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Psychology

Theses/Dissertations

Brigham Young University

2011

Treatment failure

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Therapist Utilization Of Evidence-Based Treatment Monitoring, Jason Scott Southwick Aug 2011

Therapist Utilization Of Evidence-Based Treatment Monitoring, Jason Scott Southwick

Theses and Dissertations

The early identification of non-responding psychotherapy clients and reducing their treatment failure rates are the principal functions of Clinical Support Tools (CST). Nearly two decades of patient-focused research have produced several "evidence-based treatment monitoring" (EBTM) practices, that measure individual patients' responses to theory-guided treatments and alert therapists of clients who are at risk of eventual treatment failure. Clinical Support Tools are a quality management program that bundle several EBTM practices, and have been shown to improve outcomes in failing clients (Shimokawa, Lambert & Smart, 2010). Appropriately, EBTM has generated significant interest as it expands notions of what constitutes evidence-based practice …


Providing Patient Progress Information And Clinical Support Tools To Therapists: Effects On Patients At Risk For Treatment Failure, Mitchell Wayne Harris Aug 2011

Providing Patient Progress Information And Clinical Support Tools To Therapists: Effects On Patients At Risk For Treatment Failure, Mitchell Wayne Harris

Theses and Dissertations

Patient-focused research systems have been developed to monitor and inform therapists of patients' treatment progress in psychotherapy as a method to enhance patient outcome. The current study examined the effects of providing treatment progress information and problem-solving tools to both patients and therapists during the course of psychotherapy. Three hundred seventy patients at a hospital-based outpatient psychotherapy clinic were randomly assigned to one of two treatment groups: treatment-as-usual, or an experimental condition based on the use of patient/therapist feedback and clinical decision-support tools. Patients in the feedback condition were significantly more improved at termination than the patients in the treatment …