Clinical Feedback System (FFT-CFS);the quality improvement/measurement feedback system

for Functional Family Therapy

Thomas L. Sexton, Ph. D., ABPPFunctional Family Therapy Associates

FFT-Clinical Feedback System

Clinical Feedback tool….Bring information to you…at a glance to help plan sessionsAllows client a “voice” in the progressLets you know how to match to the family

Domains:

Service delivery (the profile of how units of service are delivered in FFT)

Case planning Model Specific Adherence Treatment progress & Process (impact of treatment on client

Outcomes (Baseline & Discharage)

FFT/CFScontinuous quality improvement system for Functional

Family Therapy

Client SessionBaselineFamily

Functioning Youth

Symptom level

Measure:Com-R)

SFSS (full)

PostSymptoms

Family functioning

Measures: -Com-R

-SFSS (full)Motivation

Engagement Behavior Change

Behavior Change

Generalization

Generalization

Session

Even Sessions(2nd, 4th, 6th, etc.)

Youth Symptom Level(SFSS-Form A)Parent & Youth

Adherece(CPQ)

Parent and youth

Odd Sessions(1nd, 3th, 5th, etc.)

Session Impact(SIS EM, SIS BC,

SIS Gen)Parent & Youth

Case PlanningProgress

Notes (PN)

Case PlanningSession Planning

Guide (SPG)

FFT-CFS

• Work in progress!

• Easy, practical, fits the way your work

• Feedback (to come):• Alerts (what you need to pay attention to

now)• Status (low, average, high/red, yellow &

green)• Clinical Feedback….reports on:

• Youth symptoms • Impact of Sessions on the family• Progress (general & specific)• Model adherence

Using the FFT-CFS

1. Schedule a Session

2. Hold a session• Client (youth and caregiver) complete

measures on paper (electronic version to come)

• Therapist (completes PN and SPG on the computer)

3. Close the session

4. Review to plan the next session (on the computer)

FFT-CFS

Major sections of the FFT-CFS:1. Schedule

• Where you set & close appointments

• Helps you organize your day—see your daily, weekly & monthly FFT calendar

2. Directory• Your list of clients…access to their information

3. Member• Your clients, documents, & sessions

4. Reports (to come)5. Measures (to come)6. To Do list (what is incomplete and needs to be

done)

Functions of FFT-CFS

1. Add a client

2. Schedule an appointment (SCHEDULE page)

3. Add a measure

4. Close a session

5. Using your “to do list”

Practical Issues

• Log on:• From the FFT webpage• Change your password! (same as FFT page)• Check your case and session lists (make sure they

are complete)

• Practice:• Two test cases (label them as Test 1, Test 2)

• Your current cases:• We will update as of the end of today for you• You will need to put in COM, SFSS of client that were

not in the system---we will add these if they were there

• Begin Monday Morning using FFT-CFS

• Send us problems!!! (email: technical@functionalfamilytherapy.com)

Demonstration

• The Schedule Page

• Functions:• Change your password• Add a client• Add a session—close a session• Add a measures

What is next?

• Practice over the weekend/today• Do your test cases• Test log in:

• www.care4soft.com• User name (your email)• Password (welcome123)---PLEASE CHANGE your

password

• Check your cases & sessions

• We will:• Continue to add Baseline info for those in the

system• Others…you need to add

• Please….• Send us session for this week by today…we

will have them in by Monday

Contact Information

thsexton@mac.com

Thomas L. Sexton, Ph. D., ABPP

FFT Associates Inc.