Client perceptions of the use of a continuous feedback system in therapy

Authors

  • Glenn Stone Ball State University
  • Kristin Trainor Ball State University, Muncie, USA
  • Judy Gray Ball State University, Muncie, USA
  • Bill Frederick Still Waters Counseling, USA

Keywords:

mental health, practice assessment, client feedback

Abstract

This paper explores the use of the Outcome Rating Scale (ORS) and the Session Rating Scale (SRS) in clinical practice through the perspective of the client. These assessment tools are designed to provide clinicians with direct feedback from clients about the client’s views on progress in therapy and their views on the quality of each session provided by the clinician. In this qualitative study, 13 clients were interviewed to explore their perceptions of the use of the ORS and SRS in their sessions. Results indicate generally highly favorable reactions to use of these assessment tools with some exceptions. There is a discussion of the implications of these findings for clinical practitioners who wish to use the ORS and SRS.

References

Borelli, J. L., Sohn, L., Wang, B. A., Hong, K., DeCoste, C., & Suchman, N. E. (2019). Therapist–client language matching: Initial promise as a measure of therapist–client relationship quality. Psychoanalytic Psychology, 36(1), 9–18. https://doi.org/10.1037/pap0000177

Boswell, J. F., Kraus, D. R., Miller, S. D., & Lambert, M. J. (2015). Implementing routine outcome monitoring in clinical practice: benefits, challenges, and solutions. Psychotherapy research: journal of the Society for Psychotherapy Research, 25(1), 6–19. https://doi.org/10.1080/10503307.2013.817696

Bovendeerd, B., De Jong, K., De Groot, E., Moerbeek, M., & De Keijser, J. (2022). Enhancing the effect of psychotherapy through systematic client feedback in outpatient mental healthcare: A cluster randomized trial. Psychotherapy Research, 32(6), 710–722. https://doi.org/10.1080/10503307.2021.2015637

Cooper, M., Duncan, B., Golden, S., & Toth, K. (2021). Systematic client feedback in therapy for children with psychological difficulties: Pilot cluster randomised controlled trial. Counselling Psychology Quarterly, 34(1), 21–36. https://doi.org/10.1080/09515070.2019.1647142

Duncan, B.L., Miller, S.D., Sorrel, R., & Brown, G.S. (2005). The Partners for Change Outcome System. JCPL/In Session, 62(1), 199-208.

Duncan, B.L., Miller, S.D., & Sparks, J. (2004). The heroic client: A revolutionary way to improve effectiveness through client directed, outcome informed therapy. San Francisco, CA: Jossey Bass.

Duncan, B. L., Miller, S. D., Sparks, J., Reynolds, L. R., Brown, J., & Johnson, L. D. (2003). The session rating scale: Preliminary psychometric properties of a “working alliance” inventory. Journal of Brief Therapy, 3(1), 3–11.

Hepworth, D.H., Rooney, R.H., Dewberry Rooney, G., & Strom-Gottfried, K. (2017). Direct social work practice: Theory and skills. Boston, MA: Cengage.

Horvath, A. O., & Luborsky, L. (1993). The role of the therapeutic alliance in psychotherapy. Journal of Consulting and Clinical Psychology, 61(4), 561–573.

Janse, P., Boezen-Hilberdink, L., van Dijk, M. K., Verbraak, M. J. P. M., & Hutschemaekers, G. J. M. (2014). Measuring feedback from clients: The psychometric properties of the Dutch Outcome Rating Scale and Session Rating Scale. European Journal of Psychological Assessment, 30(2), 86–92. https://doi.org/10.1027/1015-5759/a000172

Johnson, L. D. (1995). Psychotherapy in the age of accountability. New York: Norton.

Lambert, M. J., Hansen, N.B., Umphress, V., Lunnen, K., Okiishi, J., Burlingame, G. M., Huefner, J., & Reisinger, C. (1996). Administration and scoring manual for the OQ 45.2. Stevenson, MD: American Professional Credentialing Services.

Lambert, M.J., & Hill C.E. (1994). Assessing psychotherapy outcomes and processes. In A.E. Bergin, & S.L. Garfield (eds.). Handbook of psychotherapy and behavior change. New York: John Wiley, 72-113.

Lannin, D. G., Vogel, D. L., Brenner, R. E., Abraham, W. T., & Heath, P. J. (2016). Does self-stigma reduce the probability of seeking mental health information? Journal of Counseling Psychology, 63(3), 351–358. https://doi.org/10.1037/cou0000108

Lincoln, YS. & Guba, EG. (1985). Naturalistic inquiry. Newbury Park, CA: Sage Publications.

Miller, S.D., & Duncan, B.L. (2004). The Outcome and session rating scales: Administration and scoring manual. Chicago, IL: Authors.

Miller, S.D., Duncan, B.L., Brown, J., Sparks, J., & Claud, D. (2003). The outcome rating scale: A preliminary study of the reliability, validity, and feasibility of a brief visual analog measure. Journal of Brief Therapy, 2(2), 91-100.

Miller, S.D., Duncan, B.L., Brown, J., Sorrell, R., & Chalk, M. (2006). Using formal client feedback to improve retention and outcome: Making ongoing, real-time assessment feasible. Journal of Brief Therapy, 5, 5-22.

Miller, S. D., Hubble, M. A., Chow, D., & Seidel, J. (2015). Beyond measures and monitoring: Realizing the potential of feedback-informed treatment. Psychotherapy, 52(4), 449–457. https://doi.org/10.1037/pst0000031

Moggia, D., Niño-Robles, N., Miller, S. D., & Feixas, G. (2018). Psychometric properties of the Outcome Rating Scale (ORS) in a Spanish clinical sample. The Spanish Journal of Psychology, 21. eXX. Doi:10.1017/sjp.2018.32

Murphy, M., Rakes, S., & Harris, R. (2020). The psychometric properties of the session rating scale: A narrative review, Journal of Evidence-Based Social Work, 17:3, 279-299, DOI: 10.1080/26408066.2020.1729281

Ogles, B. M., Anderson, T., & Lunnen, K. M. (1999). The contribution of models and techniques to therapeutic efficacy: Contradictions between professional trends and clinical research. In M. A. Hubble, B. L. Duncan, & S. D. Miller (Eds.), The heart and soul of change: What works in therapy (pp. 210–225). Washington, DC: American Psychological Association.

Patton MQ. (2002) Qualitative evaluation and research methods. 3rd. Thousand Oaks, CA: Sage.

Siegel, S., Dors, S., Brants, L., Schuy, K., & Rau, H. (2018). Understanding health care avoidance and initial help-seeking behavior in German veterans: A theory of planned behavior. Psychology Research and Behavior Management, 11, 243-248. https://doi.org/10.2147/PRBM.S158876

Wampold, B. E. (2001). The great psychotherapy debate: Models, methods, and findings. Mahwah, NJ: Lawrence Erlbaum Associates.

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Published

01.07.2023

Issue

Section

Original Research

How to Cite

Stone, G., Trainor, K., Gray, J., & Frederick, B. (2023). Client perceptions of the use of a continuous feedback system in therapy. Journal of Social Work Education and Practice, 8(3), 27-46. https://jswep.bdtopten.com/index.php/jswep/article/view/163