The Couple Relationship Scale: A brief measure to facilitate routine outcome monitoring in couple therapy

2021 ◽  
Author(s):  
Shayne R. Anderson ◽  
Lee N. Johnson ◽  
Richard B. Miller ◽  
Connor C. Barham
Keyword(s):  
Couple Therapy ◽  
Routine Outcome Monitoring ◽  
Couple Relationship ◽  
Outcome Monitoring

Clinical dilemmas of routine outcome monitoring and clinical feedback: a qualitative study of patient experiences

2020 ◽  
Author(s):  
Stig Magne Solstad ◽  
Gøril Kleiven Solberg ◽  
Louis George Castonguay ◽  
Christian Moltu
Keyword(s):  
Mental Health ◽  
Clinical Skill ◽  
Routine Outcome Monitoring ◽  
Future Research ◽  
Successful Implementation ◽  
Basic Training ◽  
Feedback Systems ◽  
Clinical Encounters ◽  
Outcome Monitoring ◽  
Clinical Feedback

Purpose: Routine outcome monitoring (ROM) and clinical feedback systems (CFS) are becoming prevalent in mental health services. The field faces several challenges to successful implementation. The purpose of this study is to gain a better understanding of these challenges by exploring the patient perspective. Method: We report the findings from a qualitative, video assisted interview study of 12 patients from a Norwegian mental health outpatient clinic using ROM/CFS. Results: Our analysis resulted in three pairs of opposing experiences with using ROM/CFS: 1) Explicit vs. implicit use of CFS information, 2) CFS directing focus towards- vs. directing focus away from therapeutic topics and 3) Giving vs. receiving feedback. None of these were intrinsically helpful or hindering. Participants had vastly differing preferences for how to use ROM/CFS in clinical encounters, but all needed the information to be used in a meaningful way by their therapists. If not, ROM/CFS was at risk of becoming meaningless and hindering for therapy. Conclusion: These findings confirm and provide further nuance to previous research. We propose to consider ROM/CFS a clinical skill that should be a part of basic training for therapists. How to use and implement ROM/CFS skillfully should also be the focus of future research.

scholarly journals Treatment course and its predictors in patients with somatoform disorders: A routine outcome monitoring study in secondary psychiatric care

2018 ◽  
Vol 25 (4) ◽  
pp. 550-564
Author(s):  
I.V.E. Carlier ◽  
D.H. Andree Wiltens ◽  
Y.R. van Rood ◽  
T. van Veen ◽  
J. Dekker ◽  
...  
Keyword(s):  
Psychiatric Care ◽  
Somatoform Disorders ◽  
Routine Outcome Monitoring ◽  
Outcome Monitoring ◽  
Monitoring Study

Evaluation of an Online System for Routine Outcome Monitoring: A Cross-Sectional Survey (Preprint)

2021 ◽  
Author(s):  
Deanna Wiebe ◽  
Pria Nippak ◽  
Julien Meyer ◽  
Shannon Remers
Keyword(s):  
Mental Health ◽  
Outcome Measures ◽  
Service Providers ◽  
Routine Outcome Monitoring ◽  
Completion Rates ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Online System ◽  
Health Service Providers ◽  
Outcome Monitoring

BACKGROUND The use of Routine Outcome Monitoring (ROM) in the treatment of mental health has emerged as a method of improving psychotherapy treatment outcomes. Despite this, very few clinicians regularly use ROM in clinical practice. Online ROM has been suggested as a solution to increase adoption. OBJECTIVE To identify the influence of moving ROM online on client completion rates of self-reported outcome measures and to identify implementation and utilization barriers to online ROM by assessing clinicians’ views on their experience utilizing the online system over previous paper-based methods. METHODS Client completion rates of self-reported outcome measures were compared pre and post implementation of an online system of ROM. In addition, a survey questionnaire was administered to 340 mental health service providers regarding their perception of benefits with an online system of ROM. RESULTS Client completion rates of self-reported measures increased from 15% to 54% after moving online. Fifty-eight% of service providers found the new system less time consuming than previous paper-based ROM and 64% found that it helped monitor clients. However, the perceived value of the system remains in doubt as only 23% found it helped them identify clients at risk for treatment failure, and only 18% found it strengthened the therapeutic alliance. CONCLUSIONS Although the current study suggests mixed results regarding service providers’ views on their experience using an online system for ROM, it has identified barriers and challenges that are actionable for improvement.

Humor in Couple Relationships: An Opportunity for Therapeutic Inquiry

2021 ◽  
Vol 40 (1) ◽  
pp. 1-16
Author(s):  
Wendy Talbot
Keyword(s):  
Couples Therapy ◽  
Couple Therapy ◽  
Relationship Development ◽  
Discursive Practice ◽  
Couple Relationship ◽  
Communication Tool ◽  
Complex Dynamic ◽  
Relational Practice ◽  
Therapeutic Benefits ◽  
Therapeutic Possibilities

Humor has been a focus of therapy literature for over a century and is considered an essential communication tool and important component of therapeutic relationships. Yet couple therapy literature does not feature humor as a relational practice or strategy for couples’ relationship development. When humor presents in a therapy conversation it offers opportunities for therapists to explore the implications and meanings for the couple relationship, potentially contributing to new and enhanced relationship experience. This article provides vignettes from one couple therapy conversation to illustrate therapeutic possibilities for exploration of couples’ humor. Therapists are encouraged to pay attention to humor as a complex, dynamic, discursive practice with therapeutic benefits for couples’ therapy.

scholarly journals Vers un modèle explicatif de l’effet du Routine Outcome Monitoring : De la communication non verbale au feedback instrumental.

2018 ◽  
Author(s):  
Christophe Cazauvieilh
Keyword(s):  
Routine Outcome Monitoring ◽  
Outcome Monitoring

L’utilisation des systèmes de Suivi Continu des Résultats (SCR ou Routine Outcome Monitoring - ROM) représente une méthode prometteuse pour aider les cliniciens à évaluer et à détecter les patients à risque de ne pas retirer de bénéfices réels des traitements psychothérapeutiques ou de l’abandonner prématurément ; ainsi que pour améliorer l’efficacité de soins avec cette population. Les effets dus à l’utilisation du feedback sont pourtant mal compris, et cette étude vise à proposer un modèle générique des effets du feedback en psychothérapie.

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