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Change Trajectories And Early Warning System To Identify Youth At Risk For Negative Psychotherapy Outcome, Philip Legrand Nelson
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 …
Client Change In Multi-Model Treatment: A Comparison Of Change Trajectories In Group, Individual, And Conjoint Formats In A Counseling Center, Bryan K. Mickelson
Client Change In Multi-Model Treatment: A Comparison Of Change Trajectories In Group, Individual, And Conjoint Formats In A Counseling Center, Bryan K. Mickelson
Theses and Dissertations
Providing clinicians with a clearer understanding of how clients' recover over the entire course of therapy has important implications for referral and treatment strategies. The present study compares rates of change in 160 clients in group therapy with 6632 clients in individual therapy and 864 clients receiving both individual therapy and group therapy. Therapeutic outcomes were measured using the Outcome Questionnaire-45. Data was analyzed using Hierarchical Linear Modeling (HLM), also called Multi-Level Modeling (MLM), to produce recovery curves for clients in each group. Recovery curves showed that most change occurred in the early part of group therapy and slowed near …