Client-outcome model of supervision

2020 ◽  
Author(s):  
Susan M Murray
Keyword(s):  
Client Outcome

Effect of Expectation and Level of Adjustment on Treatment Outcome

1985 ◽  
Vol 57 (3) ◽  
pp. 936-938 ◽  
Author(s):  
Ron L. Evans ◽  
Keith M. Smith ◽  
Eugen M. Halar ◽  
Carol L. Kiolet
Keyword(s):  
Treatment Outcome ◽  
Linear Relationship ◽  
Curvilinear Relationship ◽  
Client Outcome ◽  
Self Assessments ◽  
Therapeutic Counseling

This analysis assessed the hypothesis that a relation between adjustment prior to treatment and client outcome, based on documented theoretical observations about similar relationships between clients' expectations and subsequent adjustment after therapeutic counseling, is curvilinear. A sample of 77 outpatients at a University-affiliated hospital completed self-assessments using standardized adjustment scales. There was no curvilinear relationship between prior adjustment and outcome, but a linear relationship between expectation and self-assessed outcome was observed.

A Global Measure of Patient-reported Outcomes After Injury – Life Back on Track

2021 ◽  
Author(s):  
Gang Chen ◽  
Maame Esi Woode ◽  
Kah Ling Sia ◽  
Nina Ellis ◽  
Cassie Citroen ◽  
...  
Keyword(s):  
Social Life ◽  
Leisure Activities ◽  
Work Status ◽  
Conceptual Basis ◽  
Global Measure ◽  
Client Outcome ◽  
Cross Sectional ◽  
Patient Reported ◽  
Related Quality ◽  
Survey Responses

Abstract Background The study assessed the psychometric properties of the Life Back on Track (LBoT) measure, a new self-reported single-item global measure of the trajectory of wellbeing after a transport accident. Methods The data come from four waves of the Transport Accident Commission Longitudinal Study (n=1,556 in wave 1), and two repeated cross-sectional surveys– a Client Outcome Survey (n=5,238) and a Client Experience Survey (n=1,964) of individuals injured in a transport accident in Victoria. The conceptual basis of the measure was confirmed in a qualitative analysis of open-ended survey responses. The psychometric performance of the measure, including known-groups validity, test-retest reliability, sensitivity, and responsiveness was investigated. Results The LBoT measure was found to have a conceptual basis of recovery towards a normal life with domains of independence, control, happiness, work, social life, pain, physical function, cognitive function, work and leisure activities, income, anxiety, and depression. There were significant differences in the distribution of the LBoT scores based on the respondent’s depression, pain, return to work status, financial ability to get by, ability to cope, and ability to bounce back. The LBoT measure was a reasonable predictor of future work status and was moderately responsive to change. Conclusions LBoT is a valid measure to track the individual’s trajectory of subjective wellbeing in the context of recovery after a trauma, and it covers wider concepts than health-related quality of life. For use as a performance or tracking measure, however, further evidence is needed on its responsiveness.

Empathy

2019 ◽  
pp. 245-287 ◽  
Author(s):  
Robert Elliott ◽  
Arthur C. Bohart ◽  
Jeanne C. Watson ◽  
David Murphy
Keyword(s):  
Strong Predictor ◽  
Meta Analysis ◽  
Current Data ◽  
Therapy Outcome ◽  
Presenting Problems ◽  
Client Outcome ◽  
The Core ◽  
Practice Recommendations ◽  
Response Modes ◽  
Therapist Empathy

Empathy refers to understanding what another person is experiencing or trying to express. The chapter begins by discussing definitional issues and presenting an integrative definition. It then reviews measures of therapist empathy, including the conceptual problem of separating empathy from other relationship variables. Clinical examples illustrating different forms of therapist empathy and empathic response modes are then presented. The core of the review is a meta-analysis of research on the relation between therapist empathy and client outcome. Results indicated that empathy is a moderately strong predictor of therapy outcome: mean weighted r = .28 (equivalent of d = .58) for 82 independent samples and 6,138 clients. In general, the empathy–outcome relation held for different theoretical orientations and client presenting problems. The chapter considers the limitations of the current data and concludes with diversity considerations and practice recommendations, including endorsing the different forms that empathy may take in therapy.

