GEHART CHAPTER 14 - EVALUATING PROGRESS IN THERAPY

Question 1

WHAT IS OMPHALOSKEPSIS?

Answer 1

TECHNICAL TERM FOR NAVEL GAZING

Question 2

WHAT ARE NONSTANDARDIZED EVALUATIONS?

Answer 2

VERBAL OR WRITTEN DESCRPITIONS BY EITHER THE CL OR CO

Question 3

PROS AND CONS OF NONSTANDARDIZED EVALUATIONS

Answer 3

PROS:

• MINIMAL FINANCIAL COSTS
• CAN DO AT EVERY SESSION
• INCLUDING CL AND CO PERSPECTIVES INCREASES VALIDITY
• EASILY ADAPTED FOR DIVERSE CLIENTS
• WHEN USED WEEKLY, THEY PROVIDE FEEDBACK ON WHAT IS NOT WORKING SO THAT CO CAN ADJUST THE TX PLAN

CONS

• NOT AS RELIABLE OR VALID AS STANDARDIZED MEASURES
• DIFFICULT TO USE WITH CHILDREN IF PARENTS ARE NOT THERE TO HELP PROVIDE INFO
• MORE DIFFICULT TO USE WITH PERSONS WITH SEVERE PATHOLOGY AND/OR THOSE WHO ARE UNABLE TO ACCURATELY RECALL EVENTS BETWEEN SESSIONS
• WITH CERTAIN COUPLES AND FAMILIES, DATA SHOULD BE COLLECTED ON PAPER TO GET ASSESSMENTS THAT ARE NOT INFLUENCED BY THE COMMENTS OF OTHER MEMBERS

Question 4

WHAT ARE STANDARDIZED EVALUATIONS?

Answer 4

• CONSIDERED MORE ACCURATE

- PROBLEMS INCLUDE HOW EACH CL’S UNIQUE FRAME OF REFERENCE MAKE IT DIFFICULT TO INTERPRET SCORES

Question 5

WHAT ARE THE PROS AND CONS OF STANDARDIZED EVALUATIONS?

Answer 5

PROS

• CONSIDERED MORE RELIABLE AND VALID
• CO IS BETTER ABLE TO MAKE CROSS-CLIENT COMPARISONS
• CO IS BETTER ABLE TO MAKE COMPARISON ACROSS TIME
• CAN BE USED TO DOCUMENT CO’S EFFECTIVENESS

CONS

• ALMOST ALL STANDARDIZED FORMS MUST BE PURCHASED, CAN BE EXPENSIVE
• MAY REQUIRE MORE CO TIME AND/OR EQUIPMENT AND RESOURCES
• REQUIRE MORE CL TIME, CL MIGHT BE RELUCTANT WITHOUT A MOTIVATING EXPLANATION
• NOT ALL MEASURES ARE STANDARDIZED FOR DIVERSE POPULATIONS AND/OR AVAILABLE IN CL’S PRIMARY LANGUAGE

Question 6

WHAT IS AN “ORS”?

Answer 6

OUTCOME RATING SCALE
-ULTRA BRIEF RATING SCALLE (AS LITTLE AS 1 MINUTE TO COMPLETE)
-PURPOSE IS TO MEASURE CHANGE IN CLINICAL SETTINGS
-USED AT BEGINNING OF SESSION
MEASURES:
-INDIVIDUALLY (PERSONAL WELL-BEING)
-INTERPERSONALLY (FAMILY AND CLOSE RELATIONSHIPS)

Question 7

WHAT IS A “SRS”?

Answer 7

SESSION RATING SCALE
-TYPICALLY USED WITH ORS
-USED AT END OF SESSION
MEASURES:
-RELATIONSHIP (DOES CL FEEL HEARD, UNDERSTOOD, RESPECTED?)
-GOALS AND TOPICS (IS SESSION FOCUSED ON WHAT CL WANTED TO WORK ON?)
-APPROACH OR METHOD (DID CO’S APPROACH WORK?)
-OVERALL

Question 8

GUIDELINES FOR USING STANDARDIZED EVALUATIONS

Answer 8

• FIRST SESSION
• FIVE MINUTES OR LESS
• REGULAR INTERVALS (WEEKLY OR MONTHLY)
• BEFORE THE SESSION
• FRAMING THE MEASUREMENT - CO FRAMES THAT THE MEASUREMENT IS HELPFUL FOR TREATMENT.