Latest / The Trauma Therapist / Using Psychometric Measures to Help Your Clients with Hilah Kate Kaufman, PhD
Transcript
- 0:00Speaker 1: Welcome to the Trauma Therapists podcast. My name is gimickperson
- 0:04Speaker 1: I interview incredible people who've dedicated their lives to helping
- 0:07Speaker 1: those who've been impacted by trauma. A big thank you
- 0:11Speaker 1: to our sponsors and our guests who are supporting this
- 0:14Speaker 1: show five four, three, two and one, Our folks, welcome
- 0:19Speaker 1: back to the podcast. Very excited to have as my
- 0:21Speaker 1: guest today, Doctor Hila Kate Kaufman.
- 0:24Speaker 2: Hila, welcome, Thank you, Very excited to be here today.
- 0:27Speaker 1: Awesome. Doctor Kaufman is a clinical psychologist and associate professor
- 0:31Speaker 1: at George Mason University whose work centers on trauma, resilience,
- 0:36Speaker 1: and adaptation across the lifespan. She integrates developmental and clinical
- 0:41Speaker 1: science to better understand how individuals respond to adversity and
- 0:45Speaker 1: how trauma informed approaches can support healing. In addition to
- 0:48Speaker 1: her academic role, doctor Kaufman is involved with our sponsor today,
- 0:52Speaker 1: Novo psych platform, focused on improving mental health care through
- 0:56Speaker 1: evidence based assessment and measurement tools for clinicians. Work reflects
- 1:00Speaker 1: a strong commitment to bridging research and practice to enhance
- 1:04Speaker 1: outcomes in real world settings. All right, Heila, just obviously
- 1:08Speaker 1: a little bit about you before we get going share
- 1:10Speaker 1: with our listeners where you're from originally and where you
- 1:13Speaker 1: are currently, and we'll dive in.
- 1:15Speaker 3: So I'm originally from Houston, Texas, and I came to
- 1:19Speaker 3: the DC area for graduate school and never really left,
- 1:23Speaker 3: and so I live now in Northern Virginia outside the
- 1:25Speaker 3: DC area.
- 1:27Speaker 1: Okay, involved in the government, Nope, that you can mention.
- 1:32Speaker 2: Yeah, I know a lot of people in this area.
- 1:34Speaker 1: We are, all right, So we're going to get into
- 1:37Speaker 1: all things novo psychic and psychometrics and how that's relevant
- 1:42Speaker 1: for all clinicians. But before we do, I'm really curious
- 1:44Speaker 1: about how the heck you got into this field. How
- 1:47Speaker 1: did this start? How did your interest in psychology start?
- 1:51Speaker 2: Yeah, that's a really great question.
- 1:53Speaker 3: I would say my interest really started because of my grandfather,
- 1:56Speaker 3: who I was incredibly close with growing up. He was
- 2:00Speaker 3: a Holocaust survivor and spent years in concentration camps and
- 2:05Speaker 3: it was, you know, the only survivor in his family,
- 2:08Speaker 3: and so growing up listening to his stories and seeing
- 2:12Speaker 3: his really unbreakable will and his love of life and
- 2:16Speaker 3: how trauma shaped him but also made him just such
- 2:20Speaker 3: an incredible person, really impacted me and was a real
- 2:25Speaker 3: driver in me wanting to get into the mental health field.
- 2:28Speaker 3: You know, all these questions that I had about how
- 2:31Speaker 3: how does someone go through something, you know, so unbelievably traumatic,
- 2:35Speaker 3: but make it out on the other end and devote
- 2:38Speaker 3: their life to helping other people really stayed with me
- 2:43Speaker 3: and made me just fascinated by how trauma shapes people,
- 2:48Speaker 3: families and also across generations.
- 2:52Speaker 1: How first of all, yeah, I mean crazy and amazing
- 2:59Speaker 1: and so inspiring. When how old were you when you
- 3:02Speaker 1: first kind of saw that or thought of that.
- 3:05Speaker 3: Yeah, you know, it's hard to even pinpoint and age.
- 3:08Speaker 3: It's always just been part of my family story, kind
- 3:12Speaker 3: of just woven into the fabric of who my family is.
- 3:16Speaker 3: So yeah, I'd say for as long as I can remember,
- 3:20Speaker 3: And you know, I was just very very close with him,
- 3:23Speaker 3: So I was always talking to him and just fascinated
- 3:27Speaker 3: by how he just never let it break him and
- 3:30Speaker 3: how he rebuilt his life and how he approached life
- 3:35Speaker 3: was incredible to me.
