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Monitoring and feedback: The next crucial step towards improved therapeutic outcomes?

Tucker, Sarah, Randal, C., Halstead, J., Leach, Chris and Lucock, Mike (2011) Monitoring and feedback: The next crucial step towards improved therapeutic outcomes? In: Society for Psychotherapy Research (SPR) 42nd International Meeting 2011, 29 June - 2 July 2011, Bern, Switzerland. (Unpublished)

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Abstract

Aim: This study aims to assess the feasibility and effectiveness of collecting sessional outcome data from clients and providing feedback to therapists about symptoms and alliance. We aim to assess whether the benefits of monitoring and feedback on client outcome observed in the US, translate to routine UK secondary care psychological therapies. Therapists’ use of feedback and issues of acceptability and compliance will be explored. Method: Outcome data was collected from consenting clients across two South West Yorkshire sites. Our feedback system used two brief distress measures, which clients completed before each therapy session, and one post session measure assessing helpfulness, alliance and stage of therapy. This data combined with benchmark data determines clients ‘not on track’. Therapists received feedback after each client’s fourth session. Reflexive dialogue between therapists, service users and researchers was implemented.
Results: To date, we have found that it is feasible to operate a feedback system in standard UK psychological therapies providing that initiatives are introduced to enhance ease and acceptability. This is a work in progress and we anticipate that feedback for clients ‘not on track’ will enhance overall therapeutic outcome whilst rendering no effect on those who are ‘on track’.
Discussion: Monitoring and feedback is a promising development in modern psychotherapy practise. Such systems can provide increased sensitivity to client progress; therapists can use this information to guide their care plan to improve overall outcome. We are uniquely placed to identify barriers to implementation and offer recommendations for future replications.

Item Type: Conference or Workshop Item (Poster)
Additional Information: Abstract published in: SPR Society for Psychotherapy Research: an international, multidisciplinary, scientific organization Book of Abstracts 2011, ISBN 978-3-926-00235-8
Subjects: R Medicine > R Medicine (General)
R Medicine > RM Therapeutics. Pharmacology
Schools: School of Human and Health Sciences
School of Human and Health Sciences > Centre for Applied Psychological Research
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Depositing User: Cherry Edmunds
Date Deposited: 15 Aug 2011 10:24
Last Modified: 09 Aug 2012 16:08
URI: http://eprints.hud.ac.uk/id/eprint/11288

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