Mental health care consumers’ relative valuing of clinician performance information.

Boswell, James F.; Constantino, Michael J.; Oswald, Jennifer M.; Bugatti, Matteo; Goodwin, Brien J.; Yucel, Recai

doi:10.1037/ccp0000264

Cited by 17 publications

(26 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The same method with racial–ethnic participants found that they had much stronger preferences for therapist multicultural training and use of culturally adapted treatments than they did for simple racial–ethnic matching with their therapists (Swift, Callahan, Tompkins, Connor, & Dunn, ). More recently, Boswell and colleagues () used this method to examine preferences for clinician performance information.…”

Section: Definitions and Measuresmentioning

confidence: 99%

The impact of accommodating client preference in psychotherapy: A meta‐analysis

et al. 2018

View full text Add to dashboard Cite

Client preferences in psychotherapy reflect specific conditions and activities that clients desire in their treatment, with increasing evidence pointing to preference accommodation as facilitating psychotherapy outcomes. This updated meta-analysis establishes the magnitude of the effect of client preference accommodation in psychotherapy. Based on data from 53 studies and over 16,000 clients, preference accommodation was associated with fewer treatment dropouts (OR = 1.79) and more positive treatment outcomes (d = 0.28) than providing client with a nonpreferred treatment or psychotherapy condition. The preference effect was moderated by study design, timing and type of outcome measurement, and client diagnosis. It was not moderated by year of publication, treatment duration, preference type, treatment options, client age, client gender, client ethnicity, or client years of education. The authors provide a case example of preference accommodation and practice recommendations for working with client preferences.

show abstract

Section: Definitions and Measuresmentioning

confidence: 99%

The impact of accommodating client preference in psychotherapy: A meta‐analysis

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Finally, there is reason to believe that clinicians might be open to such a case assignment system. In several studies, clinicians reported positive attitudes toward ROM generally and toward a system that would aid in identifying specific patients with whom they have a high likelihood of treating successfully (Boswell et al, 2016(Boswell et al, , 2018. Thus, it is plausible that this type of case assignment system could be a practical method for maximizing improvement and minimizing harm or no-change rates for a given MHC system.…”

Section: Using Rom To Improve Mhc Systems: Empirical Supportmentioning

confidence: 99%

“…improve patient-level outcomes, the empirical evidence is fairly clear: ROM reduces instances of harm or deterioration and increases improvement rates (Lambert et al, 2018), which can benefit all stakeholders (and help to decrease any maleficence). Moreover, there are no empirical data to suggest that the use of such systems unduly burdens patients or providers; in fact, both stakeholder groups tend to value ROM (Boswell et al, 2018;Moltu et al, 2018). In contrast, the various possible uses of psychotherapist-level ROM data by administrators (e.g., for case-assignment or clinician training efforts) are associated with more complex and nuanced ethical considerations.…”

Section: Ethical Implications Of Rom At the Systems Levelmentioning

confidence: 99%

Ethical implications of routine outcomes monitoring for patients, psychotherapists, and mental health care systems.