- 3:38Speaker 1: So what do you do with that? You get to
- 3:40Speaker 1: school or you start thinking I'm gonna do you? What
- 3:42Speaker 1: do you do with that? What do you say to yourself?
- 3:44Speaker 2: Yeah?
- 3:45Speaker 3: So I think that those questions that I had just
- 3:48Speaker 3: were very very naturally led me into the field of
- 3:51Speaker 3: mental health, and I decided that I wanted to become
- 3:54Speaker 3: a therapist, and I wanted to help other people who
- 3:57Speaker 3: had experienced trauma and do that from a therapy perspective,
- 4:03Speaker 3: And so I went to graduate school, I got my
- 4:05Speaker 3: peaching clinical psychology, and much of my early work was
- 4:09Speaker 3: working with children and families who had experienced various kinds
- 4:12Speaker 3: of trauma, abuse, neglect, domestic violence. And that was very
- 4:17Speaker 3: much so where I was early on in my career,
- 4:19Speaker 3: and I absolutely loved it.
- 4:23Speaker 1: So you're jumping in the deep end. I mean, that's
- 4:26Speaker 1: very intense when you first start. Did your grandfather kind
- 4:31Speaker 1: of give you this foundational confidence or support or strength
- 4:35Speaker 1: that you brought into that. How was it like initially
- 4:40Speaker 1: hearing those stories with those clients. That's tough.
- 4:43Speaker 3: Yeah, I think that the foundation that he gave me
- 4:46Speaker 3: was that trauma is not just about the symptoms and
- 4:51Speaker 3: the difficult parts, that it's also about recovery and meaning
- 4:54Speaker 3: making and resilience and coping. So there's sort of two
- 4:59Speaker 3: sides of the pin, and I very much so was
- 5:03Speaker 3: focused on helping people find that other side the coping
- 5:07Speaker 3: and the recovery part of trauma. So it absolutely gave
- 5:10Speaker 3: me that foundational framework of seeing how he coped with
- 5:14Speaker 3: it and how just across generations in my family we
- 5:19Speaker 3: coped with it.
- 5:20Speaker 1: Can you pluck out a particular story that resonates with
- 5:24Speaker 1: you even to this day?
- 5:26Speaker 3: During that time, yeah, yeah, I worked with many families
- 5:32Speaker 3: who had experienced trauma, and I have, you know, memories
- 5:35Speaker 3: of sometimes having a grandparent, a parent and a young
- 5:38Speaker 3: child in a therapy room who had gone through domestic
- 5:42Speaker 3: violence and helping them cope with that and helping them
- 5:46Speaker 3: with the resources to make meaning and rebuild. You know,
- 5:50Speaker 3: those are some early clinical memories that I drop.
- 5:54Speaker 2: On in my work now.
- 5:58Speaker 1: Oftentimes not all, but many therapists, when confronted with those
- 6:06Speaker 1: types of situations, are drawn to and for all the
- 6:10Speaker 1: best intentions are drawn to really understanding conflicted how to
- 6:16Speaker 1: what to do, how to care, how to help for
- 6:19Speaker 1: the client. There's a I think there's a very human
- 6:22Speaker 1: pull to want to comfort and disclose personal information or stories.
- 6:29Speaker 1: What was you How did you navigate that as a
- 6:31Speaker 1: young clinician.
- 6:32Speaker 2: Yeah, that's a great question.
- 6:34Speaker 3: I think that it helped me have a lot of
- 6:37Speaker 3: empathy and understanding for the process of trauma recovery, and
- 6:42Speaker 3: it really guided the way that I would, you know,
- 6:47Speaker 3: manage and help clients figure it out. And I think
- 6:50Speaker 3: that what also stuck with me and the way that
- 6:53Speaker 3: it impacted me is that I always had these these
- 6:55Speaker 3: broader questions as part of the therapy process, which was,
- 6:59Speaker 3: you know, how do I know that the therapy that
- 7:01Speaker 3: I'm providing is working? How do I know when to
- 7:06Speaker 3: shift gears, when to pivot? How do I know when
- 7:11Speaker 3: a family or a client I'm working with needs a
- 7:13Speaker 3: different form of therapy? And so I think that's one
- 7:17Speaker 3: of the main ways that it.
- 7:18Speaker 2: Also impacted me as a.
- 7:21Speaker 3: Therapist is that it gave me these broader questions and
- 7:24Speaker 3: that ultimately led me down the professional pathway that I'm
- 7:27Speaker 3: on now, which is to help answer those questions and
- 7:31Speaker 3: help other clinicians answer those broader questions about therapy effectiveness
- 7:36Speaker 3: and how do we know that what we're doing with
- 7:39Speaker 3: our clients is working? And how do we sharpen all
- 7:42Speaker 3: the tools that we have as therapists.
