Progress monitoring and feedback delivered in routine psychiatric care: Beneficial but not reaching those thought to need it most. (2nd October 2020)

• Record Type: Journal Article
• Authors: Hutson, James; Hooke, Geoff R.; Page, Andrew C.
• Is Part Of: Psychotherapy research. Volume 30:Number 7(2020)
• Page Start: 843
• Page End: 856
• Publication Date: 2020-10-02
• Subjects: feedback -- monitoring -- outcome assessment -- group psychotherapy -- WHO-5; Psychotherapy -- Periodicals; Psychotherapy -- Research -- Periodicals; Psychotherapy -- Periodicals; Psychothérapie -- Périodiques; Psychothérapie -- Recherche -- Périodiques; 616.891405
• DOI: 10.1080/10503307.2019.1710305
• Languages: English
• ISSNs: 1050-3307

Abstract

Abstract: Objective: The study evaluated the use and effectiveness of a progress monitoring system routinely operational in a private mental health care setting. Method: In a nonrandomized trial in which 778 consecutively admitted patients underwent a 2-week cognitive behavioral therapy intervention, the effectiveness of therapists choosing to use progress monitoring feedback to frame therapist–patient discussions about individuals' progress was evaluated. Results: Patients engaged in discussions involving progress monitoring feedback during the intervention achieved a more consistent recovery rate. Furthermore, individuals that were not-on-track to achieve a positive outcome experienced a boost to recovery immediately after receiving feedback. However, evidence suggested that therapists were not using progress monitoring to primarily focus additional resources on not-on-track patients. Conclusion: Progress monitoring feedback benefited patient recovery. However, guidelines could improve the system by directing therapists to use feedback primarily with patients not on course for a positive therapeutic outcome.