Introducing client feedback into marriage and family therapy supervision: a qualitative study examining the transition to empirically informed supervision

McComb, Jennifer L.; Diamond, Rachel M.; Breunlin, Douglas C.; Chambers, Anthony L.; Murray, Kimberly Suzanne Ferguson

doi:10.1111/1467-6427.12222

Cited by 6 publications

(5 citation statements)

References 26 publications

(48 reference statements)

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“…Providing a tailored supervision according to client’s progress and outcome data may be an efficacious supervision intervention given that specific presenting concerns can be localized and targeted more effectively in therapy. On the other hand, a qualitative study by McComb, Diamond, Breunlin, Chambers, and Murray (2019) found that additional time needed to incorporate a client feedback system actually led to decreased usage, and Grossl, Reese, Norsworthy, and Hopkins (2014) found that there were no significant differences in clients’ treatment outcome between feedback supervision and supervision-as-usual conditions. Despite the potential, it seems that constraints of implementation and intervention refinements must be addressed for practical impact.…”

Section: Discussionmentioning

confidence: 99%

Supervision and psychotherapy process and outcome: A meta-analytic review.

Keum¹,

Wang²

2021

Translational Issues in Psychological Science

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Clinical supervision is deemed an essential element in the development of therapist competence and provision of psychotherapy to clients. However, the association between supervision and psychotherapy process and outcome has been mixed, unclear, and presumed to vary widely given the idiosyncratic features of the supervision and therapy process. Thus, to provide an up-to-date (articles published until May, 2019) quantitative summary, we conducted a meta-analytic review to examine the associations between supervision variables and psychotherapy process and outcome variables including: therapeutic relationship, client satisfaction, and treatment outcomes. Using a random effects model, the pooled Pearson's correlation between supervision and psychotherapy process and outcome variables was .21 across 12 studies (32 effects) that were included. Thus, supervision accounted for 4% of the variance in client outcomes. Approximately 54% of the total variance between studies was due to heterogeneity and not to chance. An additional meta-analysis without the 4 studies that assessed client outcomes using supervisor/therapist ratings yielded a slightly higher correlation (r ϭ .24), accounting for 6% of the variance in client outcomes. Effect sizes regarding the therapeutic relationship and client satisfaction varied widely while effect sizes for treatment outcomes were less varied with consistently small positive effects. Supervisory working alliance was most frequently examined in assessing supervision and accounted for wider variance in effect sizes. There seemed to be less variance among specific supervision factors (e.g., style, satisfaction, structure) with consistent small to medium positive effects. Implications for future research are discussed. What is the significance of this article for the general public?This meta-analysis suggests that clinical supervision is associated with improvements in psychotherapy process and outcome. However, the effects are generally small and vary across treatment outcomes, client satisfaction, and therapeutic relationship.

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Section: Discussionmentioning

confidence: 99%

Supervision and psychotherapy process and outcome: A meta-analytic review.

Keum¹,

Wang²

2021

Translational Issues in Psychological Science

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“…The use of structured questionnaire reduces the risk of therapists over‐estimating client progress and prevents treatment failure through monitoring and feedback in clinical practice as found by Lambert ( Involving the Chan family in a writing process post treatment further enhances feedback as it allowed the family to have a reflective space to consolidate and appreciate the changes that occurred and were sustained post treatment. Future papers could examine the use of SCORE‐15 in clinical supervision to facilitate treatment outcome and assure treatment quality as argued by McComb, Diamond, Breunlin, Chambers, and Murray () and Lappan et al. ().…”

