Collecting Client Feedback
While highly effective, psychotherapy outcome studies suggest 5-14% of clients worsen while in treatment and that therapists are unable to identify a substantial portion of such cases. Methods to systematically collect feedback from psychotherapy clients are discussed and two systems for monitoring...
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Veröffentlicht in: | Psychotherapy (Chicago, Ill.) Ill.), 2011-03, Vol.48 (1), p.72-79 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | While highly effective, psychotherapy outcome studies suggest 5-14% of clients worsen while in treatment and that therapists are unable to identify a substantial portion of such cases. Methods to systematically collect feedback from psychotherapy clients are discussed and two systems for monitoring treatment response, feeding back this information, and assisting in problem-solving with such cases are described. Within these systems, obtaining client ratings of their relationship appear to be highly important. We summarize meta-analyses of the effects of these feedback systems (The combined weighted random effect size for the Partners for Change Outcome Management System was
r
= .23, 95% CI [.15, .31],
p
< .001,
k
= 3,
n
= 558; the effect size for the Feedback condition of the Outcome Questionnaire (OQ) system among not-on-track patients was
r
= .25, 95% CI [.15, .34],
p
< .001,
k
= 4,
n
= 454; the effect size for the Patient/Therapist Feedback condition of the OQ system among not-on-track patients was
r
= .25, 95% CI [.15, .34],
p
< .001,
k
= 3,
n
= 495; the effect size for the Clinical Support Tools feedback condition among not-on-track patients was
r
= .33, 95% CI [.25, .40],
p
< .001,
k
= 3,
n
= 535). The number of psychotherapy patients who deteriorate can be cut in half by use of these systems. We conclude with a series of practice implications, including that clinicians seriously consider making formal methods of collecting client feedback a routine part of their daily practice. |
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ISSN: | 0033-3204 1939-1536 |
DOI: | 10.1037/a0022238 |