This is a fairly simple form that can be used for most behaviors. There is only room for two behaviors: more than two behaviors can only confuse the student and dispel the effort you need to make to identify and praise the surrogate behavior. Streamlining compliance programs: it may be easier There may be several possible explanations why a contract of behavior is ineffective: adapted by Basco, M.R. and Rush, A.J. (1996). Cognitive behavioral therapy for bipolar disorder. ==Individual evidence== As with other contracting behavioural interventions aimed at improving compliance, CBT begins with a clear definition of treatment objectives. These targets will be as detailed as the dose plans (e.g. B take 300 mg of lithium in the morning, at noon and before bed), schedules (for example.B. attend a doctor`s appointment next Monday, participate 3 times in AA meetings next week) and/or homework (e.g.
B read the pamphlet on bipolar disorder). To be successful, both the patient and the healthcare provider must understand and agree on the goals of treatment. Once the goals of treatment have been defined, they should be documented in a form that provides a record for both the patient and the clinician. Table 17.7 provides an example of the first part of a behaviour contract that defines treatment plans. In a second part, the conduct contract contains a list of factors that the patient has identified as potentially detrimental to the conduct of the treatment (see Table 17.9). The doctor helps the patient anticipate problems with each of the goals of treatment (for example.B. “What could stop you from taking your medication? What could stop you from making it your next date?) « . Some patients who want to please their doctors will say that nothing will stop them from taking their medications. While this enthusiasm is usually real, the healthcare provider should not omit the debate about obstacles that, while unforeseen, could arise. In these cases, it may be useful to check previous experiences in which patients have had difficulty performing the treatment as prescribed (e.g.B. “Were there times when it was difficult to take medications that were prescribed to you or if you changed the way you took your medication? What about adding medication on your own to treat symptoms?) Another self-monitoring tool with space for positive behaviors (replacement behavior) and problematic behavior. Research has shown that attention to positive behaviors contributes more to the increase in surrogate behavior and the disappearance of problematic behavior.
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