Predicting counseling center clients' response to counseling: A 1-year follow-up.

Marilyn N. Snell · Brent S. Mallinckrodt · Robert D. Hill · Michael J. Lambert

60 citations0/0 files storedJournal of Counseling Psychology

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Psychotherapy Techniques and Applications Counseling Practices and Supervision Psychological Treatments and Assessments

Abstract

A follow-up survey mailed 10 months after termination to 542 clients who received counseling at a university counseling center resulted in 207 (43%) returned surveys. Of the 158 clients who received 1 or sessions, 32% showed reliable improvement. Of the 106 who began in the dysfunctional range of scores on a computerized intake assessment (CASPER), 31% showed clinically significant (CS) change. Likelihood of CS change depended on the number of sessions received but not in a linear, more is always better fashion. Survival analysis indicated that 25% of clients who achieved CS change did so after receiving 8 sessions and that 50% did so after receiving 16 sessions. Likelihood of eventual reliable change within a given number of sessions depended on the precounseling configuration of some CASPER symptom dimensions, with higher Hyperactivated Attachment interpersonal problems associated with fewer sessions needed to achieve reliable change.

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References

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