Routine Outcome Monitoring And Feedback In Psychological Therapies

“This book is clear, well-written, evidence-based, and timely. Combined with the authors’ decades of practice-based research and clinical experience, it describes a way helping professionals of all stripes can improve the results of psychological care.” Scott D. Miller, Ph.D., International Center for Clinical Excellence, USA “A must-read for every therapist, supervisor, researcher, manager – and client – in the field of mental health.” Helene A. Nissen-Lie, Professor in Clinical Psychology and Therapist, University of Oslo, Norway “The depth and breadth of these authors’ knowledge about progress monitoring shine through on every page.” Jacqueline B. Persons, Director, Oakland Cognitive Behavior Therapy Center and Clinical Professor, Department of Psychology, University of California at Berkeley, USA “I highly recommend this book to anyone wanting to work with a routine outcome monitoring (ROM) and feedback system in psychological therapies.” Professor Mike Lucock, Centre for Applied Research in Health, University of Huddersfield, UK. Based on the authors’ own varied and extensive experiences as practitioners, this clear and practical guide shows therapists and trainees how feedback can best be used to inform treatment decisions and, ultimately, improve patient outcomes. Key features include: • An up-to-date analysis of the current evidence base about the effectiveness of progress feedback • Advice on how to effectively implement Routine Outcome Monitoring in teams, services, and healthcare systems • Instructive clinical vignettes and examples of therapist-patient dialogue • Advice on how to deal with negative feedback • Clinical guidelines for therapists and guidance on translating theory into practice. Routine Outcome Monitoring and Feedback in Psychological Therapies brings together the collective wisdom of research leaders in the field and experienced therapists and patients to provide the go-to guide on how to integrate Routine Outcome Monitoring and feedback into psychological therapies. Kim de Jong, Ph.D. is Senior Assistant Professor of Clinical Psychology at Leiden University, the Netherlands and a cognitive behavioural therapist. She is one of the leading researchers on ROM and feedback and has implemented ROM in a wide variety of settings. Jaime Delgadillo, Ph.D. is Professor of Clinical Psychology at the University of Sheffield, UK, and is trained as a psychoanalyst and cognitive behavioural therapist. He is known for the development and evaluation of feedback systems, digital health and AI technologies in the field of mental health. Michael Barkham, Ph.D., FBPsS is Professor of Clinical Psychology at the University of Sheffield, UK and was previously Professor of Counselling and Clinical Psychology at the University of Leeds, UK. He is a well-known developer of outcome measures and has encouraged their use in routine practice over the past 35 years.

This research-to-practice manual introduces Routine Outcome Monitoring (ROM), a feedback-based approach to preventing impasses and relapses in couple and family therapy as well as within other psychotherapy approaches. This book discusses how ROM has been developed and experienced within the Norwegian couples and family therapy community in line with international trends of bridging the gap between clinical practice and research. Locating the method in evidence-based systemic practice, contributors describe the core techniques, tools, and process of ROM, including examples of effective uses of feedback over different stages of therapy, with individuals in family context, and implemented in different countries. Giving clients this level of control in treatment reinforces the concept of therapy as a collaborative process, fostering client engagement and involvement, commitment to treatment, and post-treatment progress. ROM is applicable across clinical settings and clinician orientations for maximum utility in work with clients, and in building therapeutic self-awareness. Features of the book:•Theoretical and empirical context for using ROM with families and couples.•Tools and procedures, including the Systemic Therapy Inventory of Change.•Guidelines for treatment planning, implementation, and evaluation.•Common challenges in using ROM with couples and families.•Supervisory, training, and ethical issues.•Examples and vignettes showing ROM in action. With its deep potential for promoting client progress as well as therapist development, Routine Outcome Monitoring in Couple and Family Therapy: The Empirically Informed Therapist will attract practitioners and research professionals particularly interested in clinical practice, client-directed methods, and couple or family therapy.

In the last 15 years feedback interventions have had a significant impact on the field of psychotherapy research and have demonstrated their potential to enhance treatment outcomes, especially for patients with an increased risk of treatment failure. Current investigations on feedback research are concerned with potential moderators and mediators of these effects, as well as the design and the implementation of feedback into routine care. After summarizing the current state of feedback research, this book provides empirical investigations of contemporary feedback research. These efforts aim at answering three overarching questions: 1) How should we implement feedback systems into routine practice and how do therapist and patient attitudes influence its effects?, 2) How can we design feedback reports and decision support tools?, and 3) Why do patients become at risk of treatment failure and how should therapists intervene with these patients? The studies included in this book reflect the current state of feedback research and provide promising pathways for future endeavours that will enhance our understanding of feedback effects. This book was originally published as a special issue of Psychotherapy Research.

While we know that psychotherapy works, there is hearty debate about what makes it work. In the past, rival arguments have maintained that psychotherapy proves effective because of the treatment approach, patient contributions, or the therapeutic relationship. Psychotherapy Skills and Methods That Work argues that clinical skills and methods also play a crucial role and that what therapists do has major consequences for improving practice. Psychotherapy Skills and Methods That Work is the result of a multiyear, interorganizational Task Force commissioned to identify, compile, and disseminate the research evidence and clinical practices on psychotherapist skills and methods used across theoretical orientations. Edited by renowned scholars Clara E. Hill and John C. Norcross, this book provides original research reviews on the effectiveness of 27 specific psychotherapy skills and methods, including affirmation, self-disclosure, role induction, between-session homework, empathic reflections, mindfulness and acceptance, emotion regulation, and cognitive restructuring. Each chapter on a therapy skill or method features clinical examples, diversity considerations, training implications, and bulleted therapeutic practices, while the final chapter summarizes the research evidence for the effectiveness of these skills/methods and emphasizes implications for clinical training and practice. Forcefully demonstrating what therapists do to help clients change and live more effective lives, Psychotherapy Skills and Methods That Work will serve as a go-to guide for psychotherapy practitioners of all persuasions and professions, as well as graduate students and psychotherapy researchers.

Developing and Delivering Practice-based Evidence promotes a range of methodological approaches to complement traditional evidence-based practice in the field of psychological therapies. Represents the first UK text to offer a coherent and programmatic approach to expand traditional trials methodology in the field of psychological therapies by utilizing evidence gained by practitioners Includes contributions from UK and US scientist-practitioners who are leaders in their field Features content appropriate for practitioners working alone, in groups, and for psychological therapy services

Empirical evidence shows that treatment failure is a significant problem and one that practitioners routinely overlook. A substantial minority of patients either fail to gain a benefit from the treatments offered to them, or they outright worsen by the time they leave treatment. Intervening in a timely fashion with such individuals cannot occur if practitioners are unaware of which cases are likely to have this outcome. Prevention of Treatment Failure describes procedures and techniques that can be used by clinical practitioners and administrators to identify patients who are at risk for treatment failure. The book summarizes evidence that convincingly shows that a shift in routine care is needed, and that such a shift can be accomplished easily through integrating specific methods of monitoring patient treatment response on a frequent basis in routine care. Treatment response is placed in the context of historical views of healthy functioning and operationalized through the use of brief self-report scales. Providing alert-signals to therapists, along with problem-solving tools, is suggested as an evidence-based practice that substantially reduces patient deterioration and increases the chances of the return to normal functioning. The book also provides illustrations on how accumulated data resulting from monitoring patient treatment response can be used to improve systems of care.

Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.