactly
the same way
• Joan enters the final total score on
the End of Therapy Form
Wednesday, 2 February 2011 14

78. x 1
x 2
x 1
x 0
x 0
x 0 0
x 1
x 1
x 1
x 0
Wednesday, 2 February 2011 15

79. x 1
x 2
x 1
x 0
x 0
x 0 0
x 1
x 1
x 1
x 0
7
Wednesday, 2 February 2011 15

80. x 1
x 2
x 1
x 0
x 0
x 0 0
x 1
x 1
x 1
x 0
7 0
Wednesday, 2 February 2011 15

81. Client fills in a CORE-10 at last session
• Joan enters the final total score on the End of
Therapy Form
1/1/2011 1/2/2011
4 0
Wednesday, 2 February 2011 16
The TOTAL score from the LAST measure used is entered on the End of Therapy Form.
In cases of unplanned endings the last available measure becomes the final score. This is why
is is best to ALWAYS measure at EVERY session.

82. Client fills in a CORE-10 at last session
• Joan enters the final total score on the End of
Therapy Form
1/1/2011 1/2/2011
4 0
x
Wednesday, 2 February 2011 16
The TOTAL score from the LAST measure used is entered on the End of Therapy Form.
In cases of unplanned endings the last available measure becomes the final score. This is why
is is best to ALWAYS measure at EVERY session.

83. Client fills in a CORE-10 at last session
• Joan enters the final total score on the End of
Therapy Form
1/1/2011 1/2/2011
4 0
x
Wednesday, 2 February 2011 16
The TOTAL score from the LAST measure used is entered on the End of Therapy Form.
In cases of unplanned endings the last available measure becomes the final score. This is why
is is best to ALWAYS measure at EVERY session.

84. Client fills in a CORE-10 at last session
• Joan enters the final total score on the End of
Therapy Form
1/1/2011 1/2/2011
4 0
7
x
Wednesday, 2 February 2011 16
The TOTAL score from the LAST measure used is entered on the End of Therapy Form.
In cases of unplanned endings the last available measure becomes the final score. This is why
is is best to ALWAYS measure at EVERY session.

85. Summary
Wednesday, 2 February 2011 17

86. Summary
• ALWAYS fully fill in a Therapy Assessment Form and End of
Therapy Form for every client INCLUDING CASES THAT
DROP OUT
Wednesday, 2 February 2011 17

87. Summary
• ALWAYS fully fill in a Therapy Assessment Form and End of
Therapy Form for every client INCLUDING CASES THAT
DROP OUT
• BEST PRACTICE to measure with at least 1 measure every
session (e.g. CORE-10) in case client drops out prematurely
Wednesday, 2 February 2011 17

88. Summary
• ALWAYS fully fill in a Therapy Assessment Form and End of
Therapy Form for every client INCLUDING CASES THAT
DROP OUT
• BEST PRACTICE to measure with at least 1 measure every
session (e.g. CORE-10) in case client drops out prematurely
• AT A VERY MINIMUM Use at least 1 measure at start and
end of treatment
Wednesday, 2 February 2011 17

89. Summary
• ALWAYS fully fill in a Therapy Assessment Form and End of
Therapy Form for every client INCLUDING CASES THAT
DROP OUT
• BEST PRACTICE to measure with at least 1 measure every
session (e.g. CORE-10) in case client drops out prematurely
• AT A VERY MINIMUM Use at least 1 measure at start and
end of treatment
• It is ONLY the TOTAL scores from the FIRST and FINAL
sessions that are scored on the forms, ready for entry into
CORE Net
Wednesday, 2 February 2011 17

90. Summary
• ALWAYS fully fill in a Therapy Assessment Form and End of
Therapy Form for every client INCLUDING CASES THAT
DROP OUT
• BEST PRACTICE to measure with at least 1 measure every
session (e.g. CORE-10) in case client drops out prematurely
• AT A VERY MINIMUM Use at least 1 measure at start and
end of treatment
• It is ONLY the TOTAL scores from the FIRST and FINAL
sessions that are scored on the forms, ready for entry into
CORE Net
• Regardless of how many measures you use, the scoring
process is the same
Wednesday, 2 February 2011 17

91. Pragmatic Approach
Feedback protocol in Trauma Treatment
Wednesday, 2 February 2011 18

92. The Measures
Wednesday, 2 February 2011 19

93. The Measures
• CORE-10 is a good overall measure of distress (Score
higher than 10 is in the ‘clinical’ range)
Wednesday, 2 February 2011 19

94. The Measures
• CORE-10 is a good overall measure of distress (Score
higher than 10 is in the ‘clinical’ range)
• IES is a good measure of the more typical trauma-
specific symptoms. It covers both avoidance and
intrusion.
Wednesday, 2 February 2011 19

95. The Measures
• CORE-10 is a good overall measure of distress (Score
higher than 10 is in the ‘clinical’ range)
• IES is a good measure of the more typical trauma-
specific symptoms. It covers both avoidance and
intrusion.
• Use the measures at start and end of treatment
Wednesday, 2 February 2011 19

96. The Measures
• CORE-10 is a good overall measure of distress (Score
higher than 10 is in the ‘clinical’ range)
• IES is a good measure of the more typical trauma-
specific symptoms. It covers both avoidance and
intrusion.
• Use the measures at start and end of treatment
• You may wish to also use the CORE-10 and/or IES at
each session to measure progress
Wednesday, 2 February 2011 19

97. The Measures
• CORE-10 is a good overall measure of distress (Score
higher than 10 is in the ‘clinical’ range)
• IES is a good measure of the more typical trauma-
specific symptoms. It covers both avoidance and
intrusion.
• Use the measures at start and end of treatment
• You may wish to also use the CORE-10 and/or IES at
each session to measure progress
• It is ONLY the TOTAL scores from CORE-10 and IES
that are transferred to the Therapy Assessment Form
and End of Therapy Form
Wednesday, 2 February 2011 19

98. Data Contribution
• You now have everything ready to enter
your data into CORE Net
Wednesday, 2 February 2011 20

99. TM
c Bill Andrews 2010
Wednesday, 2 February 2011 21