“…Given these substantial numbers across several countries, the demand for accountability in mental health services (President's New Freedom Commission on Mental Health, 2003) in what Leigh et al (2007, p. 463) called the 'era of accountability', the variability in effectiveness with clients (Castonguay, 2013;Kraus et al, 2011), the push for counselling services to be evidence-based (Gordon & Hanley, 2013;Goss & Rose, 2002;Whiston, 1996) and the call for practice-based research (PBR) as a way to improve outcomes (Barkham et al, 2010;Castonguay, 2013), one would expect there to have been numerous reported studies of self-employed counsellors in private settings, either by practitioners themselves or collaboratively with researchers. It is now over a decade since Lambert (2010, p. 239) declared 'it is time for clinicians to routinely monitor treatment outcome', and this still remains an unrealised goal, it seems (Henton, 2020;.…”