Muir¹,

Coyne²,

Morrison³

et al. 2019

Psychotherapy

Self Cite

View full text Add to dashboard Cite

Although psychotherapy is generally efficacious, a substantial number of patients fail to improve meaningfully, whereas still others deteriorate. Moreover, psychotherapists have difficulty forecasting which patients are at risk for nonresponse or deterioration, especially when relying predominantly on their judgment. These limitations have implications for the ethical practice of psychotherapy, and they call for remediation strategies. One such strategy involves the use of routine outcomes monitoring (ROM), or the regular collection of core patient progress information that can be fed back to the clinician and patient in real time. ROM-informed analytics outperform clinical judgment in predicting patients who are on or off track for treatment success, which can help psychotherapists plan and responsively adjust their interventions. Additionally, research demonstrates that ROM-generated feedback improves treatment outcomes for the average case who receives versus does not receive it. ROM data can also uncover between-therapist differences in general efficacy, as well as scientifically highlight clinicians' own relative strengths and weaknesses in treating different mental health problems. In light of such evidence, we submit that the research on ROM has matured to the point that it should occupy a central role in discussions of, and guidelines about, the ethical practice of psychotherapy. In this vein, we discuss ROM at patient, psychotherapist, and mental health care systems levels; namely, for each of these stakeholders, we review the extant empirical support before turning to possible ethical implications. Finally, we offer concluding thoughts on the expanding relevance of ROM for helping psychologists fulfill their ethical practice obligations. Clinical Impact StatementQuestion: After surveying relevant research, we discuss the growing role of routine outcomes monitoring (ROM) for helping psychotherapists and mental health care systems fulfill their ethical practice obligations, including maximizing patient benefit and minimizing harm. Findings: There is expanding evidence that ROM-generated information has the potential to improve treatment outcomes at the patient level (e.g., by identifying patients at risk of nonresponse or harm and informing clinician responsiveness to this signal), psychotherapist level (e.g., by helping to establish clinicians' objective strengths and weaknesses that could inform their selective practice and personalized training foci), and mental health care systems level (e.g., by referring patients to empirically good-fitting clinicians within a care network). Meaning: Research on ROM suggests that it should be considered in any discussion about the ethical practice of evidence-based psychotherapy. Next Steps: It will be important for clinical and research efforts to concentrate on increasing ROM implementation to fulfill ethical demands at the patient, psychotherapist, and systems levels.

show abstract

“…Research has shown that not all therapists are similarly effective (61)(62)(63). Yet, patients wish to obtain information on their therapist's performance level (64). Therefore, it is very important to discuss with a patient the possibility that a mismatch between the patient and the therapist may limit potentially beneficial treatment effects, in order to avoid the patient to conclude that an unsuccessful course of treatment was his or her own fault.…”

Section: Discussing the Evidence Openly With The Patientmentioning

confidence: 99%

What are the Key Characteristics of a ‘Good’ Psychotherapy? Calling for Ethical Patient Involvement

et al. 2020

View full text Add to dashboard Cite

The evidence-based practice movement clearly defines the relevant components of a good treatment. In the present article, we elaborate on how the active involvement of patients within psychotherapy can and should be increased in order to respect ethical considerations. Our arguments complement the requirements of evidence-based practice, and are independent of the actual psychotherapeutic treatment approach being used.Method: Theoretical and ethical analysis.Results: In order to respect patient autonomy, psychotherapy needs to be transparent and honest when it comes to disclosing the relevant factors for promoting therapeutic change. It has been argued that ethical informed consent needs to include empirically supported patient information. In this paper we go one step further: we outline that fully respecting ethical considerations in psychotherapeutic treatment necessarily calls for acknowledging and strengthening the active role of patients in the course of psychotherapy. Accordingly, patients need not only to be informed openly and transparently about the planned treatment, the treatment rationale, and the expected prognosis of improvement in the course of psychotherapy, but they also need to be actively involved in the decision-making process and during the entire process of psychotherapeutic treatment.Conclusions: Our arguments support the tendency that can be observed in health care in recent years towards more active patient involvement across different health-care domains, but also in clinical research. This article offers an ethical perspective on the question what defines a 'good psychotherapy', which, hopefully, will help to leave behind some of the ongoing psychotherapy debates and move the field forward.

show abstract

Mental health care consumers’ relative valuing of clinician performance information.

Abstract: Harnessing clinician information to make more personalized and informed treatment decisions could potentially promote better treatment engagement, retention, and outcomes. (PsycINFO Database Record

Cited by 17 publications

References 37 publications

The impact of accommodating client preference in psychotherapy: A meta‐analysis

The impact of accommodating client preference in psychotherapy: A meta‐analysis

Ethical implications of routine outcomes monitoring for patients, psychotherapists, and mental health care systems.

What are the Key Characteristics of a ‘Good’ Psychotherapy? Calling for Ethical Patient Involvement

Contact Info

Product

Resources

About