Psychological practice and managed care: Results of the CAPP practitioner survey.

Phelps, Randy; Eisman, Elena J.; Kohout, Jessica

doi:10.1037/0735-7028.29.1.31

Cited by 138 publications

(113 citation statements)

References 10 publications

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“…This number was 45.0% of the original 1,800 surveys mailed. Surveys using similar samples obtained comparable response rates (Phelps, Eisman, & Kohout (1998) had a 34% return after one mailing, Hatfield & Ogles (2004) obtained a 46% response rate after two mailings). Each of the vignette conditions had at least 80 surveys returned and response rates did not differ across vignettes.…”

Section: Participantssupporting

confidence: 58%

The influence of outcome measures in assessing client change and treatment decisions

Hatfield

Ogles

2005

J Clin Psychol

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This study investigated the influence that information in the form of outcome measures and client verbal reports can have on treatment decisions and clinician judgment of client change. A random national sample of psychologists (N=810, 45% response rate) were given clinical vignettes and asked questions regarding their view of client progress and subsequent treatment decisions. Despite clinicians reporting that verbal report is more influential in their actual clinical practice than outcome measure information, both sources of information had an equal impact on judgments of client change. Negative information (from either source) influenced clinicians more than positive information. Outcome measure information indicating client deterioration led more clinicians to choose to alter treatment than client verbal report of deterioration. Information indicating client improvement led some clinicians to continue treatment in the same manner as they had been. Insight-oriented therapists were more likely to continue treatment-as-usual than were cognitive-behavioral therapists.

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Section: Participantssupporting

confidence: 58%

The influence of outcome measures in assessing client change and treatment decisions

Hatfield

Ogles

2005

J Clin Psychol

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“…Only in this way will clinical psychologists compete successfully for the shrinking mentalhealth-care dollar. Indeed, unless psychologists can manage better their professional image and find the niche in which they are clearly considered by the public to be the practitioners of choice, independent practitioners should heed the wise counsel of the American Psychological Association and diversify their activities (Kohut, 1995;Phelps et al, 1998).…”

Section: Discussionmentioning

confidence: 99%

“…Although the American Psychological Association has been urging clinicians to diversify their professional earning activities into areas such as consultation and research, recent surveys of practicing psychologists (Kohut, 1995;Phelps, Eisman, & Kohut, 1998) found that most clinical psychologists are maintaining the traditional model of independent practice. To maintain the traditional model, psychologists face a major challenge in the public-relations arena.…”

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confidence: 98%

Potential clients' beliefs about the relative competency and caring of psychologists: Implications for the profession

et al. 2001

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To assess the extent to which the results reported by Warner and Bradley (1991) can be generalized beyond the population of undergraduate psychology students, 132 adults in the metropolitan Harrisburg area were asked to evaluate the competency and traits of clinical psychologists, licensed professional counselors, and psychiatrists. Results indicated that the general public believed counselors to be more caring than psychologists and psychiatrists. All three professional groups were perceived to be comparable in their ability to treat the least severe disorders. Licensed counselors were perceived to be most competent to treat disorders rated by the subjects as moderately severe, comparable in competence to clinical psychologists for adjustment disorders, and comparable to psychiatrists for marital problems. Psychiatrists and psychologists were considered the most competent to treat the most severe disorder, major depression. The results indicate that while clinical psychologists often were viewed as competent, they were not viewed as the single practitioner of choice for any diagnostic classification, nor were they noted to have positive character traits.

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“…Answering questions about the pattern and timing of change will also be of interest to the scientist-practitioner concerned with maximizing outcome and understanding the psychotherapeutic process. The answers to these questions will aid the scientist-practitioner in discerning when change should be generally expected and allowing the clinician to identify cases in which he or she should modify therapy to enhance outcome.Despite the aforementioned benefits of explicitly assessing therapeutic change, less than one third of licensed clinicians report measuring outcome in their clinical practices (Phelps, Eisman, & Kohout, 1998). To better understand clinicians' attitudes toward empirical assessment, Garland, Kruse, and Aarons (2003) conducted interviews and focus groups with a diverse sample of mental health providers who were required by the state of California to conduct outcome assessments.…”

mentioning

confidence: 99%

“…Despite the aforementioned benefits of explicitly assessing therapeutic change, less than one third of licensed clinicians report measuring outcome in their clinical practices (Phelps, Eisman, & Kohout, 1998). To better understand clinicians' attitudes toward empirical assessment, Garland, Kruse, and Aarons (2003) conducted interviews and focus groups with a diverse sample of mental health providers who were required by the state of California to conduct outcome assessments.…”

mentioning

confidence: 99%

Assessing Client Progress Session by Session in the Treatment of Social Anxiety Disorder: The Social Anxiety Session Change Index

Hayes

Miller

Hope

et al. 2008

Cognitive and Behavioral Practice

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Frequent assessment during therapy can improve treatments and provide accountability. However, clinicians often do not monitor progress because of the time it takes to administer and score assessments. In response, the Social Anxiety Session Change Index (SASCI) was developed. The SASCI is a short, easily administered rating of subjective improvement that asks clients with social anxiety disorder how much they have changed since the beginning of therapy. Change on the SASCI was related to change in fear of negative evaluation, a core aspect of social anxiety, and to clinician-rated improvement, but not to ratings of anxiety sensitivity or depression. Because it is brief and easily interpretable, the SASCI can be used in a variety of clinical settings to monitor change across therapy. The SASCI is presented along with examples of how the information gathered from frequent administration can inform clinical practice. Barlow, Hayes, and Nelson (1984) highlight three key reasons why clinicians should measure their clients' change across therapy: to improve treatment, to enhance clinical science, and to provide accountability. In short, these authors posit that assessing change during treatment allows modifications in the treatment procedure to enhance results; gives scientist-practitioners a better understanding of effective treatment techniques; and provides evidence of treatment effectiveness to insurance companies and other third-party payers. Research has shown that tracking clients' progress can improve outcome (see Lambert et al., 2003). A brief weekly progress update would allow for an efficient and sensitive method to NIH Public Access Author ManuscriptCogn Behav Pract. Author manuscript; available in PMC 2014 July 27. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript assess client improvement or relapse from week to week. Changes from the previous week could be used as a tool in session to either investigate what worked well over the week, or to make adjustments if needed. Further, researchers could utilize a session-by-session measure as a way to understand the elements and processes of treatment that lead to change. In addition, therapists have reported that they are interested in using such data to improve their services (e.g., Bickman et al., 2000). However, one of the primary difficulties in utilizing regular assessments in clinical settings is the time required to administer, score, and interpret frequent assessments. In our own work with social anxiety disorder, we found the need for an efficient instrument for ongoing assessment of change, but nothing was available. In response, we developed a brief measure of subjective change that can be administered, interpreted, and utilized in busy clinical practices and research settings.Traditionally, treatment research has focused on changes in symptoms from pretreatment to posttreatment (Kazdin, 2003). Whereas this approach provides a global account of the efficacy of the treatment, it neglects important intermediate steps ...

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Psychological practice and managed care: Results of the CAPP practitioner survey.

Cited by 138 publications

References 10 publications

The influence of outcome measures in assessing client change and treatment decisions

The influence of outcome measures in assessing client change and treatment decisions

Potential clients' beliefs about the relative competency and caring of psychologists: Implications for the profession

Assessing Client Progress Session by Session in the Treatment of Social Anxiety Disorder: The Social Anxiety Session Change Index

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