Routine Outcome Monitoring and Feedback in Psychological Therapies


Book Description

“This book is clear, well-written, evidence-based, and timely. Combined with the authors’ decades of practice-based research and clinical experience, it describes a way helping professionals of all stripes can improve the results of psychological care.” Scott D. Miller, Ph.D., International Center for Clinical Excellence, USA “A must-read for every therapist, supervisor, researcher, manager – and client – in the field of mental health.” Helene A. Nissen-Lie, Professor in Clinical Psychology and Therapist, University of Oslo, Norway “The depth and breadth of these authors’ knowledge about progress monitoring shine through on every page.” Jacqueline B. Persons, Director, Oakland Cognitive Behavior Therapy Center and Clinical Professor, Department of Psychology, University of California at Berkeley, USA “I highly recommend this book to anyone wanting to work with a routine outcome monitoring (ROM) and feedback system in psychological therapies.” Professor Mike Lucock, Centre for Applied Research in Health, University of Huddersfield, UK. Based on the authors’ own varied and extensive experiences as practitioners, this clear and practical guide shows therapists and trainees how feedback can best be used to inform treatment decisions and, ultimately, improve patient outcomes. Key features include: • An up-to-date analysis of the current evidence base about the effectiveness of progress feedback • Advice on how to effectively implement Routine Outcome Monitoring in teams, services, and healthcare systems • Instructive clinical vignettes and examples of therapist-patient dialogue • Advice on how to deal with negative feedback • Clinical guidelines for therapists and guidance on translating theory into practice. Routine Outcome Monitoring and Feedback in Psychological Therapies brings together the collective wisdom of research leaders in the field and experienced therapists and patients to provide the go-to guide on how to integrate Routine Outcome Monitoring and feedback into psychological therapies. Kim de Jong, Ph.D. is Senior Assistant Professor of Clinical Psychology at Leiden University, the Netherlands and a cognitive behavioural therapist. She is one of the leading researchers on ROM and feedback and has implemented ROM in a wide variety of settings. Jaime Delgadillo, Ph.D. is Professor of Clinical Psychology at the University of Sheffield, UK, and is trained as a psychoanalyst and cognitive behavioural therapist. He is known for the development and evaluation of feedback systems, digital health and AI technologies in the field of mental health. Michael Barkham, Ph.D., FBPsS is Professor of Clinical Psychology at the University of Sheffield, UK and was previously Professor of Counselling and Clinical Psychology at the University of Leeds, UK. He is a well-known developer of outcome measures and has encouraged their use in routine practice over the past 35 years.




Developing and Delivering Practice-Based Evidence


Book Description

Developing and Delivering Practice-based Evidence promotes a range of methodological approaches to complement traditional evidence-based practice in the field of psychological therapies. Represents the first UK text to offer a coherent and programmatic approach to expand traditional trials methodology in the field of psychological therapies by utilizing evidence gained by practitioners Includes contributions from UK and US scientist-practitioners who are leaders in their field Features content appropriate for practitioners working alone, in groups, and for psychological therapy services




Psychotherapy Skills and Methods That Work


Book Description

While we know that psychotherapy works, there is hearty debate about what makes it work. In the past, rival arguments have maintained that psychotherapy proves effective because of the treatment approach, patient contributions, or the therapeutic relationship. Psychotherapy Skills and Methods That Work argues that clinical skills and methods also play a crucial role and that what therapists do has major consequences for improving practice. Psychotherapy Skills and Methods That Work is the result of a multiyear, interorganizational Task Force commissioned to identify, compile, and disseminate the research evidence and clinical practices on psychotherapist skills and methods used across theoretical orientations. Edited by renowned scholars Clara E. Hill and John C. Norcross, this book provides original research reviews on the effectiveness of 27 specific psychotherapy skills and methods, including affirmation, self-disclosure, role induction, between-session homework, empathic reflections, mindfulness and acceptance, emotion regulation, and cognitive restructuring. Each chapter on a therapy skill or method features clinical examples, diversity considerations, training implications, and bulleted therapeutic practices, while the final chapter summarizes the research evidence for the effectiveness of these skills/methods and emphasizes implications for clinical training and practice. Forcefully demonstrating what therapists do to help clients change and live more effective lives, Psychotherapy Skills and Methods That Work will serve as a go-to guide for psychotherapy practitioners of all persuasions and professions, as well as graduate students and psychotherapy researchers.