scholarly journals Supervisor Variance in Psychotherapy Outcome in Routine Practice: A Replication

SAGE Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. 215824401989904
Author(s):  
Jason Whipple ◽  
Tyler Hoyt ◽  
Tony Rousmaniere ◽  
Joshua Swift ◽  
Tyler Pedersen ◽  
...  
Keyword(s):  
Clinical Supervision ◽  
Hierarchical Linear Modeling ◽  
Behavioral Therapy ◽  
Routine Practice ◽  
Linear Modeling ◽  
University Counseling Center ◽  
Client Outcome ◽  
Data Set ◽  
Average Improvement ◽  
Variance Estimates

This study is a replication of Rousmaniere et al., in which no differences in client outcome between supervisors were found and few differences in client outcome due to either degree level or experience as a supervisor were found. Hierarchical linear modeling was used to determine variance estimates in client outcome accounted for by supervisors. The longitudinal archival data set consisted of 3,030 clients, 80 therapists, and 39 supervisors at a University Counseling Center in the Rocky Mountains. Therapists practiced psychodynamic, strategic, cognitive behavioral therapy (CBT), solution-focused, and family systems approaches. Average improvement of clients was 7.91 points across supervisors using the Outcome Questionnaire-45.2 (OQ-45.2). Consistent with Rousmaniere et al., the amount of variance in client outcome attributable to clinical supervision was less than 1%. Implications indicate supervision may be enhanced by increased focus on aiding professional development of supervisees and emphasized future clarification surrounding the role of improvement of client welfare by supervisors.

Client Outcomes and the Working Alliance in Assertive Community Treatment Programs

2004 ◽  
Vol 5 (4) ◽  
pp. 199-202 ◽  
Author(s):  
Robert J. Calsyn ◽  
Gary A. Morse ◽  
W. Dean Klinkenberg ◽  
Matthew R. Lemming
Keyword(s):  
Substance Use ◽  
Working Alliance ◽  
Assertive Community Treatment ◽  
Psychiatric Symptoms ◽  
Case Manager ◽  
Self Report ◽  
Community Treatment ◽  
Treatment Programs ◽  
Client Outcome ◽  
Abuse Treatment

This study examined the relationship between outcomes and the working alliance in clients who were receiving assertive community treatment only or integrated assertive community treatment (assertive community treatment plus substance abuse treatment). All 98 participants had a severe mental illness and a substance use disorder. The Working Alliance Inventory assessed the alliance from the perspective of both the client and the case manager at 3 and 15 months into treatment. The six outcome measures were stable housing, client rating of psychiatric distress, interviewer rating of psychiatric symptoms, self-report of days used alcohol or drugs, and interviewer rating of substance use. Only 4 of 24 correlations were significant, indicating little relationship between the strength of the working alliance and client outcome.

Continuity of care and client outcome.

1987 ◽  
Vol 11 (1) ◽  
pp. 39-53 ◽  
Author(s):  
Richard C. Tessler
Keyword(s):  
Continuity Of Care ◽  
Client Outcome

Resolving Controversies in Psychotherapy Research: Discriminating among Psychosocial Factors and Research Purposes

1988 ◽  
Vol 2 (3) ◽  
pp. 197-209
Author(s):  
Wallace Wilkins
Keyword(s):  
Psychosocial Factors ◽  
Psychotherapy Research ◽  
Outcome Expectancies ◽  
Therapy Outcome ◽  
Therapy Process ◽  
Client Outcome ◽  
Therapy Efficacy

Concepts and language generalized from chemotherapy research are not refined enough to address issues relevant to psychotherapy. Shortcomings in language have resulted in four interchanges concerning the effects of psychotherapy vis-à-vis such psychosocial factors as client outcome expectancies. In each case, the debaters actually presented compatible positions which were obscured by using the same terms to refer to qualitatively different events in qualitatively different research purposes. Past controversies can be resolved and future miscommunication can be prevented by discriminating (a) between therapy procedures and the context within which therapy procedures are delivered, (b) between observable and inferred events, (c) between expectancies of therapy outcome and expectancies of therapy process, and (d) between the research purposes of evaluating therapy efficacy and identifying theoretical mechanisms.

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