Presented at the Australian Association for Bush Adventure Therapy's 2016 National Forum in Adelaide. Topics include Feedback-Informed Treatment, Adventure Therapy, Research, and what works in therapy with children, adolescents, and families.
PCOMS works with kids too!
Cooper, M., Stewart, D., Sparks, J., Bunting, L. (2013). School-based counseling using systematic feedback: A cohort study evaluating outcomes and predictors of change. Psychotherapy Research, 23, 474-488.
CERIC funded a province wide research study focused on understanding the barriers people with mental health problems face when accessing employment counselling services. Sponsored by the NSCDA.
This article tracks the history and development of the notion of using the client's ideas, preferences, and sensabilities about change to select model and technique. It argues for exploring and incorporating client ideas about change.
Our recent article about therapist effects in couple therapy. So what distinguished one therapist from another? Demographics didn’t matter but 2 other things did. First, that tried and true but neglected old friend, the alliance accounted for 50% of the differences among therapists. Those who formed better alliances across clients got better outcomes. And therapist specific experience with couples accounted for 25% of the differences. So, experienced therapists can take some solace that getting older does have its advantages—as long as it is specific to task at hand.
THIS CHAPTER DISCUSSES
•The empirical evidence supporting a strengths-based approach
•Specific practice guidelines for recruiting client resources to promote change
•The link between pluralistic counselling and a focus on client strengths
PCOMS works with kids too!
Cooper, M., Stewart, D., Sparks, J., Bunting, L. (2013). School-based counseling using systematic feedback: A cohort study evaluating outcomes and predictors of change. Psychotherapy Research, 23, 474-488.
CERIC funded a province wide research study focused on understanding the barriers people with mental health problems face when accessing employment counselling services. Sponsored by the NSCDA.
This article tracks the history and development of the notion of using the client's ideas, preferences, and sensabilities about change to select model and technique. It argues for exploring and incorporating client ideas about change.
Our recent article about therapist effects in couple therapy. So what distinguished one therapist from another? Demographics didn’t matter but 2 other things did. First, that tried and true but neglected old friend, the alliance accounted for 50% of the differences among therapists. Those who formed better alliances across clients got better outcomes. And therapist specific experience with couples accounted for 25% of the differences. So, experienced therapists can take some solace that getting older does have its advantages—as long as it is specific to task at hand.
THIS CHAPTER DISCUSSES
•The empirical evidence supporting a strengths-based approach
•Specific practice guidelines for recruiting client resources to promote change
•The link between pluralistic counselling and a focus on client strengths
The original validation of the CORS for kids and the ORS for adolescents. Allowed the benefits of client based outcome feedback to expand to youth and family and paved the way to the current RCT with kids in the schools.
Article just out in Psychotherapy in Australia. Incorporating the latest research about what works in therapy to address what makes a "master" therapist.
A figure illustrating what meta-analytic research suggests about the factors running across all therapies that account for change in psychotherapy. From On Becoming a Better Therapist, 2nd Edition by Barry Duncan published by APA (2014).
The Norway Couple Project: Lessons LearnedBarry Duncan
Couple therapists in routine practice may find it difficult to apply findings from an increasingly expanding and complex body of couple therapy research. Meanwhile, concerns have been raised that competency in evidence-based treatments is insufficient to inform many practice decisions or ensure positive treatment outcomes (American Psychological Association
Presidential Task Force on Evidence-Based Practice, American Psychologist, 2006, 271). This article aims to narrow the research/practice gap in couple therapy. Results from a large, randomized naturalistic couple trial (Anker, Duncan, & Sparks, 2009) and four companion studies are translated into specific guidelines for routine, eclectic practice. Client feedback, the therapeutic alliance, couple goals assessment, and therapist experience in couple therapy provide a research-informed template for improving couple therapy outcomes.
PCOMS: A Viable Quality Improvement Strategy for Public Behavioral HealthBarry Duncan
This is the latest from the research team of the Heart and Soul of Change Project, published in the Journal of Consulting and Clinical Psychology. This study demonstrated that PCOMS is not only a viable quality improvement strategy but also that services to the poor and disenfranchised provided in a public behavioral setting, contrary to earlier research, can be as effective as those delivered in randomized clinical trials.