- 7:46Speaker 1: Okay, so that's a wonderful segue. So was there how
- 7:51Speaker 1: did that unfold for you? How did you start studying psychometrics, assessments,
- 7:57Speaker 1: et cetera. How did that come into play for you?
- 7:59Speaker 3: Yeah, as I was working with clients, especially with trauma work,
- 8:04Speaker 3: I had all these big questions of, like I said,
- 8:07Speaker 3: is what I'm doing working?
- 8:09Speaker 2: Is it affective?
- 8:10Speaker 3: I know that I'm using an evidence based treatment, and
- 8:13Speaker 3: I know that I have all the skill I've learned
- 8:15Speaker 3: all the skills, and I know that I'm you know,
- 8:18Speaker 3: trying my best, but how how.
- 8:19Speaker 2: Do I really know? I wanted.
- 8:23Speaker 3: A more objective tool to help me, and so I
- 8:27Speaker 3: naturally started incorporating measures as part of my therapy work.
- 8:31Speaker 3: And as part of that, I really learned so much
- 8:35Speaker 3: in the research about how using measures as part of
- 8:38Speaker 3: the therapy process just enhances the therapeutic process. And so,
- 8:44Speaker 3: you know, really did a deep dive into all that research.
- 8:48Speaker 3: But what I also found, and this is a clinician
- 8:51Speaker 3: I'm probably dating myself, you know, twenty years ago, I
- 8:54Speaker 3: found that it was really hard to give patients measures,
- 8:59Speaker 3: you know, both at the start of treatment and really
- 9:03Speaker 3: across time because you know, all the paper measures and
- 9:06Speaker 3: I was hand scoring and then doing my best to
- 9:09Speaker 3: score things and create graphs and excel it just it
- 9:13Speaker 3: wasn't feasible, it wasn't scalable. The admin portion of it
- 9:18Speaker 3: was just too difficult. And I remember just thinking, I
- 9:22Speaker 3: this is helping me answer these important questions about care
- 9:26Speaker 3: and the research. You know, now there's almost thirty years
- 9:29Speaker 3: of research telling us that, you know, the routine use
- 9:32Speaker 3: of measures across care to help inform treatment decisions, what
- 9:35Speaker 3: we call measurement based care. We know it works and
- 9:38Speaker 3: we know we should be doing it, but I can't.
- 9:41Speaker 3: I can't really do it very well. And so that
- 9:44Speaker 3: led me towards technology, using technology computers to help us
- 9:49Speaker 3: do that. And so I've been in the field of
- 9:53Speaker 3: digital mental health, working on platforms that support measurement based
- 9:58Speaker 3: care now for almost ten years and I absolutely love it.
- 10:03Speaker 1: So to give some foundation for our listeners, what is
- 10:08Speaker 1: your position in Novo Psych.
- 10:11Speaker 3: Yeah, So within Novo Psych, I'm a measurement based care
- 10:14Speaker 3: research fellow. So I support the research and development of
- 10:20Speaker 3: incorporating measures into our platform. So when I say a
- 10:24Speaker 3: measure that could be you know also term psychometric Assessment
- 10:29Speaker 3: tool questionnaire. Really it's a set of questions that's designed
- 10:33Speaker 3: for a specific purpose to support a mental health provider
- 10:36Speaker 3: so how depressed is somebody?
- 10:38Speaker 2: Do they have a PhD?
- 10:41Speaker 3: And so we have at Novo Psych in our platform
- 10:45Speaker 3: over one hundred and fifty psychometric assessments that clinician can
- 10:49Speaker 3: use as part of their therapy work. And so I
- 10:53Speaker 3: help to you know, research those measures, digitize them and
- 10:57Speaker 3: ensure that clinicians can use them. Meaning so we do
- 11:01Speaker 3: all the work for clinicians so they can just go
- 11:04Speaker 3: in and use the measures.
- 11:06Speaker 1: So who can you who are they for?
- 11:10Speaker 2: Yeah?
- 11:11Speaker 3: So Novo Psych the measures in the Novo Psych Assessment
- 11:14Speaker 3: Library can be used by any type of clinicians, psychologists,
- 11:18Speaker 3: social workers, psychiatrists, licensed professional counselors, also, allied health professionals,
- 11:25Speaker 3: occupational therapists. Really, anyone who's providing mental health care can
- 11:32Speaker 3: use the measures in their work.
- 11:33Speaker 1: Okay, what about coaches?
