Abstract
The session report form (SRF) is a 25-item self-report measure scheduled to be completed by clinicians at the end of each session. This study addresses the utility of the SRF for describing session content by exploring patterns of self-reported behavior of 235 clinicians in 7,058 sessions with 600 clients. Results indicate that the SRF has a distinct subscale of treatment process and provides an adequate range of topics related to session content while also discriminating between client and clinician influences on patterns of topics addressed. The SRF is a promising measure meeting a significant need in describing session content in usual care.
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Notes
The caseload per clinician includes only clients who were entered into the CFIT system; clinicians may have had additional clients with whom they did not use CFIT.
References
Aarons, G. A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The evidence-based practice attitude scale (EBPAS). Mental Health Services Research, 6(2), 61–74.
Addis, M. E., & Krasnow, A. D. (2000). A national survey of practicing psychologists’ attitudes toward psychotherapy treatment manuals. Journal of Consulting and Clinical Psychology, 68(2), 331–339.
Angold, A., Costello, E. J., Burns, B. J., Erkanli, A., & Farmer, E. M. Z. (2000). Effectiveness of non-residential specialty mental health services for children and adolescents in the ‘real world’. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 154–160.
Bearsley-Smith, C., Sellick, K., Chesters, J., & Francis, K. (2008). Treatment content in child and adolescent mental health services: Development of the treatment recording sheet. Administration and Policy in Mental Health and Mental Health Services Research, 35, 423–435. doi:10.1007/s10488-008-0184-9.
Bickman, L. (1996). A continuum of care: More is not always better. American Psychologist, 51(7), 689–701.
Bickman, L. (1999). Practice makes perfect and other myths about mental health services. American Psychologist, 54, 958–973.
Bickman, L. (2000). Improving children’s mental health: How no effects can affect policy. Report on emotional & behavioral disorders in youth: Evidence-based assessment, interventions for the real world (Vol. 3–4, pp 21–23).
Bickman, L., Riemer, M., Lambert, E. W., Kelley, S. D., Breda, C., Dew, S. E., et al. (Eds.) (2007). Manual of the Peabody treatment progress battery [Electronic version]. Nashville, TN: Vanderbilt University. http://peabody.vanderbilt.edu/ptpb/.
Brookman-Frazee, L., Garland, A. F., Taylor, R., & Zoffness, R. (2009). Therapists’ attitudes towards psychotherapeutic strategies in community-based psychotherapy with children w/disruptive behavior problems. Administration and Policy in Mental Health and Mental Health Services Research, 36(1), 1–12. doi:10.1007/s10488-008-0195-6.
Brookman-Frazee, L., Haine, R. A., Baker-Ericzen, M., Zoffness, R, & Garland, A. F. (2010). Factors associated with use of evidence-based practice strategies in usual care youth psychotherapy. Administration and Policy in Mental Health and Mental Health Services Research. doi: 10.1007/s10488-009-0244-9.
Bryk, A. S., & Raudenbush, S. W. (1992). Hierarchical linear models: Applications and data analysis methods. Newbury Park, CA: Sage.
Cattell, R. B. (1966). The scree test for the number of factors. Multivariate Behavioral Research, 1, 245–276.
Chorpita, B. F., Daleiden, E. L., & Weisz, J. R. (2005a). Identifying and selecting the common elements of evidence based interventions: A distillation and matching model. Mental Health Service Research, 7(1), 5–20. doi:10.1007/s11020-005-1962-6.
Chorpita, B. F., Daleiden, E. L., & Weisz, J. R. (2005b). Modularity in the design and application of therapeutic interventions. Applied and Preventive Psychology, 11, 141–156. doi:10.1016/j.appsy.2005.05.002.
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159.
Crits-Christoph, P., Beebe, K. L., & Connolly, M. B. (1990). Therapist effects in the treatment of drug dependence: Implications for conducting comparative treatment studies. National Institutes on Drug Abuse Research Monograph, 104.
Cronbach, L. J. (1988). Internal consistency of tests: Analyses old and new. Psychometrika, 53(1), 63–70.