When children and teens present with behaviour and emotional problems the lure of a quick fix is
understandable and drugs present a ready-made solution. Therapists are often hesitant to talk about
medication and defer to medical professionals. In this paper DUNCAN, SPARKS, MURPHY and MILLER
highlight the explosion in the use of psychotropic medications for children and teens. This trend flies in the
face of the American Psychological Association’s recommendation of the use of psychosocial interventions
as the first intervention of choice with children and teens. The reliability and validity of psychiatric diagnoses is
questioned, in particular against a background of fluctuations in child development and social adaptations,
and a compelling critique is provided of the current research findings on the effectiveness of psychotropic
medications including antidepressants and ADHD medications. Therapists are urged to shed their timidity
and discuss openly the risks and benefits of medication with the knowledge that there is empirical support
for psychosocial interventions as a first line approach. Recommendations are offered to engage clients as
central partners in developing solutions—medical or non-medical—that fit each child and each situation.
Qualitative study of therapists working at Stangehjelp in Norway who are applying the principles of deliberate practice in their efforts to deliver more effective treatment services.
This is the validation study of the Group Session Rating Scale (GSRS). In a nutshell, this study found more than acceptable reliability and validity with not only an alliance measure but also with group climate and cohesiveness scales. The GSRS was also predictive of last session outcomes. An RCT comparing PCOMS to TAU in group therapy has been submitted.
No evidence for demand characteristics or social desirability with the Session Rating Scale.
Reese, R. J., Gillaspy, J. A., Owen, J. J., Flora, K. L., Cunningham, L. E., Archie, D., & Marsden, T. (2013). The influence of demand characteristics and social desirability on clients’ ratings of the therapeutic alliance. Journal of Clinical Psychology, 69, 696-709.
Adventure Therapy Professional Development - 3 March 2017Will Dobud
Here are the slides from an adventure therapy professional development workshop I ran in Adelaide in March of 2017. The seminar discussed the importance of engagement, a therapeutic relationship, and provided a brief introduction to Feedback-Informed Treatment (FIT) and how we have incorporated FIT into our adventure therapy program.
What are the Core Tasks of Psychotherapy? A Presentation for the 2013 Evoluti...Scott Miller
A summary of a presentation delivered by Scott D. Miller, Ph.D. at the 2013 Evolution of Psychotherapy conference in Anaheim, California. It contrasts traditional ideas with empirically supported practices.
Solution-Focused Counseling: Advanced Techniques and Applications (PowerPoint)Jeffrey Guterman
PowerPoint for Education Session, "Solution-Focused Counseling: Advanced Techniques and Applications" presented by Jeffrey Guterman Ph.D. and Clayton V. Martin, M.S. at the American Counseling Association's 2014 Conference & Exposition, Orlando on March 14, 2015. More information: http://jeffreyguterman.com/advanced2015.html
The original validation of the CORS for kids and the ORS for adolescents. Allowed the benefits of client based outcome feedback to expand to youth and family and paved the way to the current RCT with kids in the schools.
Article just out in Psychotherapy in Australia. Incorporating the latest research about what works in therapy to address what makes a "master" therapist.
A figure illustrating what meta-analytic research suggests about the factors running across all therapies that account for change in psychotherapy. From On Becoming a Better Therapist, 2nd Edition by Barry Duncan published by APA (2014).
The Norway Couple Project: Lessons LearnedBarry Duncan
Couple therapists in routine practice may find it difficult to apply findings from an increasingly expanding and complex body of couple therapy research. Meanwhile, concerns have been raised that competency in evidence-based treatments is insufficient to inform many practice decisions or ensure positive treatment outcomes (American Psychological Association
Presidential Task Force on Evidence-Based Practice, American Psychologist, 2006, 271). This article aims to narrow the research/practice gap in couple therapy. Results from a large, randomized naturalistic couple trial (Anker, Duncan, & Sparks, 2009) and four companion studies are translated into specific guidelines for routine, eclectic practice. Client feedback, the therapeutic alliance, couple goals assessment, and therapist experience in couple therapy provide a research-informed template for improving couple therapy outcomes.
