Abstract
With increasing emphasis on cost-consciousness in health care, clinicians must treat persons with complicated mental health needs with sound rationale while accomplishing cost effectiveness. This article redefines successful outcomes for outpatient treatmentfor one such complex situation with persons with dissociative identity disorder. A case study is presented illustrating how traditional long-term therapy can be defined in renewable short-term stages. At various therapeutic intervals therapy may be discontinued or deferred based on the client's definition ofpersonal wellness. Such a conceptualization can facilitate client health while demonstrating accountability for the use of ongoing psychotherapy services.
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