- 11:36Speaker 2: Absolutely? So anyone really, anyone, anyone, anyone?
- 11:40Speaker 1: Okay, okay. And I want to distinguish because I think
- 11:43Speaker 1: sometimes when people think of assessments or tools or measures.
- 11:49Speaker 1: Are we talking about a forty page psychometric full battery test.
- 11:54Speaker 1: We're talking about one page, ten set of questions or both?
- 11:59Speaker 2: Love that question?
- 12:00Speaker 3: So yeah, I think that historically when we think about measures,
- 12:03Speaker 3: we think about long eyed Q tests or the guy
- 12:07Speaker 3: which is you know right.
- 12:08Speaker 2: Questions and no.
- 12:09Speaker 3: So what distinguishes the measures and of a psych is
- 12:13Speaker 3: that these are tend to be brief selfhie measures that
- 12:18Speaker 3: usually take just one to a few minutes to administer.
- 12:21Speaker 3: We certainly do have some longer measures, but by and large,
- 12:25Speaker 3: these are measures that are designed to be easy and
- 12:28Speaker 3: quick for uh, you know, for clients to complete. Your
- 12:34Speaker 3: clinicians can go in, generate a link, have it sent
- 12:37Speaker 3: to their clients. They can complete it on any electronic device,
- 12:41Speaker 3: you know, a minute on their phone before a therapy session,
- 12:44Speaker 3: and the results are automatically scored and graft and a
- 12:48Speaker 3: report is sent to the clinician.
- 12:51Speaker 1: Okay, so this is really cool. So if we can
- 12:57Speaker 1: give us an idea of how this might be useful
- 13:02Speaker 1: for a clinician, a practitioner who has a client who's
- 13:08Speaker 1: experienced trauma of some kind. I'll let you decide what
- 13:11Speaker 1: type of trauma? Why would they want to use it?
- 13:15Speaker 1: When do they know when to use it?
- 13:18Speaker 2: Sure?
- 13:19Speaker 3: So I'll start with I think the most important question,
- 13:21Speaker 3: which is why use measures routinely as part of your care?
- 13:26Speaker 3: And the list is extremely long. What we know about
- 13:29Speaker 3: using measures routinely as part of care is that, first
- 13:32Speaker 3: of all, it improves therapeutic alliance. So what I mean
- 13:35Speaker 3: by that is that improves the relationship between the client
- 13:39Speaker 3: and their therapists. And what that does ultimately, and what
- 13:42Speaker 3: we know from the research, is that it reduces client dropout.
- 13:45Speaker 3: So people stay in treatment when measures are used routinely.
- 13:50Speaker 3: Why why a lot of researchers looked at that.
- 13:55Speaker 2: You know.
- 13:55Speaker 3: The mechanism at play that we believe is that it
- 13:58Speaker 3: really surfaces what is going on that would otherwise be missed.
- 14:02Speaker 3: So I like to think of it as a signal
- 14:04Speaker 3: alarm system that it helps clients feel heard, it helps
- 14:10Speaker 3: them be more engaged in treatment as well when they
- 14:15Speaker 3: are completing let's say, a trauma measure like the Life
- 14:18Speaker 3: Events checklist you know, every month and they are What
- 14:23Speaker 3: I haven't said yet, which is really important, is that
- 14:25Speaker 3: the results of these measures are not just designed to
- 14:28Speaker 3: be reviewed by the clinician.
- 14:31Speaker 2: And that's it. The way that novopsych is set up.
- 14:34Speaker 3: All our reports, all our graphs, all the information, it's
- 14:37Speaker 3: designed to be reviewed collaboratively between the client and the therapist.
- 14:42Speaker 3: And that's really what distinguishes measurement based care. It's not
- 14:47Speaker 3: just assigning some measures and they go to the therapist
- 14:50Speaker 3: and then the client never hears about it again, or
- 14:54Speaker 3: maybe it's mentioned in passing.
- 14:55Speaker 2: This is a.
- 14:56Speaker 3: Collaborative process of review repeatedly over time, so not just
- 15:02Speaker 3: the beginning of therapy and then maybe at the end.
- 15:06Speaker 3: It's really that in between session to session.
- 15:09Speaker 2: Review of results.
- 15:10Speaker 3: That is what keeps, what helps the relationship, prevents drop out,
- 15:16Speaker 3: helps surface information that would otherwise be missed. It it
- 15:20Speaker 3: helps clinicians to be more precise and the care that
- 15:24Speaker 3: they are providing. And so what that does on the
- 15:26Speaker 3: other end to clients is that they feel more heard,
- 15:31Speaker 3: more understood. They often say, like, you know, just kind
- 15:36Speaker 3: of seeing is believing.