PCOMS: A Viable Quality Improvement Strategy for Public Behavioral HealthBarry Duncan
This is the latest from the research team of the Heart and Soul of Change Project, published in the Journal of Consulting and Clinical Psychology. This study demonstrated that PCOMS is not only a viable quality improvement strategy but also that services to the poor and disenfranchised provided in a public behavioral setting, contrary to earlier research, can be as effective as those delivered in randomized clinical trials.
When children and teens present with behaviour and emotional problems the lure of a quick fix is
understandable and drugs present a ready-made solution. Therapists are often hesitant to talk about
medication and defer to medical professionals. In this paper DUNCAN, SPARKS, MURPHY and MILLER
highlight the explosion in the use of psychotropic medications for children and teens. This trend flies in the
face of the American Psychological Association’s recommendation of the use of psychosocial interventions
as the first intervention of choice with children and teens. The reliability and validity of psychiatric diagnoses is
questioned, in particular against a background of fluctuations in child development and social adaptations,
and a compelling critique is provided of the current research findings on the effectiveness of psychotropic
medications including antidepressants and ADHD medications. Therapists are urged to shed their timidity
and discuss openly the risks and benefits of medication with the knowledge that there is empirical support
for psychosocial interventions as a first line approach. Recommendations are offered to engage clients as
central partners in developing solutions—medical or non-medical—that fit each child and each situation.
Qualitative study of therapists working at Stangehjelp in Norway who are applying the principles of deliberate practice in their efforts to deliver more effective treatment services.
This is the validation study of the Group Session Rating Scale (GSRS). In a nutshell, this study found more than acceptable reliability and validity with not only an alliance measure but also with group climate and cohesiveness scales. The GSRS was also predictive of last session outcomes. An RCT comparing PCOMS to TAU in group therapy has been submitted.
No evidence for demand characteristics or social desirability with the Session Rating Scale.
Reese, R. J., Gillaspy, J. A., Owen, J. J., Flora, K. L., Cunningham, L. E., Archie, D., & Marsden, T. (2013). The influence of demand characteristics and social desirability on clients’ ratings of the therapeutic alliance. Journal of Clinical Psychology, 69, 696-709.
Adventure Therapy Professional Development - 3 March 2017Will Dobud
Here are the slides from an adventure therapy professional development workshop I ran in Adelaide in March of 2017. The seminar discussed the importance of engagement, a therapeutic relationship, and provided a brief introduction to Feedback-Informed Treatment (FIT) and how we have incorporated FIT into our adventure therapy program.
What are the Core Tasks of Psychotherapy? A Presentation for the 2013 Evoluti...Scott Miller
A summary of a presentation delivered by Scott D. Miller, Ph.D. at the 2013 Evolution of Psychotherapy conference in Anaheim, California. It contrasts traditional ideas with empirically supported practices.
Solution-Focused Counseling: Advanced Techniques and Applications (PowerPoint)Jeffrey Guterman
PowerPoint for Education Session, "Solution-Focused Counseling: Advanced Techniques and Applications" presented by Jeffrey Guterman Ph.D. and Clayton V. Martin, M.S. at the American Counseling Association's 2014 Conference & Exposition, Orlando on March 14, 2015. More information: http://jeffreyguterman.com/advanced2015.html
To Chart a Course: How to Improve Our Adventure Therapy Practice Will Dobud
Presented at the 8th International International Adventure Therapy Conference in Sydney 2018.
In the most comprehensive adventure therapy study published to date, Bowen and Neill (2013) argued that “a small percentage of adventure therapy programs undergo empirical program evaluation” (p. 41), that being less than 1%. With about three decades of research supporting the efficacy of adventure therapy, though we still have questions about dose-effect and for who adventure therapy is most effective (Gass, Gillis, & Russell, 2012; Gillis & Speelman, 2008; Norton et al., 2014) and adventure therapy performing on par with other therapeutic modalities (Dobud & Harper, 2018), there is little question that adventure therapy stands as a bonafide option as a therapeutic treatment. That is the good news.