Patient-Focused and Feedback Research in Psychotherapy


Book Description

In the last 15 years feedback interventions have had a significant impact on the field of psychotherapy research and have demonstrated their potential to enhance treatment outcomes, especially for patients with an increased risk of treatment failure. Current investigations on feedback research are concerned with potential moderators and mediators of these effects, as well as the design and the implementation of feedback into routine care. After summarizing the current state of feedback research, this book provides empirical investigations of contemporary feedback research. These efforts aim at answering three overarching questions: 1) How should we implement feedback systems into routine practice and how do therapist and patient attitudes influence its effects?, 2) How can we design feedback reports and decision support tools?, and 3) Why do patients become at risk of treatment failure and how should therapists intervene with these patients? The studies included in this book reflect the current state of feedback research and provide promising pathways for future endeavours that will enhance our understanding of feedback effects. This book was originally published as a special issue of Psychotherapy Research.




Common Mental Health Disorders


Book Description

Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.




Evidence Based Counselling and Psychological Therapies


Book Description

Evidence-Based Counselling and Psychological Therapies assesses the impact of the international drive towards evidence-based health care on NHS policy and the provision of the psychological services in the NHS. An outstanding range of contributors provide an overview of evidence-based health care and the research methods that underpin it, demonstrating its effect on policy, provision, practitioners and patients. Their thought-provoking chapters look at a variety of relevant issues including: * generating and implementing evidence * cost-effectiveness issues * practical guidelines * practitioner research Evidence-Based Counselling and Psychological Therapies is essential for mental health professionals and trainees concerned with this movement which is having, and will continue to have a huge impact on the purchasing, provision and practice of health care.




Patient-Focused and Feedback Research in Psychotherapy


Book Description

In the last 15 years feedback interventions have had a significant impact on the field of psychotherapy research and have demonstrated their potential to enhance treatment outcomes, especially for patients with an increased risk of treatment failure. Current investigations on feedback research are concerned with potential moderators and mediators of these effects, as well as the design and the implementation of feedback into routine care. After summarizing the current state of feedback research, this book provides empirical investigations of contemporary feedback research. These efforts aim at answering three overarching questions: 1) How should we implement feedback systems into routine practice and how do therapist and patient attitudes influence its effects?, 2) How can we design feedback reports and decision support tools?, and 3) Why do patients become at risk of treatment failure and how should therapists intervene with these patients? The studies included in this book reflect the current state of feedback research and provide promising pathways for future endeavours that will enhance our understanding of feedback effects. This book was originally published as a special issue of Psychotherapy Research.




Feedback-informed Treatment in Clinical Practice


Book Description

This practical guide demonstrates how clinicians can use structured yet flexible measures to gather ongoing, real-time client feedback to monitor and strengthen client outcomes and the therapeutic alliance. Through feedback-informed treatment (FIT), clinicians gather real-time input from clients through structured yet flexible measures that identify what is and is not working in therapy and how to better meet clients' needs. This book coalesces expert insights from practitioners who have successfully integrated FIT in their own work. Their experiences demonstrate how other clinicians can incorporate FIT into their own practices to consistently monitor clients' progress and the therapeutic alliance. The book first reviews FIT theory, specific measures (including the Outcome Rating Scale and the Session Rating Scale), and general strategies for implementing FIT in practice and supervision. This information is then translated into more specific applications of FIT with different kinds of clients, including individuals, couples, children and families, LGBTQ clients, and clients suffering from addiction and early onset psychotic disorders. A variety of treatment settings are also represented, such as private practice, clinics, group therapy, the criminal justice system, and pharmacies. The concluding chapter ties together the book's overarching themes with friendly, practical advice about using FIT to bolster professional development and improve one's clinical abilities.




Low-Intensity Practice with Children, Young People and Families


Book Description

This is the essential "how to guide" for low-intensity mental health trainees, practitioners and service supervisors who support children and young people with mild-moderate anxiety, depression and behavioural difficulties. It provides a manual for practice covering assessment, decision-making and key interventions, with step-by-step guidance, case vignettes and accompanying worksheets to support each evidence-based intervention. It also offers guidance on key service implementation principles, supervision and adaptations to practice. It is an ideal resource for those in low-intensity training, practitioner or leadership roles, looking to develop competency in the low-intensity cognitive behavioural clinical method.




Psychotherapy Feedback on the Counseling Center Assessment of Psychological Symptoms (CCAPS)


Book Description

While psychotherapy is largely effective, some clients do not improve and even get worse during treatment. Psychotherapy routine outcome monitoring and progress feedback have been shown to improve outcomes and reduce rates of worsening during treatment. The present study evaluates the effectiveness of a psychotherapy feedback system built for the Counseling Center Assessment of Psychological Symptoms (CCAPS), a routine outcome monitoring instrument designed for use in college counseling centers. Data collected before and after the implementation of the CCAPS feedback system showed that outcomes, defined as reliable worsening during treatment, pre to post treatment change, and rate of symptom change, were not improved after the addition of the feedback system. While the impact of feedback varied somewhat by counseling center, this variance was small. Further, the impact of feedback did not vary meaningfully by any client moderators tested. Implications and directions for future psychotherapy feedback research, as well as practice-oriented research, are discussed.