A shift in focus: Making use of therapist experience in AEDP.

2021 ◽  
pp. 133-157
Author(s):  
Benjamin Lipton
Keyword(s):  
Therapist Experience

Validation predicting premature drop-out from treatment provided in training clinics

2019 ◽  
Vol 48 (1) ◽  
pp. 116-120
Author(s):  
Kristen P. Howard ◽  
Erin M. Altenburger ◽  
Jennifer S. Cheavens
Keyword(s):  
Symptom Severity ◽  
Drop Out ◽  
Self Report ◽  
Positive Outcomes ◽  
Client Perceptions ◽  
Therapist Experience ◽  
Cognitive Behavioural ◽  
Trainee Therapists ◽  
Training Clinics

AbstractBackground:Therapist validation in treatment is theorized to be related to positive outcomes (Linehan, 1993), including keeping patients in therapy longer.Aims:We sought to evaluate the role of therapist validation from both therapists’ and clients’ perspectives as a predictor of drop-out from psychotherapy in three cognitive behavioural training clinics.Method:Clients in psychotherapy (n = 50; 80% female; 82% Caucasian) and their trainee therapists (n = 22; 68% female; 86% Caucasian) rated validation by the therapist at each of four early sessions of therapy.Results:After accounting for symptom severity, clients who reported greater therapist validation were less likely to drop out of treatment. Therapist ratings of their own validating behaviours were unrelated to client drop-out. Therapist experience moderated the relation between client-rated validation and drop-out, such that validation was unrelated to drop-out for more experienced therapists.Conclusions:Assessing and attending to client perceptions of validation by the therapist early in treatment, with brief self-report inventories, can alert therapists to clients at greater risk of drop-out.

The effects of therapist experience and patient diagnosis on countertransference.

Psychotherapy ◽  
1996 ◽  
Vol 33 (3) ◽  
pp. 372-380 ◽  
Author(s):  
Eve M. Brody ◽  
Barry A. Farber
Keyword(s):  
Therapist Experience ◽  
Patient Diagnosis

Cognitive processing therapy for post-traumatic stress disorder in a University Counselling Center: an outcome study

2017 ◽  
Vol 10 ◽  
Author(s):  
Charity Wilkinson ◽  
Meghan von Linden ◽  
Annmarie Wacha-Montes ◽  
Craig Bryan ◽  
Katherine O'Leary
Keyword(s):  
College Students ◽  
Cognitive Processing ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Fixed Effects ◽  
Stress Disorder ◽  
Cognitive Processing Therapy ◽  
Post Traumatic Stress ◽  
Therapist Experience ◽  
Post Traumatic

AbstractMore than half of college students endorse experiencing at least one traumatic event. Consistent with other populations, the rate of post-traumatic stress disorder (PTSD) for college students has been reported at around 12%. Despite this, empirically supported treatments for PTSD have not been widely disseminated in University Counselling Centers (UCCs). This study examines outcomes using cognitive processing therapy (CPT) with a sample of n = 26 college students in a UCC setting. This study also examines therapist experience, length of degree and symptom severity on outcome. After completing training, n = 8 therapists completed CPT consultation and certification. Students who participated in individual CPT during this process were administered the PCL-5 and PHQ-9 at weekly sessions. A retrospective chart review was completed. PCL-5 and PHQ-9 scores were separately examined as outcome variables using linear mixed models where session, therapist experience, length of therapist degree, and severity of symptoms were included as fixed effects, and subjects were assumed to have a random effect. Significant reductions in PCL-5 and PHQ-9 scores were observed across treatment. In this sample, 84.6% of students were treatment responders. Results were unchanged when adjusting for therapist level of experience or training. CPT shows strong potential for UCC settings. CPT can be successfully implemented with novice therapists.

scholarly journals An evaluation of eye movement desensitization and reprocessing therapy delivered remotely during the Covid–19 pandemic

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Iain W. McGowan ◽  
Naomi Fisher ◽  
Justin Havens ◽  
Simon Proudlock
Keyword(s):  
Eye Movement ◽  
Negative Impact ◽  
Emotional Health ◽  
Service Evaluation ◽  
The Internet ◽  
Therapist Characteristics ◽  
Client Outcome ◽  
Therapist Experience ◽  
Discussion List ◽  
The Uk

Abstract Background In addition to having a negative impact on the physical and emotional health of the population, the global Covid–19 pandemic has necessitated psychotherapists moving their practice to online environments. This service evaluation examines the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) Therapy delivered via the internet. Methods A real–world service evaluation was conducted from a self–selecting group of EMDR therapists that subscribe to either a JISCMail discussion list or either the UK or All Ireland National EMDR Associations. Author designed questionnaires were used to gather information on the efficacy of EMDR delivered online as well as client and therapist characteristics. Results Thirty-three therapists provided efficacy data on a total of 93 patients. Statistically significant and clinically meaningful reductions were found in all four-psychometrics used both in adult and children and young people populations. Client outcome was not related to therapist experience. Conclusions EMDR delivered via the internet can be an effective treatment for clients experiencing mental health issues.

scholarly journals A Pilot Study of a Sensor Enhanced Activity Management System for Promoting Home Rehabilitation Exercise Performed during the COVID-19 Pandemic: Therapist Experience, Reimbursement, and Recommendations for Implementation

2021 ◽  
Vol 18 (19) ◽  
pp. 10186
Author(s):  
Veronica A. Swanson ◽  
Vicky Chan ◽  
Betsaida Cruz-Coble ◽  
Celeste M. Alcantara ◽  
Douglas Scott ◽  
...  
Keyword(s):  
Remote Monitoring ◽  
Home Exercise ◽  
Physiologic Monitoring ◽  
Treatment Facility ◽  
Therapist Experience ◽  
Enhanced Activity ◽  
Self Reports ◽  
Activity Management ◽  
Regular Practice ◽  
Rehabilitation Exercise

Adherence to home exercise programs (HEPs) during physical rehabilitation is usually unmonitored and is thought to be low from self-reports. This article describes exploratory implementation of a Sensor Enhanced Activity Management (SEAM) system that combines HEP management software with a movement sensor for monitoring and motivating HEP adherence. The article also presents results from attempting to gain reimbursement for home use of the system with therapist oversight using Remote Physiologic Monitoring (RPM) codes. Four therapists used the system in their regular practice during the first six months of the COVID-19 pandemic. Therapists filled out surveys, kept notes, and participated in interviews. Billing and reimbursement data were obtained from the treatment facility. Exercise data from the SEAM system were used to understand HEP adherence. Patients were active for a mean of 40% (26% SD) of prescribed days and completed a mean of 25% (25% SD) of prescribed exercises. The therapists billed 23 RPM codes (USD 2353), and payers reimbursed eight of those instances (USD 649.21). The therapists reported that remote monitoring and the use of a physical movement sensor was motivating to their patients and increased adherence. Sustained technical support for therapists will likely improve implementation of new remote monitoring and treatment systems. RPM codes may enable reimbursement for review and program management activities, but, despite COVID-19 CMS waivers, organizations may have more success if these services are billed under supervision of a physician.

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