With the publication of the first meta-analysis of psychotherapy outcomes, Smith and Glass (1977) found that participants engaging in some type of therapy were bever off than 70-80% of those that received no therapy at all. These encouraging effect sizes were on par with or outperformed many common medical treatments, such as taking an ibuprofen for a headache (Miller, Hubble, Chow, & Seidel, 2013). The psychotherapy clinical trials were conducted with research participants randomly receiving either some type of therapeutic interventions or no treatment at all (Smith & Glass, 1977). The researchers further acknowledged that when participants were randomly selected to receive one of
two different therapies, such as Cogni`ve-Behavioural or Psychodynamic Therapy, no difference in outcomes could be
found despite the theoretical differences of the two. Despite the limited publications and dissertations where adventure therapy was compared to a therapeutic intervention containing no adventurous components, we have a similar issue that adventure therapy tends to perform on par, no greater and no worse, than its counterparts (Dobud & Harper, 2018; Harper, 2010). The specific differences that suggest certain therapies are unique hold little to no variance in outcomes (Ahn & Wampold, 2001). Since Smith and Glass' (1977) pinnacle study, outcomes across psychotherapy have flatlined. Despite a ballooning of new diagnostic criteria and mushrooming of empirically supported treatments, there has been no improvement in outcomes (Asay & Lambert, 1999; Miller et al., 2013; Wampold, 2001). This presentation will attempt to untangle some of the factors put forward by researchers over the last two decades to illustrate those factors most likely to lead to improved therapeutic outcomes, such as establishing goal consensus with clients, improving the therapeutic relationship, and monitoring outcomes (Lambert, 2010; Wampold, 2001). Though this workshop will present some of these important findings, the presentation will stage my experiential journey in reaching out to coaches, researchers, and supervisors in trying to improve my outcomes as a therapist, one client at a time.
Evolution of Psychotherapy: An OxymoronScott Miller
Reviews the history of psychotherapy outcome, documenting the lack of improvement and suggesting an alternative to focusing on diagnosis and treatment approach for improving outcome
Co-Adventuring in Adventure Therapy: Presented at the OEASA State Outdoor Edu...Will Dobud
This hour workshop was presented on the 18th of November 2016 at the Outdoor Educators Assiciation of South Australia's State Outdoor Educators Conference in Adelaide, South Australia.
The first quasiexperiemental study of the ORS/SRS in a telephonic EAP company. Doubled outcomes and improved retension. Set the stage for the RCTs that followed
The DSM-5: A Postmodern Re-Vision for Counseling (PowerPoint)Jeffrey Guterman
PowerPoint for Education Session, "The DSM-5: A Postmodern Re-Vision for Counseling" presented by Jeffrey Guterman Ph.D. and Clayton V. Martin, M.S. at the American Counseling Association's 2014 Conference & Exposition, Orlando on March 15, 2015. More information: http://jeffreyguterman.com/dsm2015.html
Mastering the Concepts Tested in the Databricks Certified Data Engineer Assoc...SkillCertProExams
• For a full set of 760+ questions. Go to
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Suzanne Lagerweij - Influence Without Power - Why Empathy is Your Best Friend...Suzanne Lagerweij
This is a workshop about communication and collaboration. We will experience how we can analyze the reasons for resistance to change (exercise 1) and practice how to improve our conversation style and be more in control and effective in the way we communicate (exercise 2).
This session will use Dave Gray’s Empathy Mapping, Argyris’ Ladder of Inference and The Four Rs from Agile Conversations (Squirrel and Fredrick).
Abstract:
Let’s talk about powerful conversations! We all know how to lead a constructive conversation, right? Then why is it so difficult to have those conversations with people at work, especially those in powerful positions that show resistance to change?
Learning to control and direct conversations takes understanding and practice.
We can combine our innate empathy with our analytical skills to gain a deeper understanding of complex situations at work. Join this session to learn how to prepare for difficult conversations and how to improve our agile conversations in order to be more influential without power. We will use Dave Gray’s Empathy Mapping, Argyris’ Ladder of Inference and The Four Rs from Agile Conversations (Squirrel and Fredrick).