- 15:37Speaker 2: You know, there are.
- 15:38Speaker 3: So many thoughts, so much going on. Oftentimes in individuals
- 15:43Speaker 3: of or experienced trauma PTSD, they've been misdiagnosed, or their
- 15:47Speaker 3: diagnosis has been totally missed for years, maybe they've been
- 15:51Speaker 3: treated for something else, and so to see the data
- 15:55Speaker 3: over time as part of their care is really power full.
- 16:00Speaker 3: And we hear that again and again both from clinicians
- 16:03Speaker 3: and clients when they use novo.
- 16:05Speaker 1: Psych Can you again kind of pluck out an example
- 16:10Speaker 1: of someone you worked with. I could really see that,
- 16:14Speaker 1: you know, beginning to work with someone introducing a particular
- 16:18Speaker 1: measure and reviewing it with the client and something coming
- 16:26Speaker 1: up and them saying either one, oh, I never really
- 16:30Speaker 1: thought about that, or maybe they didn't want to disclose that,
- 16:34Speaker 1: and that comes out. I'm just curious. From your own
- 16:37Speaker 1: experience specifically.
- 16:39Speaker 3: Yeah, yeah, absolutely, I think that this type of care,
- 16:44Speaker 3: this framework of giving measures routinely over time as part
- 16:49Speaker 3: of care, lends itself really well to trauma work, and
- 16:51Speaker 3: I've seen that firsthand. So I'll give an example where
- 16:55Speaker 3: you know, have a client coming in and you know
- 16:59Speaker 3: they're initially there where you know, want to find out
- 17:02Speaker 3: if they have PTSD, and that's part of what we're
- 17:04Speaker 3: going to be working on. And so what I normally
- 17:07Speaker 3: do is just at a baseline, give them a measure
- 17:10Speaker 3: like the LEC five, the Life Events Checklist, or the
- 17:13Speaker 3: aces Q the Adverse Childhood Experiences Questionnaire, which look really
- 17:19Speaker 3: screens for potentially traumatic events that they would have experienced.
- 17:24Speaker 3: We also have some great measures that look at protective
- 17:28Speaker 3: factors that they may have experienced, which I think is
- 17:31Speaker 3: equally important. And so that is something that I would
- 17:34Speaker 3: do routinely, you know.
- 17:37Speaker 1: At yeah, Okay, not to interrupt you, but so each
- 17:41Speaker 1: of those measures are how long? How many questions? And
- 17:44Speaker 1: how would you administer that?
- 17:46Speaker 3: Yeah, so each of them ten to fifteen questions, maybe
- 17:50Speaker 3: takes a minute or two, and I would yeah, I
- 17:52Speaker 3: wouldn't give all of them. So, you know, I've gone
- 17:56Speaker 3: different points in my work as a clinician. I've gone
- 17:59Speaker 3: with one measure or another, and sometimes it depends on
- 18:02Speaker 3: the client and the broader questions. And so I think
- 18:05Speaker 3: that's also a really great part of novo psych is
- 18:08Speaker 3: that we have a good list that a clinician, based
- 18:12Speaker 3: on their theoretical orientation with a type of trauma work,
- 18:15Speaker 3: what's important to them as a clinician, that they work
- 18:17Speaker 3: on with their clients to select the right measure. So
- 18:21Speaker 3: those are examples of kind of the initial screening measures
- 18:26Speaker 3: that I would give. I personally really like the life
- 18:28Speaker 3: Events checklist. It helps you give as a clinician really
- 18:32Speaker 3: understand what kinds of experiences, potentially traumatic experience someone may
- 18:38Speaker 3: have gone through that we need to explore. More So,
- 18:42Speaker 3: right at the start of therapy, I already have this
- 18:44Speaker 3: great information that we can reference. And what I would
- 18:48Speaker 3: do is I would before the first session or maybe
- 18:52Speaker 3: as part of the intake process, they would get a
- 18:55Speaker 3: link to complete a battery of measures.
- 18:58Speaker 1: And so they're not doing it with you in the office.
- 19:02Speaker 2: I like to do it before shortly before.
- 19:04Speaker 3: But absolutely novo psych measures can be given, you know,
- 19:08Speaker 3: in the waiting room or in the room itself.
- 19:10Speaker 2: You hand them a tablet and they can complete the messages.
- 19:13Speaker 3: So it's really designed to work with however, you provide
- 19:18Speaker 3: care if you prefer to have the information before and
- 19:20Speaker 3: then review it, or if you prefer in session or
- 19:24Speaker 3: you know, the waiting room.
