Measures Assessing the Quality of Case Conceptualization: A Systematic Review

Bucci, Sandra; French, Lorna; Berry, Katherine

doi:10.1002/jclp.22280

Cited by 31 publications

(12 citation statements)

References 39 publications

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“…Assessing the impact of LGBTQ-affirmative CBT training in real-world clinical practice would also allow for addressing a limitation of our simulated practice assessment, which only assessed the selection and delivery of specific LGBTQ-affirmative CBT techniques rather than uptake of a broader LGBTQ-affirmative approach to case conceptualization. Future research that studies the application of this training to actual practice would be well-suited to incorporating established measures of CBT case conceptualization (e.g., Kuyken et al, 2016) as adapted to LGBTQ-affirmative CBT (Bucci et al, 2016; Easden & Kazantzis, 2018). This research would also allow for studying whether specific LGBTQ-affirmative CBT techniques can be appropriately matched to the client’s presenting concern rather than just being delivered at all, an important aspect of evidence-based intervention tailoring (Zilcha-Mano et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Training in LGBTQ-affirmative cognitive behavioral therapy: A randomized controlled trial across LGBTQ community centers.

Pachankis¹,

Soulliard²,

Dyk³

et al. 2022

Journal of Consulting and Clinical Psychology

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Objectives: This randomized controlled trial examined whether an 11-week synchronous (i.e., real-time) online training in lesbian, gay, bisexual, transgender, queer, and other sexual or gender diverse (LGBTQ)affirmative cognitive behavioral therapy (CBT) could lead to increased uptake of this practice at LGBTQ community centers across 20 U.S. states and internationally. Method: A total of 121 mental health providers (M age = 37.74; 78.5% LGBTQ; 60.3% non-Hispanic/Latinx White) were randomized to receive the 11week training either immediately (n = 61) or after a 4-month wait (n = 60). At baseline and 4 and 8 months after baseline, participants self-reported their LGBTQ-affirmative competency, cultural humility, and knowledge of the minority stress theory and practice skills underlying LGBTQ-affirmative CBT. To objectively assess uptake of LGBTQ-affirmative CBT, participants demonstrated, through simulated practice, how they would respond to two video-based clinical vignettes. Results: Compared to waitlist, participants in the immediate training condition reported greater improvements in self-reported cultural competence (d = 1.24), minority stress knowledge (d = 0.78), LGBTQ-affirmative CBT knowledge (d = 0.78), and LGBTQ-affirmative CBT skills familiarity (d = 0.91) and use (d = 0.96); effects persisted 8 months postbaseline. Cultural humility showed no significant difference by condition (d = 0.07). In objectively coded assessments of simulated practice, participants in the training condition demonstrated greater uptake of LGBTQ-affirmative practice skills (d = 0.82). Conclusions: Findings preliminarily suggest that mental health providers can be trained to deliver LGBTQ-affirmative CBT using the low-cost, efficient reach of online training. This training can help disseminate evidence-based mental health care to LGBTQ individuals and support its implementation across practice settings.

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Section: Discussionmentioning

confidence: 99%

Training in LGBTQ-affirmative cognitive behavioral therapy: A randomized controlled trial across LGBTQ community centers.

Pachankis¹,

Soulliard²,

Dyk³

et al. 2022

Journal of Consulting and Clinical Psychology

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“…Evaluations of formulations are beginning to grow “based on the premise that the quality of case formulations may impact on outcomes” (, p. 32). Bucci et al’s systematic review found eight separate quality assessment measures of case formulations. One consistent feature of these assessment measures concerns external coherence (e.g., the degree to which it is consistent with empirically supported theory).…”

Section: Discussionmentioning

confidence: 99%

The Base Rate Study: Developing Base Rates for Risk Factors and Indicators for Engagement in Violent Extremism

Clemmow

Schumann

Salman

et al. 2020

Journal of Forensic Sciences

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Improvements have been made in identifying the prevalence of risk factors/indicators for violent extremism. A consistent problem is the lack of base rates. How to develop base rates is of equal concern. This study has two aims: (i) compare two methods for developing base rates; the Unmatched Count Technique (UCT) and direct questioning, (ii) generate base rates in a general population sample and compare these to a sample of lone-actor terrorists (n = 125). We surveyed 2108 subjects from the general population. Participants were recruited from an online access panel and randomly assigned to one of three conditions; direct survey, control, or UCT. Survey items were based on a loneactor terrorist codebook developed from the wider literature. Direct questioning was more suitable under our study conditions where UCT resulted in deflation effects. Comparing the base rates identified a number of significant differences: (i) lone-actor terrorists demonstrated propensity indicators related to a cognitive susceptibility, and a crime-and/or violence-supportive morality more often; the general sample demonstrated protective factors more often, (ii) lone-actor terrorists demonstrated situational indicators related to a crime-and/or violence-supportive morality more often, whereas the general sample experienced situational stressors more often, (iii) lone-actor terrorists demonstrated indicators related to exposure to extremism more often. Results suggest there are measurable differences in the prevalence of risk factors between lone-actor terrorists and the general population. However, no single factor "predicts" violent extremism. This bears implications for our understanding of the interrelation of risk and protective factors, and for the risk assessment of violent extremism.

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“…Another challenge is that there is little information about the reliability and validity of the case conceptualization, although contributions in this area are increasing (Bucci, French, and Berry (2016); (Persons & Hong, 2016)). To strengthen their idiographic assessment data and the conclusions they draw from them, we recommend that clinicians rely on basic principles of behavioral assessment (see (Haynes et al, 2011), and collect data (as described in the next section) to test their formulation hypotheses and monitor treatment progress for each case they treat.…”

Section: The Treatment Planmentioning

confidence: 99%

Adult Depression

Persons¹,

Fresco²

2022

Preprint

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We begin this chapter with an overview of the current diagnostic criteria for Major Depressive Disorder (MDD), the epidemiology of MDD, and current theories of and therapies for MDD. We review assessment tools for obtaining a diagnosis, developing a case conceptualization and treatment plan, and monitoring change in therapy. We end with a brief discussion of some future directions of assessment of depression.

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Measures Assessing the Quality of Case Conceptualization: A Systematic Review

Abstract: Further research is required to test the psychometric properties of measures so that robust quality measures can be used across different settings/client groups.

Cited by 31 publications

References 39 publications

Training in LGBTQ-affirmative cognitive behavioral therapy: A randomized controlled trial across LGBTQ community centers.

Training in LGBTQ-affirmative cognitive behavioral therapy: A randomized controlled trial across LGBTQ community centers.

The Base Rate Study: Developing Base Rates for Risk Factors and Indicators for Engagement in Violent Extremism

Adult Depression

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