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Original Articles

Enhancing outcome for potential treatment failures: Therapist–client feedback and clinical support tools

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Pages 379-392 | Received 19 Jan 2006, Published online: 12 Jul 2007
 

Abstract

Enhancing treatment outcomes for clients who are predicted to deteriorate before leaving treatment has important implications for quality of client care. The effects of three interventions aimed at reducing client deterioration were examined in a sample of 1,374 clients whose outcome was contrasted across experimental groups and with a no-feedback/archival control group consisting of data from 1,445 clients. Results indicated that feedback to therapists reduced deterioration rates and improved outcome across clients, especially those predicted to be treatment failures. Therapist feedback effects were enhanced by the use of prompts to action based on a clinical support tools manual but not by the provision of direct feedback to clients.

Abstract

Mejorando los resultados de potenciales fallas en el tratamiento: respuesta del terapeuta y el cliente y herramientas clínicas de apoyo.

El Mejoramiento de los resultados del tratamiento en caso de clientes pasibles de deteriorarse antes de dejar el tratamiento tiene implicaciones para el buen cuidado del cliente. Se estudiaron los efectos de tres intervenciones destinadas a reducir el deterioro del cliente en una muestra de un mil trescientos setenta y cuatro clientes, cuyo resultado se comparó con grupos experimentales y con un grupo de control sin feedback/archival con datos de un mil cuatrocientos cuarenta y cinco clientes. Los resultados indican que el feedback a los terapeutas redujo las tasas de deterioro y mejoró el resultado en los clientes, especialmente en aquellos pasibles de fracasar en el tratamiento. Los efectos del feedback a los terapeutas mejoraron por el uso de la acción inmediata (prompsts to action) basada en manuales de herramientas de apoyo clínico pero no por la oferta de feedback directo a los clientes.

Abstract

Migliorare l'esito di possibili fallimenti terapeutici: strumenti di supporto clinico e feedback terapeuta cliente.

Migliorare l'esito di terapie per clienti da cui ci si aspetta un deterioramento prima che termini il trattamento ha implicazioni importanti per la qualità della cura del cliente. Sono stati esaminati gli effetti di tre interventi di riduzione del deterioramento del cliente in un campione di 1.374 clienti i cui esiti sono stati paragonati tra i gruppi sperimentali e con un gruppo di controllo di 1.445 clienti. I risultati indicano che il feedback al terapeuta riduce i tassi di deterioramento e migliora l'esito dei clienti, specialmente di quelli di cui ci si aspettava un fallimento terapeutico. Gli effetti del feedback del terapeuta erano migliorati usando stimoli ad agire basati sul supporto clinico ma non sul fornire feedback diretti ai clienti.

Abstract

Notes

1. Contact Michael Lambert for a copy of the manual.

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