Procedure

Within PEP Psychologen, primary care psychologists, health care psychologists, psychotherapists and clinical psychologists work together in the basic mental health care domain (Generalistische Basis GGZ/ GBGGZ) and the specialized mental health care domain (Gespecialiseerde GGZ/ GGGZ). Whether you will be treated within the GBGGZ or GGGZ will depend on the severity and complexity of your symptoms and on what your general practitioner (GP) has indicated on your referral letter. Our approach is client-oriented and geared toward easy access.

The GBGGZ is for short-term, complaint-focused help. There are four “care products” based on different levels of care and consisting of a fixed number of sessions: short, medium, intensive and chronic. Every care product is linked to a number of minutes which are spent in direct contact with you, plus the indirect time needed for preparation and reporting. This route is separate from the treatment itself which is tailored to your complaints.

In the GGGZ, more complex problems are treated. The treatment is registered in a ‘Diagnose Behandel Combinatie’ (DBC), a ‘Diagnosis and Treatment Combination’. The DBC invoice will be sent to your health insurance company at the end of your treatment (or after a year if you are still in treatment).

Within both the GBGGZ and the GGGZ “care products”, both direct (face-to-face) as well as indirect time spent on your care will be registered in the “care product”.

Structure of the treatment process
First the therapist will conduct an intake with you. If treatment within our practice is suitable, a treatment plan will be drawn up in consultation with you. Based on this treatment plan a “care product” will be determined. The treatment will start immediately after the intake phase. In the course of the treatment process there are several moments where an evaluation will take place. In the GBGGZ this will be halfway and at the end of the treatment process. In the GGGZ progress an evaluation will take place at least every 6 months and at the end of the treatment process. During an evaluation the treatment plan will be reviewed with you, and both the determined goals and the treatment approach will be evaluated. The questionnaires that you have filled in will be part of the evaluation (please see the heading ‘Measurement of treatment effects and client experiences’). When necessary the treatment plan will be adjusted. The treatment process will come to an end after a joint decision has been made during an evaluation.

If you have been referred for treatment in the GBGGZ but the psychologist conducting the intake decides that you need care outside the GBGGZ, you will be referred back to your GP. It is possible that referral to the specialized mental health care (GGGZ) within PEP Psychologen is appropriate or that assistance from the mental health worker at the GP’s office (POH-GGZ) will suffice. If it is not possible to be treated within the GGGZ in our practice, you will be referred back to your GP with our recommendations on how to continue. Your GP will help you with the next step, possibly based on our recommendation.
Conversely it might become clear from the intake session that a referral to the GBGGZ within PEP Psychologen or elsewhere is necessary. In that case we will also refer you back to your GP who will help you with the next step.

The intake session will always be reimbursed if your GP has provided you with the appropriate referral letter.

These costs will be deducted from the excess that you have agreed upon with your health insurance company.

Alliances
During a treatment process our therapists have the possibility to work with different disciplines. For example, PEP Psychologists works directly with one particular psychiatrist, so that – if required – medication can be prescribed. Also, the psychiatrist can complete an additional assessment when requested. Furthermore, there is a collaboration with ENT physicians (ear, nose and throat) concerning tinnitus (ringing in the ears). And several of our therapists work at a general practitioners office.

PEP Psychologen as training practice
We are a training practice. This can mean that treatment is carried out by a psychologist training to become a health care psychologist or a health care psychologist training to become a psychotherapist. In both cases the supervisor of the psychologist in training (a health care psychologist or psychotherapist) will attend (part of) the first treatment session and (part of) the final evaluation session. This supervisor will remain involved in the background during the course of treatment.

Feedback
After the intake phase and after the end of treatment your GP will receive, if you give permission, a letter with a short description of your complaints, the treatment plan and the process of treatment. If necessary, and again only with your permission, your therapist may also make interim contact with your doctor.

Measurement of treatment effects and client experiences
At PEP Psychologen it is our top priority to offer high-quality psychological care with a focus on the individual needs of our clients. Prior, during and after completing the treatment, progress is monitored through a Routine Outcome Monitoring (ROM) list. This questionnaire is designed to support the treatment process and offers insight in the course of your symptoms. At completion of your treatment you will also receive a questionnaire regarding your opinion of the therapy sessions.