In the session you will experience how preparing and reflecting on your conversation can help you be more influential at work. You will learn how to communicate more effectively with the people needed to achieve positive change. You will leave with a self-revised version of a difficult conversation and a practical model to use when you get back to work.
Come learn more on how to become a real influencer!
Collapsing Narratives: Exploring Non-Linearity • a micro report by Rosie WellsRosie Wells
Insight: In a landscape where traditional narrative structures are giving way to fragmented and non-linear forms of storytelling, there lies immense potential for creativity and exploration.
'Collapsing Narratives: Exploring Non-Linearity' is a micro report from Rosie Wells.
Rosie Wells is an Arts & Cultural Strategist uniquely positioned at the intersection of grassroots and mainstream storytelling.
Their work is focused on developing meaningful and lasting connections that can drive social change.
Please download this presentation to enjoy the hyperlinks!
This presentation, created by Syed Faiz ul Hassan, explores the profound influence of media on public perception and behavior. It delves into the evolution of media from oral traditions to modern digital and social media platforms. Key topics include the role of media in information propagation, socialization, crisis awareness, globalization, and education. The presentation also examines media influence through agenda setting, propaganda, and manipulative techniques used by advertisers and marketers. Furthermore, it highlights the impact of surveillance enabled by media technologies on personal behavior and preferences. Through this comprehensive overview, the presentation aims to shed light on how media shapes collective consciousness and public opinion.
2. “The therapist is a co-adventurer, exploring the
landscape and encountering multiple vantage
points while crossing the terrain of the client’s
theory of change. When stuck along the way,
we join clients in looking for and exploring
alternate routes on their own maps. In the
process clients uncover trails we never
dreamed existed.”
(Duncan, Miller, & Sparks, 2004, p.
136)
3. Client Directed Adventure
Therapy
• Relational vs. Medical Model
• What works in therapy
• What is Client-Directed, Outcome-
Informed?
• The Adventure Therapy Experience
4. A Bit About Me
BSW – University of Maryland – Baltimore
County
MSW – Charles Sturt University
Phd (Cand.) – Charles Sturt University
-Run a small program True North Expeditions,
Inc.
-South Australian Representative for AABAT
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18. Over the Last 50 years…
• 275% increase in mental health workers since
1980
• Evidence-Based Treatments from 60 to 250+
• Number of Disorders from 24 to 297+
• Psychotherapy down 35%, Pharmaceuticals up
75%
19. Here’s why…
• National Conference of Charities and Corrections
(1915)
• National Institute of Mental Health (USA) says “no
diagnosis, no research”
• Competence of service deliver vs. Outcome
20. The View of the Medical Model
Proper Diagnosis + Prescriptive Intervention =
Effective Treatment
Targeted Diagnostic Groups + Evidenced
Based Treatments = Symptom Reduction
21. The Killer D’s
• Mental Disorders to not have the boundaries of an
illness like diabetes or the flu
• Homosexuality was a “Mental Disorder” until 1973
• Attribution Creep…
• No correlation between diagnosis and outcome
22. Which Treatment Works Best?
• Human Affairs International Study
• Wampold et al. (1997)
• Elkin et al. (1989)
• Lambert (2013)
• Miller, Hubble, Duncan (2008)
Specific Factors vs. Common Factors
23.
24. Who Are The Supershrinks?
• What do the best therapists in the world do?
• Eliciting Feedback on Outcome & Success
• More time doing “Deliberate Practice”
25.
26. The New Equation
Client Resources and Resilience +
Client Theories of Change +
Client Feedback about the Fit & Benefit of the
Service
= Client Perceptions of Preferred Outcomes
27.
28. What is Client-Directed?
• Clients are critics of therapy performance
• Therapeutic Relationship is an ongoing process
• Accepting the client’s goals
• Tailor fitting the tasks (procedures) of therapy
29.
30. What is Outcome-Informed?
• Product Oriented vs. Consumer Oriented
• Tracking Outcome
• Bringing Results to Light
• Failing Successfully
35. Feedback Informed Treatment
(FIT)
• Privilege the client’s voice (even when we don’t want
to)
• Tailor our service to their unique feedback & situation
• Use the client’s creativity and strengths to solve
problems
• Ongoing measurement to see the FIT
36. “…clients whose therapists had access to outcome
and alliance information were less likely to
deteriorate, more likely to stay longer, and twice as
likely to achieve a clinically significant change.”
