Report on Psychotherapy Audit in the NHS: How Long Do Patients Stay in Therapy?

Punter, Jale

doi:10.1111/j.1752-0118.1995.tb00812.x

Cited by 3 publications

(2 citation statements)

References 2 publications

(2 reference statements)

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“…Hence outcomes may vary in NHS settings although our data suggested that there was little difference in outcome between trained therapists and trainees. This study also showed relatively high rates of treatment rejection (26%) and early drop‐out (2.6%), perhaps related to waiting times for therapy, which have previously been noted in studies of other NHS services and warrant systematic investigation in future research (Chiesa et al ., ; Punter, ).…”

Section: Discussionmentioning

confidence: 98%

A Naturalistic Psychodynamic Psychotherapy Study: Evaluating Outcome with a Patient Perspective

Ward¹,

Wood²,

Awal³

2013

Brit J Psychotherapy

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The difficulties in conducting psychodynamic psychotherapy research are well documented. More recent meta‐analyses have demonstrated clear benefits; however, it has been argued that naturalistic studies are of more direct relevance to clinical services. UK National Health Services (NHS) provide psychodynamic psychotherapy within psychiatric settings for heterogeneous and generally complex patient populations. Much of the psychodynamic psychotherapy is provided by trainee psychiatrists who rarely have prior experience of delivering such therapy, but who are supervised by senior staff. Our naturalistic outcome study uses both quantitative and qualitative methodology, and describes a symptomatically and functionally impaired patient group (n = 384) deriving significant and clinically meaningful benefit from their therapy. Patient satisfaction and perceived change were positively correlated with each other and with symptomatic improvement. Patients' descriptive comments provided additional rich information, most commonly describing a positive outcome for therapy and the belief that therapy was too short. This study complements more formal research showing that psychodynamic psychotherapy is efficacious in outpatient settings.

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Section: Discussionmentioning

confidence: 98%

A Naturalistic Psychodynamic Psychotherapy Study: Evaluating Outcome with a Patient Perspective

Ward¹,

Wood²,

Awal³

2013

Brit J Psychotherapy

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“…Koss (1979) reported that patients seen in private practice attended a median of eight sessions. In an audit of a psychotherapy service Punter (1995) provided the median figures of 39 weeks for short term patients and 65 weeks for long term patients. Lambert and Ogles (2004, p. 156) claimed that many patients improve after 10 sessions but that '75% of patients will meet more rigorous criteria for success after about 50 sessions of treatment'.…”

Section: Completed Treatment and Dropoutsmentioning

confidence: 99%

Can patients specify treatment parameters? a preliminary investigation

Carey

2005

Clin Psychology and Psychoth

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In this paper I provide data that were obtained when patients made decisions regarding the scheduling of treatment sessions. I outline relevant information from the literature and describe Perceptual Control Theory as the theoretical basis of this work. The implications and limitations of the data are discussed as well as suggestions for future research. The data are interpreted as preliminary evidence that patients can take responsibility for decisions made during psychological treatment programs.

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Theoretical Paper Exploring the effective length of therapy in a healthcare organisation

Noble¹

2015

bpscpr

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Content & FocusThe effective length of therapy is a current professional issue affecting counselling psychologists worldwide as the demand on resources increases and the availability of resources decreases. A priority of the World Health Organisation (WHO) Mental Health Gap Action Programme (mhGAP) is to identify strategies to scale up coverage of key interventions in resource constrained settings, promoting the involvement of service users in their own care and treatment. One often neglected area of therapy which may contribute to achieving these objectives is the length of treatment. This paper examines the evidence evaluating the effectiveness of therapeutic interventions of different lengths, and considers the problems associated with clients being prescribed a set number of sessions according to a presenting problem. A relatively recent individualised approach with client input is evaluated, with considerations of how this might fit within counselling psychology philosophy and global mental health policy.

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Report on Psychotherapy Audit in the NHS: How Long Do Patients Stay in Therapy?

Cited by 3 publications

References 2 publications

A Naturalistic Psychodynamic Psychotherapy Study: Evaluating Outcome with a Patient Perspective

A Naturalistic Psychodynamic Psychotherapy Study: Evaluating Outcome with a Patient Perspective

Can patients specify treatment parameters? a preliminary investigation

Theoretical Paper Exploring the effective length of therapy in a healthcare organisation

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