Garland, A. F., Hawley, K. M., Brookman-Frazee, L., & Hurlburt, M. S. (2008). Identifying common elements of evidence-based psychosocial treatments for children’s disruptive behavior problems. Journal of the American Academy of Child & Adolescent Psychiatry, 47(5), 505–514. doi:10.1097/CHI.0b013e31816765c2.
Goldberger, A. S. (1991). A Course in Econometrics. Cambridge, MA: Harvard University Press.
Guttman, L. (1954). Some necessary conditions for common factor analysis. Psychometrika, XIX, 149–161.
Hawley, K. M., & Weisz, J. R. (2003). Child, parent, and therapist (dis)agreement on target problems in outpatient therapy: The therapist’s dilemma and its implications. Journal of Consulting and Clinical Psychology, 71(1), 62–70.
Hepner, K. A., Azocar, F., Greenwood, G. L., Miranda, J., & Burnam, M. A. (2010). Development of a clinician report to assess psychotherapy for depression in usual care settings. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-009-0249-4.
Hunsley, J., & Mash, E. J. (2008). Developing criteria for evidence-based assessment: An introduction to assessments that work. In J. Hunsley & E. J. Mash (Eds.), A guide to assessments that work. Oxford series in clinical psychology (pp. 3–14). New York, NY: Oxford University Press.
Hurlburt, M. S., Garland, A. F., Nguyen, K., & Brookman-Frazee, L. (2010). Child and family therapy process: Concordance of therapist and observational perspectives. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-009-0251-x.
Jensen, P. S., Weersing, R., Hoagwood, K. E., & Goldman, E. (2005). What is the evidence for evidence-based treatments? A hard look at our soft underbelly. Mental Health Services Research, 7(1), 53–74.
Kaiser, H. F. (1961). A note on Guttman’s lower bound for the number of common factors. British Journal of Psychology, 14, 1–2.
Karver, M. S., Handelsman, J. B., Fields, S., & Bickman, L. (2005). A theoretical model of common process factors in youth and family therapy. Mental Health Services Research, 7(1), 35–51.
Karver, M. S., Handelsman, J., Fields, S., & Bickman, L. (2006). Meta-analysis of therapeutic relationship variables in youth and family therapy: The evidence for different relationship variables in the child and adolescent treatment outcome literature. Clinical Psychology Review, 26(1), 50–65.
Kelley, S. D., & Bickman, L. (2009). Beyond outcomes monitoring: Measurement feedback systems (MFS) in child and adolescent clinical practice. Current Opinion in Psychiatry, 22(4), 363–368. doi:10.1097/YCO.0b013e32832c9162.
Kelley, S. D., Bickman, L., & Norwood, E. (2010). Evidence-based treatments and common factors in youth psychotherapy. In B. L. Duncan, S. D. Miller, B. E. Wampold, & M. A. Hubble (Eds.), The heart and soul of change: Delivering what works in therapy (2nd ed., pp. 325–355). Washington, DC: American Psychological Association.
Kennedy, E. (2009). Editorial: Evaluating interventions in child mental health: The importance of care provider and contextual influences. Clinical Child Psychology and Psychiatry, 14, 163–165. doi:10.1177/1359104508100881.
Littell, R. C., Milliken, G. A., Stroup, W. W., Wolfinger, R. D., & Schabenberger, O. (2006). SAS system for mixed models (2nd ed.). Cary, NC: SAS Institute.
Lord, F. M., Novick, M. R., & Numerous, C. (1968). Statistical theories of mental test scores. Oxford, UK: Addison-Wesley.
Miller, S., Wampold, B., & Varhely, K. (2008). Direct comparison of treatment modalities for youth disorders: A meta-analysis. Psychotherapy Research, 18(1), 5–18.
Minami, T., & Wampold, B. E. (2008). Adult psychotherapy in the real world. In W. B. Walsh (Ed.), Biennial review of counseling psychology (Vol. 1, pp. 27–45). New York: Taylor & Francis.