- 19:26Speaker 1: Now forgive the very basic question here, but what's the
- 19:35Speaker 1: difference between administering, say a ten question questionnaire assessment measure
- 19:43Speaker 1: or the clinician simply asking those questions, yeah, or not
- 19:48Speaker 1: even asking those questions, but just asking questions and having
- 19:53Speaker 1: that introductory initial.
- 19:56Speaker 2: Session that No, I absolutely love that question.
- 19:59Speaker 3: That's really at the core of what why novo psych exists.
- 20:04Speaker 3: And so this is absolutely not meant to replace the
- 20:09Speaker 3: clinical conversation, clinical intuition, the information that the client provides.
- 20:15Speaker 3: These measures are meant to be and I like to
- 20:18Speaker 3: think of it as as giving the clinician and extra
- 20:21Speaker 3: sharp acts in their toolbox that helps them to be
- 20:24Speaker 3: more precise and quicker in arriving at a diagnosis, figuring
- 20:30Speaker 3: out what to do, and ensuring that nothing is missed. So,
- 20:34Speaker 3: you know, we only have so many so much time
- 20:37Speaker 3: in a therapy session, and there's often so much to assess.
- 20:41Speaker 3: You know, individuals with PTSD often have other difficulties, whether
- 20:45Speaker 3: it's substance abuse, depression, anxiety, there's there ADHD, there's a
- 20:51Speaker 3: lot to get through. There's a lot of questions to ask,
- 20:54Speaker 3: and having validated gold standard measures that you can give
- 21:00Speaker 3: at the start or throughout treatment as needed to help
- 21:03Speaker 3: you arrive at you know, clinical decision making quicker is
- 21:09Speaker 3: you know, just incredibly effective. You know, we know there's
- 21:14Speaker 3: research that shows that clients who routinely complete measures reach
- 21:18Speaker 3: remission sometimes two and a half faster than clients who
- 21:21Speaker 3: do not, And it's you know, can be a really
- 21:26Speaker 3: really effective tool alongside the clinical What it also does
- 21:31Speaker 3: is it helps you ask questions in a standardized way
- 21:35Speaker 3: each time across session with an individual client and also
- 21:39Speaker 3: across your you know, client population, so you're getting precise,
- 21:45Speaker 3: standard information to help drive the decisions that you make
- 21:48Speaker 3: as a clinician.
- 21:52Speaker 1: Why does it help or why might it help someone
- 21:56Speaker 1: achieve quicker results?
- 21:59Speaker 3: Yeah, I think that one of the main mechanisms that
- 22:03Speaker 3: it helps you reach quicker results is that you're getting
- 22:06Speaker 3: sometimes real time information about how the individual is doing. So,
- 22:12Speaker 3: for example, if you're giving a measure like the PCL
- 22:15Speaker 3: five the PTSD Checklist, which is a gold standard measure
- 22:20Speaker 3: of PTSD symptoms, giving it on a monthly basis, and
- 22:26Speaker 3: as you're progressing in treatment, you are catching right away
- 22:29Speaker 3: if something is going off the rails, if something is
- 22:32Speaker 3: going off track, so you know, while you know, we're
- 22:37Speaker 3: of course using our clinical judgment and the patient may
- 22:40Speaker 3: say I'm doing better or I'm doing worse, you have
- 22:43Speaker 3: this extra objective way to draw upon and making your decisions.
- 22:49Speaker 3: And what we know is that having that additional detail
- 22:53Speaker 3: helps us provide more effective care and respond very quickly.
- 22:58Speaker 3: So instead of going a few months where we think
- 23:01Speaker 3: things are going well with our clients, we can respond
- 23:06Speaker 3: immediately really and we have these rich conversations with the client.
- 23:11Speaker 3: Maybe we discover that, you know, the reason things are
- 23:15Speaker 3: not improving in treatment is because they're not sleeping well
- 23:19Speaker 3: or they're you know, something else stressful, or they're having
- 23:23Speaker 3: difficulties within attention, and so we're able to then do
- 23:27Speaker 3: a further assessment of those challenges and incorporate that as
- 23:30Speaker 3: part of care. So it's the ability to surface what
- 23:36Speaker 3: is sometimes hard to put into words, what has not
- 23:40Speaker 3: been disclosed yet, what you know, what else might be
- 23:43Speaker 3: going on. That are all part of the mechanisms of
- 23:46Speaker 3: effective measurement based care.
