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The Flex-Care Model of Therapy

Linton Hutchinson, Ph.D., LMHC, NCC and Eric Twachtman

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Discover how the FlexCare model transforms traditional therapy into a dynamic, personalized experience that adapts to each client’s unique needs. With flexibility at its core, this groundbreaking framework brings forth customizable treatment plans that evolve as clients progress, making therapy more accessible and effective.

Throughout our engaging discussion, we explore the critical phases of the FlexCare model, including initial assessments, planning, and implementation. By focusing on building authentic relationships and fostering open communication, therapists can better understand and support their clients. We delve into practical applications of the FlexCare model, showcasing a captivating case study involving a client named Sandy, who found relief in therapy through flexible scheduling and adaptable methods.

The conversation also highlights essential tools, such as the Patient Activation Measure and Care Transitions Measure, which enhance client empowerment and engagement. By prioritizing a client-centered approach, we help listeners understand how FlexCare not only addresses immediate mental health challenges but also strives for long-lasting results. 

Join us in this thought-provoking episode as we redefine therapy standards and promote the necessity for a more flexible approach in mental health care. Subscribe, share this episode with anyone seeking mental well-being solutions, and leave a review to help spread the word about this impactful conversation!


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This podcast is not associated with the NBCC, AMFTRB, ASW, ANCC, NASP, NAADAC, CCMC, NCPG,  CRCC, or any state or governmental agency responsible for licensure.

Introduction to FlexCare Model

Linton

Hey everyone, I'm Dr Linton Hutchinson.

Eric

And I'm Eric Tworkman and I was looking at the old mailbag today and Katie a regular listener who must be frozen by now because she's living in Gloucester, massachusetts, gloucester sorry, it's Glasta sorry is studying for her licensure exam, and she emailed about a therapy that she'd never heard of before, about her graduate counseling program, and asked for some clarification. So we're excited to talk with you today about something that's really changing the approach in mental health care the FlexCare model.

Linton

Well, before we jump into the deep end of the pool. Well, before we jump into the deep end of the pool, let's break down the FlexCare model actually, and what it is Simply put, it's a dynamic approach to mental health care that adapts to each client's unique needs, circumstances and preferences.

Eric

Think of it as a customizable treatment plan that can shift and change as your client does Right-o. It's like having a GPS on your phone that recalculates the route whenever you need it, making sure that your client reaches their mental health goals in the way that works best for them.

Linton

You know what's really awesome about this model Ez? It shows up differently for each client. Sometimes it might mean offering both in-person and online sessions, or adjusting how often you meet based on what is happening right then and there in their lives.

Eric

Right, and it's not just about session format. You might find yourself working with a team that expands or shrinks depending on what your client needs. One week you might be coordinating with their primary care doctor, and then the next you're bringing in a nutritionist or a career counselor.

Linton

Let's walk through how this actually works. First up is the initial assessment phase. But don't let the formal name fool you. It's really just about getting to know your client, understanding their situation and figuring out what matters most to them.

Eric

Right, like being a detective, but in a friendly way. You're gathering all the pieces together their medical history, current mental health challenges what's going on in their life and where they want to be.

Linton

Then comes the planning phase. This is where you and your client create a treatment plan together, but, unlike traditional plans that are pretty much set in stone, these are more like guidelines that can bend and flex depending on how things change.

Eric

Oh, flex, Sort of like how I've noticed you think traffic lights are mere suggestions. Well, you got it. Az Well, that's why I stay off the road when you're driving. The implementation phase is where the rubber meets the road. See what I did there. You're putting everything into action, but always keeping an eye on how things are going and making tweaks as needed.

Linton

And throughout all of this, you're constantly evaluating, not in a rigid formal way, but more like checking in regularly to ensure everything's working just how they should Right.

Eric

So let's talk about some of the tools associated with this model. Like having a Swiss Army knife, except with therapy approaches You've got different tools and you pick the right one for each situation. Different tools and you pick the right one for each situation. The therapeutic approach within this model emphasizes adaptability and personalization, while maintaining evidence-based practices Exactly.

