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Exploring the Black Box: Measuring Youth Treatment Process and Progress in Usual Care

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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

  1. 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.

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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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Correspondence to Susan Douglas Kelley.

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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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