- 23:49Speaker 1: Yeah, I love that, all right. So people listening to
- 23:51Speaker 1: this are clinician therapists of all kinds. Let's say there's
- 23:57Speaker 1: someone out there who's like, all right, this is in
- 23:59Speaker 1: life lightning for me. What if I come to Novopsych,
- 24:07Speaker 1: How do I use Novo psych. What's the best way
- 24:10Speaker 1: I've never let's say I've never administered a measure before.
- 24:16Speaker 3: Yeah, and so I'd say Novo psych is a perfect
- 24:20Speaker 3: starting point if you're a clinician who is never or
- 24:23Speaker 3: any provider of care who is never administered a measure before,
- 24:27Speaker 3: because we have done all the work to make this
- 24:30Speaker 3: as smooth of a process to implement as possible. So
- 24:34Speaker 3: if you go to Novo Psych novopsych dot com, you
- 24:37Speaker 3: go to our assessment library, encourage you to look through
- 24:40Speaker 3: the different measures that we have. Like I said, we
- 24:43Speaker 3: have great offering a measures for folks working with individuals
- 24:47Speaker 3: with trauma, and I always think it's best to start
- 24:50Speaker 3: by self administering some measures. I think it's good to
- 24:53Speaker 3: understand the process of the measures and what it feels
- 24:58Speaker 3: like to decide as a clinician, what is a measure
- 25:02Speaker 3: or measures that would be good for you to incorporate
- 25:04Speaker 3: as part of your work as a clinician. I think
- 25:07Speaker 3: I also recommend not you know, not feeling like you
- 25:10Speaker 3: need to have a you know, fifteen twenty measures or
- 25:13Speaker 3: just because we have this many measures does mean that
- 25:15Speaker 3: a clinician should be using all of them. It's really
- 25:18Speaker 3: about you know, self reflection as a clinician and thinking
- 25:22Speaker 3: what would be best for your client, maybe choosing one
- 25:24Speaker 3: or two measures. One that I recommend for your listeners
- 25:28Speaker 3: is the Trauma Recovery Measure. So you know, we can
- 25:32Speaker 3: measure the symptoms of PTSD, but what the.
- 25:34Speaker 2: Trauma Recovery Measure does.
- 25:36Speaker 3: It really looks at stages of recovery as part of
- 25:40Speaker 3: trauma work over time, so things like you know, relationships
- 25:44Speaker 3: with others and emotion regulation. It really focuses more on
- 25:49Speaker 3: the positive aspects of recovery as well. So choosing a measure,
- 25:54Speaker 3: maybe starting off with one client or a group of clients,
- 25:57Speaker 3: and you know, starting to use it regularly and seeing
- 26:02Speaker 3: the impact of the care you provide, seeing what conversations
- 26:07Speaker 3: come up with your clients, seeing if it's helping you
- 26:10Speaker 3: to provide better, different care. And I think that's a
- 26:16Speaker 3: good easy starting point. And what you'll also see is
- 26:19Speaker 3: that for every measure, we have these really wonderful profiles,
- 26:23Speaker 3: so you're not just administering a measure blindly. We provide
- 26:27Speaker 3: whether you've never used a measure or you're a very
- 26:30Speaker 3: experienced clinician with lots of research experience, we our profiles
- 26:35Speaker 3: explain everything you need to know about a measure, how
- 26:38Speaker 3: to use it, how to interpret it, how.
- 26:39Speaker 2: To score it.
- 26:41Speaker 3: And also when you get the results, you're not just
- 26:44Speaker 3: getting some numbers. We have a whole team of psychologists, psychometricians, researchers,
- 26:51Speaker 3: and we spend a tremendous amount of time thinking about
- 26:54Speaker 3: how to present the results so that they make sense
- 26:58Speaker 3: as part of care, you can incorporate it as part
- 27:02Speaker 3: of your care, and also so that you can show
- 27:05Speaker 3: the report and share it with your clients so that
- 27:08Speaker 3: they they get it. I often like to think of
- 27:12Speaker 3: what we do as like the blood pressure cuff for
- 27:15Speaker 3: mental health. We're going to your GP and they just
- 27:19Speaker 3: looked at you and said, I think you have high
- 27:21Speaker 3: blood pressure. You would you would, you know, not think
- 27:24Speaker 3: that that was a legitimate medical advice. You know, our
- 27:28Speaker 3: medical doctors they use thermometers and blood pressures and weight
- 27:32Speaker 3: and labs. And in mental health care, we all, you know,
- 27:35Speaker 3: for a very long time, we haven't had a way
- 27:38Speaker 3: to incorporate those additional metrics into care, and novo psych
- 27:42Speaker 3: makes that possible. These are you know, really gives clinicians
- 27:47Speaker 3: those tools they need to have sort of an extra
- 27:49Speaker 3: dashboard of information when they're talking to their clients and
- 27:54Speaker 3: when they are trying to decide what to do treatment planning,
- 27:58Speaker 3: pivoting other resources, other skills for their clients.
