Advanced Protocol Template for Group Treatments & Retreats

Notes

Missing CALPAS

Number

#006

Price

$549.00

	Timepoint 1:(Baseline)	Timepoint 2:(Pre-Dose)	Timepoint 3:(Post-Dose)	Timepoint 4 (Followup)	Time point 5 (Followup)	Time point 6 (Follow-up)
MEASURE NAME	2 Weeks before Experience	Day of Experience	24hrs Post Experience	14 Days Post Experience	30 Days Post Expereince	90 Days Post Expereince
Drug Use	Drug Use				Drug Use	Drug Use
Demographics	Demographics
Multidimensional Psychological Flexibility Inventory (MPFI)	Multidimensional Psychological Flexibility Inventory (MPFI)				Multidimensional Psychological Flexibility Inventory (MPFI)
WEMWBS	WEMWBS			WEMWBS	WEMWBS	WEMWBS
TIPI	TIPI				TIPI	TIPI
Self-reported psychiatric history	Self-reported psychiatric history
PHQ-9	PHQ-9			PHQ-9	PHQ-9	PHQ-9
Attitudes on Psychedelics Questionnaire (APQ)	APQ			APQ
Adverse Childhood Experiences (ACE)	ACE
MODTAS	MODTAS
Psychedelic Predictor Scale, Surrender Scale		Psychedelic Predictor Scale, Surrender Scale
Group Cohesiveness Scale (GCS)		Group Cohesiveness Scale (GCS)	Group Cohesiveness Scale (GCS)	Group Cohesiveness Scale (GCS)		Group Cohesiveness Scale (GCS)
Curative Climate Instrument (CCI)		Curative Climate Instrument (CCI)	Curative Climate Instrument (CCI)	Curative Climate Instrument (CCI)		Curative Climate Instrument (CCI)
Communitas		Communitas	Communitas	Communitas
CALPAS \| California Therapeutic Alliance Rating Scale	CALTARS		CALTARS		CALTARS
Perceived Emotional Synchrony (PESC)			Perceived Emotional Synchrony (PESC)		Perceived Emotional Synchrony (PESC)
Connectedness		Connectedness			Connectedness	Connectedness
Agnew Relationship Measure Short Form (ARM-SF)		Agnew Relationship Measure Short Form (ARM-SF)	Agnew Relationship Measure Short Form (ARM-SF)	Agnew Relationship Measure Short Form (ARM-SF)
Setting			Setting
ASC visual			ASC visual
Self Disclosure				Self Disclosure
Experienced Integration Scale (EIS)				EIS	EIS	EIS
Integration Engagement Scale (IES)				IES	IES	IES
Posttraumatic Growth Inventory Short Form (PTGI-SF)			PTGI-SF		PTGI-SF	PTGI-SF
Multifaceted Psychological Integration Assessment (M-PIA, self-constructed)				Multifaceted Psychological Integration Assessment	Multifaceted Psychological Integration Assessment	Multifaceted Psychological Integration Assessment
MEQ			MEQ
Meaningfulness			Meaningfulness		Meaningfulness
Emotional Insight				Emotional Insight	Emotional Insight	Emotional Insight
Emotional Breakthrough Inventory EBI			Emotional Breakthrough Inventory (EBI)		Emotional Breakthrough Inventory (EBI)
Ego Dissolution Inventory (EDI)			Ego Dissolution Inventory (EDI)		Ego Dissolution Inventory (EDI)
CEQ			CEQ
Number of Measures	8	6	14	12	14	11