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Social and Behavioral Sciences Commons™
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Full-Text Articles in Social and Behavioral Sciences
The Effects Of Using Clinical Support Tools To Prevent Treatment Failure, Tiffany K. Washington
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
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 …
Toward Determining Best Items For Identifying Therapeutic Problem Areas, Kevin Larry Kimball
Toward Determining Best Items For Identifying Therapeutic Problem Areas, Kevin Larry Kimball
Theses and Dissertations
While most clients show improvement in therapy, anomalously, 5% to 10% actually worsen, and a significant minority of clients shows little or no response to therapy. Earlier studies developed clinical support tools (CSTs) designed to provide feedback to therapists about potential problem areas and to improve the likelihood of a positive outcome for clients identified as at-risk for a negative outcome in therapy (Harmon et. al. 2007; Slade, Lambert, Harmon, Smart, & Bailey, 2008; Whipple et al., 2003). While varying from study to study, the CSTs looked at five domains: therapeutic alliance, motivation to change, social support, life events, and …