- 28:05Speaker 1: What's really kind of inspired me and impressed me by
- 28:09Speaker 1: what you said is the way these measures can be
- 28:13Speaker 1: incorporated as opposed to, you know, supplanting the work that
- 28:21Speaker 1: a clinician or a therapist does. No. This is something
- 28:24Speaker 1: if you want to deliver optimal care, the best care
- 28:29Speaker 1: you can and to see what Like you said, initially,
- 28:35Speaker 1: how do I know what's if anything is working? This
- 28:38Speaker 1: is something you can add in. It's not removing the
- 28:43Speaker 1: human being of you know, in the in the room.
- 28:47Speaker 1: It's giving you, like you said, another tool in the toolbox.
- 28:50Speaker 1: To overuse a hackneyed phrase, but I think that's very
- 28:53Speaker 1: powerful for people to hear because correct me if I'm wrong.
- 28:57Speaker 1: There can be the sense that oh, you know, this
- 29:00Speaker 1: is maybe too cold or assessment, or it's going to
- 29:04Speaker 1: take the personal personal out of the room. But no,
- 29:10Speaker 1: this is putting more what knowledge, intuition, heart into the
- 29:16Speaker 1: treatment you're delivering.
- 29:18Speaker 3: Absolutely, and that's what we hear from therapists and clients
- 29:22Speaker 3: all the time. Is the opposite of it, the opposite
- 29:27Speaker 3: of the concern that this is reducing anybody to numbers
- 29:30Speaker 3: or moving the clinicians judgment or taking away from the
- 29:36Speaker 3: clinical relationship. It really is what we know from decades
- 29:41Speaker 3: of research and what we see. The feedback we get
- 29:44Speaker 3: as a company is that it really helps people see
- 29:49Speaker 3: their progress over time, and as a clinician, it helps us,
- 29:53Speaker 3: you know, it gives us that feedback. It helps us
- 29:56Speaker 3: know when to stay the course, when we need to
- 30:00Speaker 3: have another conversation when we need to maybe assess for
- 30:04Speaker 3: something else. It helps ultimately make treatment more effective and
- 30:10Speaker 3: improve the relationship between clinicians and clients. And that's really
- 30:14Speaker 3: the mission of Novo Psych is we want to support
- 30:17Speaker 3: clinicians and improving clinical outcomes for their clients. And so
- 30:22Speaker 3: you know, everything within Novo Psych. We have some other
- 30:25Speaker 3: great features as well. We have an AI scribe that
- 30:28Speaker 3: helps with note taking, We have an AI Digital Assistant.
- 30:32Speaker 3: We have lots of other features but that I can
- 30:37Speaker 3: go into and I encourage anyone.
- 30:39Speaker 2: Interested to check out.
- 30:41Speaker 3: But everything we do is to support clinicians and providing
- 30:44Speaker 3: better care for their clients.
- 30:46Speaker 1: Okay, okay, all right, So how do people learn more
- 30:49Speaker 1: about Novo Psych and what you folks are offering.
- 30:52Speaker 3: Yeah, check out novo psych dot com and o v
- 30:56Speaker 3: ops y cch dot com. We also have a landing
- 30:59Speaker 3: page specifically for your listeners at Novo psych dot com
- 31:03Speaker 3: slash Trauma Podcast, and if you go there, you'll get
- 31:06Speaker 3: a nice overview of how it works and some great
- 31:10Speaker 3: measures that you can check out that we found our
- 31:14Speaker 3: especially especially useful for trauma therapists. So you can also
- 31:19Speaker 3: reach out by email at info at Novo psych dot com.
- 31:23Speaker 3: Also welcome to contact me directly. I love talking about
- 31:26Speaker 3: all of this and helping clinicians incorporate it into their work.
- 31:30Speaker 1: All right, awesome, Hila, Thank you so much. We'll have
- 31:33Speaker 1: all that link up here at the show notes page
- 31:35Speaker 1: at the Trauma Therapist podcast dot com. Once again, that's
- 31:38Speaker 1: Novo psych dot com slash Trauma Podcast. Thank you so
- 31:42Speaker 1: much for being here.
- 31:43Speaker 2: Thank you so much, guy.
- 31:44Speaker 1: All right, take care.
- 31:45Speaker 3: Hi,