(Miller, Mee-Lee, Plum, & Hubble, 2005,
p. 47)
37.
38. Definition of Adventure Therapy
“the prescriptive use of adventure experiences
provided by mental health professionals, often
conducted in natural settings that kinesthetically
engage clients of cognitive, affective, and behavioral
levels”.
(Gass, Gillis, & Russell, 2012,
p. 1)
“Bush Adventure Therapy is a diverse field of practice
combining adventure and outdoor environments with
the intention to achieve therapeutic outcomes for
those involved.”
39. Quality of Participation
• Tailored Facilitation Focussing on Engagement
• “Connection Before Correction”
• Increase relationship through collaboration
• Debriefing: What can I do better next time?
40.
41.
42.
43.
44.
45.
46.
47.
48. References
Ardito, R. B., & Rabellino, D. (2011). Therapeutic alliance and outcomes of psychotherapy: Historical excurus, measurements, and
prospects for research. Frontiers in Psychology, 2, 1-11.
Asay, T. P., & Lambert, M. J. (1999). The empirical case for the common factors of therapy: Quantitative findings. In M. A. Hubble,
B. L. Duncan, & S. D. Miller (Eds.), The heart and soul of change: What works in therapy (pp. 33-56). Washington, DC: American
Psychological Association.
Duncan, B. L., Miller, S. D., & Sparks, J. A. (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. A. (2007). Common factors and the uncommon heroism of youth. Psychotherapy in
Australia, 13(2), 34-43.
Duncan, B. L., Sparks, J. A., Murphy, J. J., & Miller, S. D. (2007). Just say 'no' to drugs as a first treatment for child problems.
Psychotherapy in Australia, 13(4), 32-40.
Duncan, B. L., Miller, S. D., Sparks, J. A., Claud, D. A., Reynolds, L. R., Brown, J., & Johnson, L. D. (2003). The session rating scale:
Preliminary psychometric properties of a "working" alliance measure. Journal of Brief Therapy, 3(1), 3-12.
Garcia, J. A., & Weisz, J. R. (2002). When youth mental health care stops: Therapeutic relationship problems and other reasons for
ending youth outpatient treatment. Journal of Consulting and Clinical Psychology, 70(2), 439-443.
Gass, M. A., Gillis, H. L., & Russell, K. C. (2012). Adventure therapy: Theory, research, and practice. New York: Routledge.
Lambert, M. J. (2013). The efficacy and effectiveness of psychotherapy. In M. J. Lambert (Ed.), Bergin and Garfield's handbook of
psychotherapy and behavior change (6th ed., pp. 169-218). Hoboken, NJ: Wiley.
Madsen, W. C. (2009). Collaborative helping: A practice framework for family-centered services. Family Process, 48, 103-116.
49. ReferencesMiller, S. D., & Duncan, B. L. (2000). Paradigm lost: From model-driven to client-directed, outcome-informed clinical work. Journal
of Systemic Therapies, 19(1), 20-24.
Miller, S. D., Hubble, M. A., & Duncan, B. L. (2008). Supershrinks: What is the secret of their success? Psychotherapy in Australia,
14(4), 14-22.
Miller, S. D., Duncan, B. L., Brown, J., Sorrell, R., & Chalk, M. B. (2006). Using formal client feedback to improve retention and
outcome: Making ongoing, real-time assessment feasible. . Journal of Brief Therapy, 5(1), 5-22.
Miller, S. D., & Duncan, B. L. (2000). The outcome rating scale. Chicago, IL: Authors.
Miller, S. D., Mee-Lee, D., Plum, B., & Hubble, M. A. (2005). Making Treatment Count: Client-Directed, Outcome-Informed Clinical
Work with Problem Drinkers. Psychotherapy in Australia, 11(4), 42-56.
Orlinsky, D. E., Grawe, K., & Parks, B. K. (1994). Process and outcome in psychotherapy - noch einmal. In A. E. Bergin & S. L.
