Early Change as a Predictor of Therapy Outcomes

| July 25, 2013
measurable outcomes, feedback system, therapy feedback system, early change in therapy

“Clients who show little or no early change are at a greater risk of dropping out if corrective measures are not taken”

The only way a behavioural health professional can improve outcomes is to know early on in therapy whether or not the client is benefiting from the treatment. The late Ken Howard, in the 1970’s did pioneering work in this field and it has been shown in more recent studies using more sophisticated investigations that the majority of change happens in the first 6 to 8 sessions. Trajectory of change in psychotherapy is the steepest in the beginning and this is true for all bonafide treatments like TDCRP (Treatment of Depression Collaborative Research Program), Project Match, The Cannabis Youth Treatment Project etc. whose trajectories revealed the same pattern upon inspection.

This research has given the therapist an insight as to what course the therapy needs to take to improve effectiveness as clients who show little or no early change are at a greater risk of dropping out if corrective measures are not taken.

MyOutcomes has taken all this information and put it into a web-based system that provides the ability to record and analyse data and interpret results. It is a powerful tool in the hands of the clinicians as they can now easily monitor these trajectories of change by simply asking the clients to fill ORS (Outcome Rating Scale) and SRS (Session Rating Scale) forms at the beginning and end of each session and compare their results.

In this short video clip, you can watch Dr. Barry Duncan talking about early change as a predictor of therapy outcomes.

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Category: Early change in therapy

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