Teaching Accountability: Using Client Feedback to Train Effective Family Therapists

Sparks, Jacqueline A.; Kisler, Tiffani S.; Adams, Jerome; D, Blumen

doi:10.1111/j.1752-0606.2011.00224.x

Cited by 47 publications

(32 citation statements)

References 39 publications

(63 reference statements)

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“…From a management perspective, the value of efficiently and rapidly spreading the ''golden thread'' of readily usable and clinically salient information that drives treatment and decision-making throughout an organization cannot be understated. For example, MFSs have been recommended as a promising tool to improve supervision effectiveness (Dorsey et al 2013;Lambert and Hawkins 2001;Sparks et al 2011;Worthen and Lambert 2007). A MFS is ultimately a client empowerment tool by making the client's 'voice' accessible to all aspects of clinical care including supervision.…”

Section: The 'Golden Thread' Of Data-informed Decisionmakingmentioning

confidence: 99%

Implementing for Sustainability: Promoting Use of a Measurement Feedback System for Innovation and Quality Improvement

Douglas

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Casey

2014

Adm Policy Ment Health

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Measurement feedback systems (MFSs) are increasingly recognized as evidence-based treatments for improving mental health outcomes, in addition to being a useful administrative tool for service planning and reporting. Promising research findings have driven practice administrators and policymakers to emphasize the incorporation of outcomes monitoring into electronic health systems. To promote MFS integrity and protect against potentially negative outcomes, it is vital that adoption and implementation be guided by scientifically rigorous yet practical principles. In this point of view, the authors discuss and provide examples of three user-centered and theory-based principles: emphasizing integration with clinical values and workflow, promoting administrative leadership with the 'golden thread' of data-informed decision-making, and facilitating sustainability by encouraging innovation. In our experience, enacting these principles serves to promote sustainable implementation of MFSs in the community while also allowing innovation to occur, which can inform improvements to guide future MFS research.

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Section: The 'Golden Thread' Of Data-informed Decisionmakingmentioning

confidence: 99%

Implementing for Sustainability: Promoting Use of a Measurement Feedback System for Innovation and Quality Improvement

Douglas

Button

Casey

2014

Adm Policy Ment Health

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“…The limited research on the use of client feedback instruments in clinical training has highlighted numerous benefits for trainees and supervisors (Grossl et al ., ; Reese, Usher et al ., ; Sparks et al ., ). Despite these benefits, they are seldom used by supervisors and trainees (Worthen and Lambert, ), which is consistent with the results of the current study.…”

Section: Discussionmentioning

confidence: 97%

“…Research has documented the importance of using client feedback in therapy (Lambert et al ., ; Pinsof and Wynne, ; Pinsof, Goldsmith and Latta, ) and its ability to improve treatment outcomes (Anker, Duncan and Sparks, ; Duncan, ; Reese, Norsworthy and Rowlands, ; Reese, Tolan, Slone and Norsworthy, ; Shimokawa, Lambert and Smart, ). However, there is a paucity of research examining its use in clinical supervision despite noted potential benefits of using client feedback in clinical training/supervision (Pinsof and Wynne, ; Sparks et al ., ; Worthen and Lambert, ).…”

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confidence: 99%

“…The American Psychological Association (APA) has noted that providing clinicians with real‐time feedback to assess treatment progress and inform interventions is a research priority (APA, ). In an educational setting, the inclusion of client feedback in clinical training conforms to the Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE) transition to outcome‐based learning (Sparks, Kisler, Adams and Blumen, ). Research has documented the importance of using client feedback in therapy (Lambert et al ., ; Pinsof and Wynne, ; Pinsof, Goldsmith and Latta, ) and its ability to improve treatment outcomes (Anker, Duncan and Sparks, ; Duncan, ; Reese, Norsworthy and Rowlands, ; Reese, Tolan, Slone and Norsworthy, ; Shimokawa, Lambert and Smart, ).…”

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confidence: 99%

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Introducing client feedback into marriage and family therapy supervision: a qualitative study examining the transition to empirically informed supervision

McComb

Diamond

Breunlin

et al. 2018

Journal of Family Therapy

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The use of client feedback in clinical supervision provides a way for supervisors to access clients' experiences of the treatment process and monitor clinical progress of their trainees' cases. The present qualitative study investigated a marriage and family therapy training programme's early experience of introducing the Systemic Therapy Inventory of Change (STIC®; Pinsof et al., 2009) into clinical supervision. Supervisors (N = 8) and trainees (N = 14) were interviewed to elicit their experience using the STIC in supervision with a focus on understanding the frequency of use as well as the facilitators and constraints to implementation. The analysis of the narratives resulted in the development of five themes (time, supervisors' expectations, broader training system influences, client feedback training, and perceived helpfulness) that contributed to decreased usage over time. Recommendations to the field for integrating client feedback into empirically informed training and supervision are provided. Practitioner points Training programmes should consider the potential benefits of utilizing client feedback measures for outcome‐based training and supervision Training programmes adopting a client feedback measure need to be aware of the potential challenges of implementation The additional time needed to use a client feedback measure in the clinical supervision process must be considered as it is the most notable constraint to implementation

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“…We know little about how feedback affects clinical decision-making and clinician behavior in treatment sessions (Lambert et al, 2003) or in supervision (Sparks et al, 2011; Worthen & Lambert, 2007). Thus we can only speculate about how feedback influences outcomes.…”

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confidence: 99%

Feedback mechanisms of change: How problem alerts reported by youth clients and their caregivers impact clinician-reported session content

Douglas

Bae

Andrade

et al. 2015

Psychotherapy Research

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Objective This study explored how clinician-reported content addressed in treatment sessions was predicted by clinician feedback group and multi-informant cumulative problem alerts that appeared in computerized feedback reports for 299 clients aged 11 to 18 years receiving home-based community mental health treatment. Method Measures included a clinician-report of content addressed in sessions and additional measures of treatment progress and process (e.g., therapeutic alliance) completed by clinicians, clients, and their caregivers. Item responses in the top 25th percentile in severity from these measures appeared as ‘problem alerts’ on corresponding computerized feedback reports. Clinicians randomized to the feedback group received feedback weekly while the control group did not. Analyses were conducted using the Cox proportional hazards regression for recurrent events. Results For all content domains, the results of the survival analyses indicated a robust effect of the feedback group on addressing specific content in sessions, with feedback associated with shorter duration to first occurrence and increased likelihood of addressing or focusing on a topic compared to the non-feedback group. Conclusion There appears to be an important relationship between feedback and cumulative problem alerts reported by multiple informants as they influence session content.

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Teaching Accountability: Using Client Feedback to Train Effective Family Therapists

Cited by 47 publications

References 39 publications

Implementing for Sustainability: Promoting Use of a Measurement Feedback System for Innovation and Quality Improvement

Implementing for Sustainability: Promoting Use of a Measurement Feedback System for Innovation and Quality Improvement

Introducing client feedback into marriage and family therapy supervision: a qualitative study examining the transition to empirically informed supervision

Feedback mechanisms of change: How problem alerts reported by youth clients and their caregivers impact clinician-reported session content

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