Linton

One of our key approaches is ACT, acceptance and commitment therapy, which I hope you've studied as it can show up on your licensing exam. Think of it as helping clients be present in the moment, accepting their thoughts and feelings without getting stuck, and it keeps them moving towards their goals even when things get really, really tough.

Eric

Which goes along with the motivational interviewing, which is all about having meaningful conversations about what changes the client themselves want to make and what might be holding them back, like being a supportive coach rather than the directive expert.

Linton

Mm-hmm. Well, here's something I love about this model, Eric it's all about putting the client in the driver's seat.

Eric

The client-centered approach means following their leads and adjusting your methods to fit their life, and we use care mapping, which sounds all fancy schmancy but is really just a way to keep track of all the moving parts of the client's care. You create a detailed care pathway that can be adapted based on client needs, while maintaining communication channels between all those team members we talked about. It helps that you'll ensure everybody's on the same page, but so nothing falls through the cracks, and that shared decision-making facilitates collaborative care planning. You'll present treatment options, discuss potential benefits and risks, then incorporate client preferences into care decisions using the various decision aids and tools.

Linton

Right, and we've got some really helpful assessment tools in the FlexCare model for checking how things are going. One of my favorites is the patient activation measure, which helps us understand how confident a client feels in managing their own mental health. It also provides insights into engagement levels and identifies areas that need additional support. Which one do you prefer, eric?

Eric

Well, I like the Care Transitions Measure as a great way to ensure clients feel supported when they move between different types of care or they work with different team members, like having a safety net to catch any potential gaps. And, of course, the functional independence measure, which helps assessing clients functional status and independence in daily activities. Right, it can guide care planning, resource allocation and provides objective measures for progress. So if you're asked, say on a licensing exam, about the FlexCare model, remember patient activation measure. Care transition measure. Functional independence measure.

Linton

Okay, now let's share a short case study about a client named Sandy. She came to therapy feeling completely overwhelmed with balancing work and life, plus dealing with intense daily anxiety. Using the FlexCare model, we first assessed her situation inside and out. Then, knowing she had an overwhelming schedule, we set up a mixture of in-person and online sessions.

Eric

And the cool thing was it could be adjusted as things went along. We switched to more online sessions. When she had a particularly busy month at work and when she was going through some more intensive challenges, we increased the frequency of the in-person Well.

Linton

Exactly and by staying flexible and responsive, sandy was able to develop coping strategies that actually fit into her real life. Along the way, we checked her progress using the assessments we mentioned earlier, and she didn't have to completely reorganize her schedule or life to make therapy work Therapy again adapted to her.

Eric

Right. So what are the big takeaways from all this?

Linton

Well, first off, the FlexCare model is all about combining personalization with practicality. It's like having a custom fit solution that can still work with the real world constraints of clients' busy lives.

Eric

And it's about meeting clients where they are, both literally and figuratively. Sometimes that means online, sometimes in person, sometimes a mix Key is staying adaptable while maintaining quality care, like you're always going on about with your public sushi.

Linton

Yep Ky really does maintain quality care and keeping that salmon wasabi ratio in check.

Eric

Well, it's making me hungry just thinking about all that quality care you get.

Linton

Well, the research supports that too. The research about sushi Well, that too, yeah.

Eric

So when we're using the flexible approach, we see better engagement and better outcomes, and here's what I think is really game-changing about what we've been talking about. The approach makes therapy accessible to anybody who would otherwise face insurmountable barriers due to their scheduling constraints or geographic location. It really makes it so that more people can get the mental health care they need.

Linton

Well, thanks for joining us today. Everyone, Remember, just like we want our clients to be flexible and adaptable, we need to bring the same spirit to how we deliver therapy.

Eric

Amen. So until next time. Keep growing and adapting in your practice and remember so until next time. Keep growing and adapting in your practice. And remember there's no one size fits all in therapy. So don't be afraid to be flexible and to adjust as you need to. And remember it's in there, it's in there.