Ch 16/17 (Outcome Research & Accountability) Flashcards
Why is research important?
- maintains accountability
- ensures nonmaleficence
- validates/professionalizes counseling
What is the scientist-practitioner model?
View counseling as a formal research project
Clinical efficacy studies
tightly controlled experiments
Effectiveness research
more practical; examines what works and doesn’t in a variety of settings
Outcome research
measures effectiveness of treatment and/or counselor
What are the 3 main methods of research?
- Clinical trial
- Qualitative Analysis
- Meta-Analysis
Clinical Trial
single study of specific treatment/approach/client. Can be measured against comparison groups, outcome measures and standard protocols
Qualitative Analysis:
examine & summarize trends across clients, studies & contexts
Meta-Analysis
quantitative, amasses and summarizes results from numerous studies
Effect Size
the difference between control and treatment groups to determine effectiveness of treatment
What factors contribute to the positive outcomes of counseling compared to placebo & control groups?
- Brief/solution-focused (improvement by 8th session)
- Premature termination (avoiding)
- Patient-therapist match
- Therapeutic alliance
What are commonalities that predict premature termination?
lower SES, lower education, African American racial heritage
What can decrease likelihood of premature termination?
- relationship building
- skillful, trustworthy & competent
- convey respect, establish mutual goals/expectations
What is the MOST important predictor of positive counseling outcomes?
The therapeutic alliance/relationship
Group counseling is generally ___ effective as individual counseling for most conditions
AS