Article2015

Progress feedback and the OQ-system: The past and the future.

133 citations0/0 files storedPsychotherapy

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Psychotherapy Techniques and Applications Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Counseling, Therapy, and Family Dynamics

Abstract

A serious problem in routine clinical practice is clinician optimism about the benefit clients derive from the therapy that they offer compared to measured benefits. The consequence of seeing the silver lining is a failure to identify cases that, in the end, leave treatment worse-off than when they started or are simply unaffected. It has become clear that some methods of measuring, monitoring, and providing feedback to clinicians about client mental health status over the course of routine care improves treatment outcomes for clients at risk of treatment failure (Shimokawa, Lambert, & Smart, 2010) and thus is a remedy for therapist optimism by identifying cases at risk for poor outcomes. The current article presents research findings related to use of the Outcome Questionnaire-45 and Clinical Support Tools for this purpose. The necessary characteristics of feedback systems that work to benefit client's well-being are identified. In addition, suggestions for future research and use in routine care are presented.

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References

1991Clinical significance: A statistical approach to defining meaningful change in psychotherapy research.1987Handbook of Psychotherapy and Behavior Change 2011Repairing alliance ruptures.1963Application of operant conditioning procedures to the behaviour problems of an autistic child 2010Enhancing treatment outcome of patients at risk of treatment failure: Meta-analytic and mega-analytic review of a psychotherapy quality assurance system.2004A lab test and algorithms for identifying clients at risk for treatment failure 2001The Effects of Providing Therapists With Feedback on Patient Progress During Psychotherapy: Are Outcomes Enhanced?2012An Investigation of Self-Assessment Bias in Mental Health Providers

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