Miranda, J., Hepner, K. A., Azocar, F., Greenwood, G., Ngo, V., & Burnam, M. A. (2010). Development of a patient-report measures of psychotherapy for depression. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-009-0238-7.
Nakamura, B. J., Daleiden, E. L., & Mueller, C. W. (2007). Validity of treatment target progress ratings as indicators of youth improvement. Journal of Child and Family Studies, 16(5), 729–741. doi:10.1007/s10826-006-9119-9.
Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory. New York: McGraw-Hill.
Phares, V., & Curley, J. (2008). Evidence-based assessment for children and adolescents. In R. G. Steele, T. D. Elkin, & M. C. Roberts (Eds.), Handbook of evidence-based therapies for children and adolescents: Bridging science and practice issues in clinical child psychology (pp. 537–549). New York, NY: Springer.
Raudenbush, S. W., & Liu, X. (2000). Statistical power and optimal design for multisite randomized trials. Psychological Methods, 5(2), 199–213.
Riemer, M., Rosof-Williams, J., & Bickman, L. (2005). Theories related to changing clinician practice. Child and Adolescent Psychiatric Clinics of North America, 14, 241–254.
Sapyta, J., Riemer, M., & Bickman, L. (2005). Feedback to clinicians: Theory, research, and practice. Journal of Clinical Psychology, 6, 145–153.
Shadish, W. R., Navarro, A. M., Matt, G. E., & Phillips, G. (2000). The effects of psychological therapies under clinically representative conditions: A meta-analysis. Psychological Bulletin, 126(4), 512–529.
Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis: Modeling change and event occurrence. New York: Oxford University Press.
Sufka, K. J., Feltenstein, M. W., Warnick, J. E., Acevado, E. O., Webb, H. E., & Cartwright, C. M. (2006). Modeling the anxiety-depression continuum hypothesis in domestic fowl chicks. Behavioural Pharmacology, 17(8), 681–689. doi:10.1097/FBP.0b013e3280115fac.
Weersing, V. R., Weisz, J. R., & Donenberg, G. R. (2002). Development of the therapy procedures checklist: A therapist-report measure of technique use in child and adolescent treatment. Journal of Clinical Psychology, 31(2), 168–180. doi:10.1207/153744202753604458.
Weiss, B., Catron, T., Harris, V., & Phung, T. M. (1999). The effectiveness of traditional child psychotherapy. Journal of Consulting and Clinical Psychology, 67(1), 82–94.
Weisz, J. R., & Gray, J. S. (2008). Evidence-based psychotherapy for children and adolescents: Data from the present and a model for the future. Child and Adolescent Mental Health, 13(2), 54–65. doi:10.1111/j.1475-3588.2007.00475.x.
Weisz, J. R., Jensen, A. L., & McLeod, B. D. (2005). Development and dissemination of child and adolescent psychotherapies: Milestones, methods, and a new deployment-focused model. In D. Hibbs & P. S. Jensen (Eds.), Psychosocial treatments for child, adolescent disorders: Empirically based strategies for clinical practice (2nd ed.). Washington, DC: APA.
Weisz, J. R., Jensen-Doss, A., & Hawley, K. M. (2006a). Evidence-based youth psychotherapies versus clinical care: A meta-analysis of direct comparisons. American Psychologist, 61, 671–689.
Weisz, J. R., McCarty, C. A., & Valeri, S. M. (2006b). Effects of psychotherapy for depression in children and adolescents: A meta-analysis. Psychological Bulletin, 132, 132–149.
Acknowledgments
Preparation of this article was partially supported by a grant from NIMH (MH068589). The authors wish to thank Warren Lambert for his expert guidance on statistical approaches used. We also wish to thank Susan Casey, Carol Hurst, Laurie Macrae, and Tasha Walsh for their expert clinical consultation.
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Kelley, S.D., de Andrade, A.R.V., Sheffer, E. et al. Exploring the Black Box: Measuring Youth Treatment Process and Progress in Usual Care. Adm Policy Ment Health 37, 287–300 (2010). https://doi.org/10.1007/s10488-010-0298-8
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DOI: https://doi.org/10.1007/s10488-010-0298-8