Entering a full-time private practice and forsaking the comforts of a regular paycheck was a difficult decision for me. Fortunately, I was able to begin my practice on a part-time basis in space rented from two physician friends. By using my behavior skills for self-management and organization, I was then able to help my practice grow so that, with some trepidation, I moved into a full-time practice. I have continued to maintain my practice according to the same ethical, professional, and business assumptions discussed in this book. One of the reasons for my writing this book is that, at the time I was beginning my practice, there was no one text that helped me begin or to explain what "nuts and bolts" issues I needed to consider. As my practice has grown, I continued to see a need for a resource text to help the beginning therapist get started. I decided to describe the assump tions, methods, and issues that I have used so as to present a discussion of timely issues relevant to the practice of behavior therapy.

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1 Behavior Therapy: Foundations for Clinical Practice.- 1.1. Definition of Behavior Therapy.- 1.2 Comparison of Behavior Therapy with Traditional Clinical Practice.- 1.3. The Growing Influence of Behavior Therapy.- 1.4. The Advantages and Disadvantages of a Private Practice in Behavior Therapy.- 2 Getting Started in a Behavior Therapy Private Practice.- 2.1 Getting Referrals.- 2.2. Nurturing Referrals: Keeping a Steady Flow.- 2.3. Professional Services Offered by the Behavior Therapist.- 3 Conducting a Private Practice in Behavior Therapy.- 3.1. General Comments.- 3.2. Procedural Concerns for the Provision of Behavior Therapy Services.- 3.3. Relationship Enhancement and Rapport Building.- 3.4. Initial Session.- 3.5. Assessment, Forms, and Procedures.- 3.6. Evaluation.- 3.7. Composition of the Therapy Hour.- 3.8. Homework Assignments, Client Compliance and Noncompliance, and Troubleshooting Problems in Therapy.- 3.9. Termination and Follow-Up.- 4 A Review of Common Treatment Procedures in Behavior Therapy.- 4.1. Treatment Procedures.- 4.2. Traditional Operant Conditioning/Behavior Modification Procedures.- 4.3. Classical Conditioning Procedures.- 4.4. Social Learning and Self-Control Procedures.- 4.5. Cognitive Restructuring Procedures.- 4.6. Biofeedback and Physiological Reconditioning Methods.- 4.7. Concluding Comments.- 5 Professional Standards and Ethical Issues for Private Practice.- 5.1. Ethical Principles of Psychologists (APA, 1981).- 5.2. Standards for Providers of Psychological Services (APA, 1977).- 5.3. Specialty Guidelines for the Delivery of Services (APA, 1980).- 5.4. Ethical Issues for Human Services (AABT, 1977).- 5.5. Formulating a Written Service Delivery Plan: Pertinent Professional Questions.- 6 Recording and Treatment Forms.- 6.1. RecordingForms.- 6.2. Treatment Forms.- 7 Supplementary Tools for Behavioral Practice.- 7.1. Equipment.- 7.2. Books and Journals.- 7.3. Continuing Education.- 7.4. The Use of Computers in a Behavioral Private Practice.- 8 The Behavior Therapist as Consultant.- 8.1. Issues and Current Directions in Behavioral Consultation.- 8.2. Behavior Consultation Settings.- 9 Business Concerns for the Behavior Therapist.- 9.1. The Decision to Enter Private Practice.- 9.2. Office Location and Furnishings, Layout, and Hours.- 9.3. Support Services.- 9.4. Other Initial and Ongoing Expenses.- 9.5. Fees: Setting, Collections, and Projections.- 9.6. Marketing Professional Services.- 9.7. Business Resources for the Private Practitioner.- 9.8. Pertinent Business Questions.- 9.9. Alternative Mental Health Care Delivery Systems: Threat or Opportunity for the Mental Health Practitioner?.- 9.10. HMOs.- 9.11. PPOs.- 9.12. EAPs.- 10 Case Illustrations from a Behavioral Practice.- 10.1. Billy: A Child Exhibiting Disruptive Behaviors.- 10.2. Paula: A Case of Persistent Hair Pulling (Trichotillomania).- 10.3. Robert: A Physically Aggressive Mentally Retarded Adult.- 10.4. Marie: A Case of Heterosexual Anxiety and Sexual Dysfunction.- 10.5. Jennifer: A Case of Depression with Medical Complications.- 10.6. Matt: A Case of Hypertension and Interpersonal Difficulties.- 10.7. Summary.- 11 Current Trends and Future Directions in the Practice of Behavior Therapy.- 11.1. Clinical Issues.- 11.2. Applied Research Issues.- 11.3. Behavior Therapists' Role in Shaping Social Policy.- References.