Short-term psychotherapy and graduate training in psychology.

Schneider, Walter J.; Pinkerton, Rolffs S.

doi:10.1037/0735-7028.17.6.574

Cited by 5 publications

(4 citation statements)

References 37 publications

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“…Mental health needs, the level of psychopathology, and the resulting demands for services have increased in recent years (Benedict, Apsler, & Morrison, 1977; Bishop, 1990; Magoon, 1986; Offer & Spiro 1987). This increased demand for services has led many centers to implement brief therapy frameworks (Burlingame, Paul, Fuhriman, & Ogles, 1989; Dworkin & Lyddon, in press; Schneider & Pinkerton, 1986). One survey of such centers found that they had established policies that limited the number of sessions, limited the proportion of long-term therapy cases, and reallocated staff resources from developmental to remedial service activities during peak periods (Clack, Stone, & Thurman, 1984).…”

mentioning

confidence: 99%

Effects of waiting for clinical services on attrition, problem resolution, satisfaction, attitudes toward psychotherapy, and treatment outcome: A review of the literature.

May¹

1991

Professional Psychology: Research and Practice

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Thirteen studies examining the effects of waiting for clinical services from university counseling centers were reviewed. Client attrition rates were found to be relatively high, but not necessarily related to dissatisfaction or the lack of problem resolution. The effects of service delays on client attitudes and treatment outcomes were mixed and interactive with other clinical and administrative variables. Negative effects were more pronounced for personal, urgent, and severe concerns. Clinical strategies, administrative procedures, and intake systems for reducing these negative effects are described.RONALD J. MAY received his PhD in Counseling Psychology from Michigan State University and is currently in private practice in Madison, Wisconsin. He has served as the Clinical Coordinator and Director of three university counseling centers.

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confidence: 99%

Effects of waiting for clinical services on attrition, problem resolution, satisfaction, attitudes toward psychotherapy, and treatment outcome: A review of the literature.

May¹

1991

Professional Psychology: Research and Practice

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“…The recent increase in the level of severity of presenting problems, the other half of the rise in client demand, is not addressed by this and other counseling centers that do not offer substantial amounts of long-term ther-apy. The clients presenting with greater severity, including borderline personality disorders and psychotic episodes, are usually poor candidates for short-term psychotherapy (Schneider & Pinkerton, 1986) or group psychotherapy (Yalom, 1985). This center attempted to refer clients who required long-term therapy to community resources, but clearly the community is not able to provide required amounts of longterm therapy at a price that the students can afford.…”

Section: Implications For Professional Practicementioning

confidence: 99%

“…These services yield high client-counselor ratios and are consistent with the educational mission of the university, both of which are seen as important justifications to educational administrators (Bishop & Trembley, 1987). If this increase in client demand is to be met in part with the more time-and personnel-efficient therapies, consideration must be given to the referral decisions assigning clients to various treatment modalities (Schneider & Pinkerton, 1986;Yalom, 1985).…”

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confidence: 94%

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Factors affecting referral decisions in a university counseling center.

Quintana

Kilmartin²,

Yesenosky³

et al. 1991

Professional Psychology: Research and Practice

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The purpose of this study waste investigate the referral of 170 university counseling center clients to short-or long-term individual therapies or to various group therapies. Results suggested that nonclinical factors (financial resources, staff availability) were primary considerations in the referral process. Results also suggested that the referral process is largely a process of elimination. First, referral options that are not available (e.g., no group openings) are eliminated; second, options that may not be appropriate for the client (e.g., because of problem severity) are ruled out; last, the client is matched with any remaining treatment options. Results are discussed in terms of the effect of universities' fiscal policies limiting professional practice.Long-term psychotherapy no longer is the only outpatient treatment clients can or will receive. In some cases, long-term individual therapy is simply not the treatment of choice (Mann, 1973), and in other cases there is clearly not enough time or personnel to meet client demand with long-term individual psychotherapy (Bishop, 1990). On the other hand, the more timeefficient treatment modalities are not appropriate for all cases, and the ethics of the practice of psychology require that clients be appropriately referred to treatment (American Psychological Association, 1990). Obviously, referring clients to the various treatment modalities is much more complex now than in the past. Unfortunately, not enough is known about how clients are assigned to the multitude of treatment options. STEPHEN M. QUINTANA received his PhD from the University of Notre Dame in 1988 and is currently a member of the counseling psychology faculty at the University of Texas at Austin. His professional interests include university counseling and research interests include counseling process, adolescent development, and ethnic issues. CHRISTOPHER KILMARTIN received his PhD from Virginia Commonwealth University and is currently a faculty member at Mary Washington College. His special interests include men^ issues. JAN YESENOSKY received her PhD from Indiana State University in 1988 and is currently on the counseling psychology faculty at Kent State University. Her professional and research interests include clinical training, gender-role issues, and patterns of professional practice. DANIEL E. MACIAS received his MA from the University of Texas at San Antonio in 1988 and is currently a doctoral student in counseling psychology at the University of Texas at Austin. His special interests include counseling Hispanic students. WE GRATEFULLY ACKNOWLEDGE the assistance of the counselors who participated in this study, Martin Marder in his guidance of this project, and the three anonymous reviewers for their comments and suggestions.

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