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Psychology

Brigham Young University

Theses and Dissertations

Theses/Dissertations

2010

Patient deterioration

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The Effects Of Using Clinical Support Tools To Prevent Treatment Failure, Tiffany K. Washington Dec 2010

The Effects Of Using Clinical Support Tools To Prevent Treatment Failure, Tiffany K. Washington

Theses and Dissertations

To date, outcome research suggests that providing clinicians with patient progress feedback and problem-solving tools is effective in improving therapeutic outcome for clients who are predicted to have a negative treatment outcome. To expand upon this body of research, the current study examined the efficacy of using these problem-solving tools (Clinical Support Tools; CST) to reduce the risk of treatment failure and enhance positive outcome with 118 clients who were not identified as at -risk for a negative outcome. Results of this study indicated that the intervention failed to lower the rate of becoming an at-risk case or to enhance …


A Patient-Focused Psychotherapy Quality Assurance System: Meta-Analytic And Multilevel Analytic Review, Kenichi Shimokawa Jun 2010

A Patient-Focused Psychotherapy Quality Assurance System: Meta-Analytic And Multilevel Analytic Review, Kenichi Shimokawa

Theses and Dissertations

Outcome research has documented worsening among a minority of the patient population (5 to 10%). In this study a psychotherapy quality assurance system intended to enhance outcomes in patients at risk of treatment failure was reviewed through the use of meta-analytic, mega-analytic, and multilevel analytic techniques. A pooled dataset from six major studies conducted at a large university counseling center and a hospital outpatient setting (N = 6151, mean age = 23.3 years, female = 63.2%, Caucasian = 85%) were re-analyzed to examine the effects of progress feedback on patient outcome. In this quality assurance system, the Outcome Questionnaire-45 was …