Garfield (Eds.), Handbook of psychotherapy and behavior change. (4th ed., pp. 270-378). New York: Wiley.
Robinson, L. A., Berman, J. S., & Neimeyer, R. A. (1990). Psychotherapy for the treatment of depression: A comprehensive review
of controlled outcome research. Psychological Bulletin, 30-49.
Rodwell, M. K. (1987). Naturalistic inquiry: An alternative model for social work assessment. Social Service Review, 61(2), 231-246.
Rogers, C. R. (1961). On becoming a person. Boston, MA: Houghton Mifflin Company.
Rosenhan, D. L. (1973). On being sane in insane places. Science, 179(4070), 250-258.
Robinson, L. A., Berman, J. S., & Neimeyer, R. A. (1990). Psychotherapy for the treatment of depression: A comprehensive review
of controlled outcome research. Psychological Bulletin, 30-49.
Wampold, B. E. (1997). Methodological problems in identifying efficacious psychotherapies. Psychotherapy Research, 7(1), 21-43.
Editor's Notes
Contact Information: Will Dobud, MSW – 0477161768 – info@willdobud.com
Duncan, B. L., Miller, S. D., & Sparks, J. A. (2004). The heroic client: A revolutionary way to improve effectiveness through client-directed, outcome-informed therapy. San Francisco, CA: Jossey-Bass.
About this presentation
About Me
Rockville Volunteer Fire Department (2006)
West Virginia Wilderness Therapy
West Virginia Wilderness Therapy
Brooke Brody, LCSW – Mentor, Guru
We started building follow-up program Potomac Pathways
Arizona Adventure Therapy
Alaska Wilderness Therapy
Alaska Wilderness Therapy
Marrying the lovely Renee
Came to Australia
Working in South Australia
Growing True North Expeditions with Emily
The Stalemate of Mental Health
Duncan, B. L., Miller, S. D., & Sparks, J. A. (2004). The heroic client: A revolutionary way to improve effectiveness through client-directed, outcome informed therapy. San Francisco, CA: Jossey-Bass.
Duncan, B. L., Sparks, J. A., Murphy, J. J., & Miller, S. D. (2007). Just say 'no' to drugs as a first treatment for child problems. Psychotherapy in Australia, 13(4), 32-40.
Miller, S. D., & Duncan, B. L. (2000). Paradigm lost: From model-driven to client-directed, outcome-informed clinical work. Journal of Systemic Therapies, 19(1), 20-24.
Rodwell, M. K. (1987). Naturalistic inquiry: An alternative model for social work assessment. Social Service Review, 61(2), 231-246.
Duncan, B. L., Miller, S. D., & Sparks, J. A. (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. A. (2004). The heroic client: A revolutionary way to improve effectiveness through client-directed, outcome informed therapy. San Francisco, CA: Jossey-Bass.
Robinson, L. A., Berman, J. S., & Neimeyer, R. A. (1990). Psychotherapy for the treatment of depression: A comprehensive review of controlled outcome research. Psychological Bulletin, 30-49.
Rosenhan, D. L. (1973). On being sane in insane places. Science, 179(4070), 250-258.
Lambert, M. J. (2013). The efficacy and effectiveness of psychotherapy. In M. J. Lambert (Ed.), Bergin and Garfield's handbook of psychotherapy and behavior change (6th ed., pp. 169-218). Hoboken, NJ: Wiley.
Miller, S. D., Hubble, M. A., & Duncan, B. L. (2008). Supershrinks: What is the secret of their success? Psychotherapy in Australia, 14(4), 14-22.
Robinson, L. A., Berman, J. S., & Neimeyer, R. A. (1990). Psychotherapy for the treatment of depression: A comprehensive review of controlled outcome research. Psychological Bulletin, 30-49.
Wampold, B. E. (1997). Methodological problems in identifying efficacious psychotherapies. Psychotherapy Research, 7(1), 21-43.
Asay, T. P., & Lambert, M. J. (1999). The empirical case for the common factors of therapy: Quantitative findings. In M. A. Hubble, B. L. Duncan, & S. D. Miller (Eds.), The heart and soul of change: What works in therapy (pp. 33-56). Washington, DC: American Psychological Association.