Section: Resultsmentioning

confidence: 99%

Measuring Therapeutic Changes for a British Chinese Family UsingSCORE‐15

Teh¹,

Lek²

2018

ANZ J of Family Therapy

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This paper details the findings and reflections of family therapy treatment outcomes for a British-Chinese family using SCORE-15, a reliable and valid systemic outcome measure developed in the UK. It aims to examine the clinical usefulness of SCORE-15 through its application to a single case study. The two culture-specific treatments were conducted at the Marlborough Cultural Therapy Centre (MCTC), which was part of the Marlborough Family Service in London. MCTC was a mental health specialist service for ethnic minorities in their preferred languages that operated for 18 years within the mainstream mental health setting of the National Health Service (NHS). The overall family functioning was found to have improved and problem severity decreased, apart from some aspects rated by the mother. Reflections and discussions with the family with regard to the SCORE-15 findings facilitated understanding and feedback about clinical changes in the systemic intervention. Key Points1 SCORE-15 is a self-report measure designed to indicate crucial aspects of family life that are relevant to the need for therapy and for therapeutic change. 2 Therapeutic outcome of two family therapy treatments attended by the same British-Chinese family were analysed using a systemic outcome measure, SCORE-15. 1 3 SCORE-15 was administered at the first and penultimate sessions of treatment two, and discussed with the family twice, first at the end of treatment and another time during the process of involving them in this writing process. 4 Overall ratings on SCORE-15 fell between adequate and significant problem family functioning ranges and some changes were found between the start and end of treatment. 5 The findings from SCORE-15 were also compared and contrasted with the family's narrative account of the treatment outcomes.A narrative review conducted by Lappan, Shamoon, and Blow (2017) found up to 50% of clients prematurely drop out from psychotherapy. In one study 12% of clients terminated prematurely citing therapy as contributing to the worsening of their presenting issues, yet therapists were generally oblivious to the dissatisfaction or clinical deterioration regardless of clinical experiences. Clients generally censor their feedback when asked informally during sessions and therapists were only able to accurately identify unspoken negative clients' feelings towards therapy 50% or less of the time. Maintaining multiple therapeutic alliances is a challenge for family therapists given the complex and multiple interactions required with various family members in

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“…Para evaluar la supervisión, se ha empleado el Supervision Personalisation Form (SPF) y el Supervision Personalisation Form-Assessment (SPF-A) (Wallace & Cooper, 2015). En el contexto de la terapia sistémica, se ha estudiado el Inventario de Cambio de Terapia Sistémica para evaluar su uso en supervisión por parte de los supervisores en la evaluación del efecto de la intervención de los supervisados (McComb et al, 2019).…”

Section: Instrumentosunclassified

Supervisión en psicología clínica: Una revisión sobre estudios empíricos 2012-2021

Botero-García

Giovanni²,

Arias³

2022

Univ Psychol

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La presente investigación tuvo como objetivo caracterizar la investigación sobre supervisión en psicología clínica en los últimos 10 años. Lo anterior con el propósito de señalar rutas futuras sobre investigación y formación en supervisión. Se realizó una revisión de literatura en la que se consultaron bases académicas usando el buscador EBSCO-host. El periodo de indagación fue 2012-2021. La consulta empleó las palabras clave en inglés: “clinical supervision” (OR) “supervision”, (AND) “therapy” (OR) “psychotherapy”, (OR) “psychological intervention” (OR) “behavioral intervention”. La búsqueda arrojó 123 artículos que cumplían los criterios de inclusión. Los resultados se organizan en ocho categorías: modelos de supervisión, competencias/habilidades clínicas, relación entre las personas supervisora y supervisada, técnicas, instrumentos, variación de supervisión según enfoques, utilidad y evaluación. Se observó mayor frecuencia de investigación en las categorías de técnicas de supervisión, competencias/habilidades clínicas y de supervisión, la evaluación de la supervisión y la relación supervisor-supervisado. Se evidenció la escasez de investigaciones empíricas sobre los diferentes modelos y prácticas pedagógicas en la supervisión, porque la mayoría de los estudios se centran exclusivamente sobre la experiencia personal de supervisión.

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Introducing client feedback into marriage and family therapy supervision: a qualitative study examining the transition to empirically informed supervision

Cited by 6 publications

References 26 publications

Supervision and psychotherapy process and outcome: A meta-analytic review.

Supervision and psychotherapy process and outcome: A meta-analytic review.

Measuring Therapeutic Changes for a British Chinese Family UsingSCORE‐15

Supervisión en psicología clínica: Una revisión sobre estudios empíricos 2012-2021

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