To investigate the feasibility of integrating an outcome measure into the routine office visits of a small group of behavioral health providers. Feasibility will be studied for patients and behavioral health providers.
Feasibility is defined in broad terms as the perceived value to patients and behavioral health providers of being given feedback on how well the patient is responding to treatment. The mechanics of administering, collecting, and recording the outcome data is not the focus of the current study.
Research shows that therapists and clients who receive feedback on their progress in therapy have better outcomes. The following feedback is based on your responses to the questionnaire that you completed prior to our visit.
Your responses suggest that you are not making the expected progress in therapy, and may even have considered discontinuing visits due to lack of progress.
I suggest that we discuss the reasons you may not be making better progress. I encourage you to share with me any concerns or dissatisfaction you may have with me, our visits, or our treatment plan. I can explain and modify my approach to better suit your needs. Together we can find a way to get on track to a positive outcome.
Research shows that therapists and clients who receive feedback on their progress in therapy have better outcomes. The following feedback is based on your responses to the questionnaire that you completed prior to our visit. Your responses show that your level of emotional distress and dysfunction is similar to the average person in the community. These results suggest that you have relatively good mental health and may not be in need of further treatment. We have discussed your current progress toward your treatment goals, and we have agreed to not schedule an additional visit at this time. I recommend you take the following action to continue making additional progress on your own (add suggestions). If you experience additional problems or believe you need an additional visit, please contact me right away.
Ask open ended questions about the client’s problem behaviors. Persuade them to talk about the behavior. Attention alone may help client become aware of their problems
Discuss positive and negative effects of the behavior, costs and benefits
Give straightforward advice and professional information about the negative consequences of their behavior only if the client seems ready to hear
Show confidence that the client has the inner strength to overcome their problems
Avoid offering solutions for problems at this stage. Focus on helping the client explore and resolve ambivalence for themselves
Clarify that you and the client have a shared understanding of the problem. The client may not give an apparent problem the same weight as the therapist. The client may have larger concerns that have not yet been revealed.
The results of the feasibility pilot will be discussed with the participating providers in order to gather additional feedback about their experiences using outcomes in routine care. The results and provider feedback on the study will be summarized and shared with all providers.