Duncan, B. L., Miller, S. D., & Sparks, J. A. (2007). Common factors and the uncommon heroism of youth. Psychotherapy in Australia, 13(2), 34-43.
Miller, S. D., Hubble, M. A., & Duncan, B. L. (2008). Supershrinks: What is the secret of their success? Psychotherapy in Australia, 14(4), 14-22.
Miller, S. D., Duncan, B. L., Brown, J., Sorrell, R., & Chalk, M. B. (2006). Using formal client feedback to improve retention and outcome: Making ongoing, real-time assessment feasible. . Journal of Brief Therapy, 5(1), 5-22.
Miller, S. D., Hubble, M. A., & Duncan, B. L. (2008). Supershrinks: What is the secret of their success? Psychotherapy in Australia, 14(4), 14-22.
Miller, S. D., Hubble, M. A., & Duncan, B. L. (2008). Supershrinks: What is the secret of their success? Psychotherapy in Australia, 14(4), 14-22.
Client-Directed, Outcome-Informed Therapy
Ardito, R. B., & Rabellino, D. (2011). Therapeutic alliance and outcomes of psychotherapy: Historical excurus, measurements, and prospects for research. Frontiers in Psychology, 2, 1-11.
Duncan, B. L., Miller, S. D., & Sparks, J. A. (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. A. (2004). The heroic client: A revolutionary way to improve effectiveness through client-directed, outcome informed therapy. San Francisco, CA: Jossey-Bass.
Garcia, J. A., & Weisz, J. R. (2002). When youth mental health care stops: Therapeutic relationship problems and other reasons for ending youth outpatient treatment. Journal of Consulting and Clinical Psychology, 70(2), 439-443.
Rogers, C. R. (1961). On becoming a person. Boston, MA: Houghton Mifflin Company.
Duncan, B. L., Miller, S. D., & Sparks, J. A. (2004). The heroic client: A revolutionary way to improve effectiveness through client-directed, outcome informed therapy. San Francisco, CA: Jossey-Bass.
Miller, S. D., & Duncan, B. L. (2000). The outcome rating scale. Chicago, IL: Authors.
Duncan, B. L., Miller, S. D., Sparks, J. A., Claud, D. A., Reynolds, L. R., Brown, J., & Johnson, L. D. (2003). The session rating scale: Preliminary psychometric properties of a "working" alliance measure. Journal of Brief Therapy, 3(1), 3-12.
Duncan, B. L., Miller, S. D., & Sparks, J. A. (2004). The heroic client: A revolutionary way to improve effectiveness through client-directed, outcome informed therapy. San Francisco, CA: Jossey-Bass.
2015 Expedition ORS/SRS Average (N=49)
One 18 Year Old Girl’s Expedition Scores (She scored a 40 on the last day to be nice)
Miller, S. D., Duncan, B. L., Brown, J., Sorrell, R., & Chalk, M. B. (2006). Using formal client feedback to improve retention and outcome: Making ongoing, real-time assessment feasible. . Journal of Brief Therapy, 5(1), 5-22.
Miller, S. D., Mee-Lee, D., Plum, B., & Hubble, M. A. (2005). Making Treatment Count: Client-Directed, Outcome-Informed Clinical Work with Problem Drinkers. Psychotherapy in Australia, 11(4), 42-56.
How to Incorporate Client-Directed Approaches to Adventure Therapy
Gass, M. A., Gillis, H. L., & Russell, K. C. (2012). Adventure therapy: Theory, research, and practice. New York: Routledge.
Orlinsky, D. E., Grawe, K., & Parks, B. K. (1994). Process and outcome in psychotherapy - noch einmal. In A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behavior change. (4th ed., pp. 270-378). New York: Wiley.
Madsen, W. C. (2009). Collaborative helping: A practice framework for family-centered services. Family Process, 48, 103-116.
Orlinsky, D. E., Grawe, K., & Parks, B. K. (1994). Process and outcome in psychotherapy - noch einmal. In A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behavior change. (4th ed., pp. 270-378). New York: Wiley.
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