Conducting PCOMS guided Recovery Groups- Closing the Resource Gap in Psychotherapy

| February 5, 2015
myoutcomes feedback informed, PCOMS Guided Recovery Groups

Conducting PCOMS guided Recovery Groups model is built on three key concepts: recovery, group therapy, and CDOI therapy.

At whichever level of community one wishes to consider, there is a growing demand for mental health services that isn’t being matched by an equivalent accessibility to mental health services. This disparity between the need for services and the ability to obtain services is related to two core factors. First, there is the economics of the situation. Although it’s beginning to change, historically there hasn’t been the same degree of financial support offered to those needing mental health care as there has been for those seeking services providing physical health care. Unfortunately, this change is occurring at a time when health dollars are being stretched in every direction. Second, there aren’t enough mental health providers available to meet the demand. Although the situation is far worse in developing countries, estimates suggest that developed countries are able to provide mental health care to only about 50% of those who need it.

Although this state of affairs isn’t exactly peachy, it isn’t dire either. To counter the issue of finite resources available for mental health care, what is needed are innovative models that bring treatment to more of those who need it, while, at the same time, increasing success rates in a more reasonable time period. By achieving those two goals, it may be possible to close the resource gap and provide more affordable treatment to more of those who need it. Training in one innovative model that holds tremendous promise, Conducting PCOMS Guided Recovery Groups: Counselor or Peer Facilitators, has been developed by George S. Braucht. This model is built on three key concepts: recovery, group therapy, and client-directed, outcome-informed (CDOI) therapy.

Recovery, as defined by SAMHSA, is a process of change through which individuals improve their health and wellness, live self-directed lives and strive to reach their full potential. Recovery is an evidence-based treatment orientation that, rather than focusing on “curing”, focuses instead, on life functioning. In other words, to achieve positive outcomes, treatment builds upon the resources, skills and strengths of the individual. Ultimately, recovery-oriented treatment shifts the emphasis from finding the “cause” to assisting the client to achieve the life goals they desire. Given the complexity of human behavior, finding causes can be exceedingly difficult and time consuming. Furthermore, although psychotherapy has been traditionally built on the premise of catharsis, or the notion that discovering and confronting the underlying problem will lead to a release of dysfunctional psychic tension, discovering causes doesn’t result in perfectly functioning human beings. Recovery is still necessary. Recovery-oriented therapy makes recovery the central goal of treatment.

Group therapy, of course, is a strategy to bring treatment to more people in a more cost-effective way. Group has two other advantages. First, it doesn’t need to be led by a trained professional. With the therapist assuming a more supervisory role and enabling peer facilitated group or in the complete absence of available trained professionals, the issue of insufficient therapists to meet the growing mental health care demands can be more directly addressed. The other advantage of group treatment is that it allows the building of community which is one of the major components that supports recovery.

CDOI therapy emphasizes the client’s expressed needs and the client’s perceptions of the therapeutic process. Research demonstrates that shifting the orientation of the treatment approach to the client’s goals and perceptions, successful outcomes are more readily achieved in a shorter period of time. The Partner’s for Change Outcome Management (PCOMS) brings the client’s own voice into therapy. Listed on SAMHSA’s National Registry of Evidence-based Programs and Practices, MyOutcomes is the web-based tool for administering PCOMS. MyOutcomes has repeatedly demonstrated, in a wide range of clinical contexts, to be a valuable tool for helping clients achieve their therapeutic goals.

Just as MyOutcomes has played a critical role in traditional one-on-one, talk therapy relationships, it is now proving to be a valuable tool in managing group therapy sessions. With the advent of MyOutcomes Mobile it is possible for each group member to register their Outcome Rating Scale (ORS) and Group Session Rating Scale (GSRS) responses directly into their own smart phone or tablet, providing the group facilitator with at a glance status updates for all group members.

For therapists, who wish to bring treatment to more of those who need it, while, at the same time, increasing success rates, PCOMS-guided recovery groups is an promising step to take in closing the resource gap in Psychotherapy.

For more information on our state of the art web-based tool, please contact MyOutcomes on Toll Free: 1-877-763-4775

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Category: CDOI, MyOutcomes, ORS / SRS, Outcome Rating Scale, PCOMS, Psychotherapy, SAMHSA, Session Rating Scale

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