Education Commons^™

Change Trajectories And Early Warning System To Identify Youth At Risk For Negative Psychotherapy Outcome, Philip Legrand Nelson

Theses and Dissertations

The field of mental health treatment is making efforts to better serve all psychotherapy clients, but especially the 5–10% of clients who deteriorate in treatment (Lambert & Ogles, 2004) and the 30–60% who drop out prematurely (Pekarik & Stephenson, 1988). These efforts involve collaboration between research and practice. Both research and practice have been treatment focused for much of their history, primarily examining treatment efficacy or effectiveness, and never quite settling on the generalizability or applicability of specific treatments. The patient-focused research paradigm has shifted the focus from treatment outcomes on the group level to outcomes on the individual client …