INTERVENTION: Subdomain 9: Tools/Measures for Assessing Treatment Progress and Outcome

Question 1

What is a measure used to assess progress and outcomes?

Answer 1

(Whipple & Lambert, 2011)

Outcome Questionnaire-45 (OQ-45)

• Measure/assess change in adult psychotherapy
• Identify deterioration
• Improve client outcomes
• 45 self-report items –> repeated administration
• Assesses symptoms of:
  ——Psychological disturbance
  ——Interpersonal problems
  ——Social role functioning
• Total score = sum subscales

Responsiveness to client improves with feedback

Question 2

What is the importance of getting feedback on progress?

Answer 2

(Lambert & Ogles, 2004)
—5-10% of clients deteriorate

(Hatfield et al., 2010)
—Clinicians = bad at recognizing deterioration

(Garb, 1998)
—Most think they’re great

(Warren et al., 2010)
—Client outcome better with clinician feedback and use of clinical support tools
——Kids 2–3x more likely to deteriorate

(Lambert & Shimokawa, 2011)
—Real-time feedback probably improves outcomes
—Definitely does for those at high risk of dropping out
—Need to watch for inaccurate reporting by client
—At risk clients with OQ-45 70% better off than non-OQ counterparts

Question 3

What research supports the use of OQ scores?

Answer 3

(Whipple & Lambert, 2011)

• OQ Research
  —Six studies demonstrate effects of OQ
  —Need more research

(Lambert & Shimokawa, 2011)

• Barriers to implementation
  —Therapist confidence in their clinical judgement
  —Clinicians need to see benefits

Question 4

SUBDOMAIN 9 CITATIONS

Answer 4

SUBDOMAIN 9 CITATIONS

Question 5

Whipple & Lambert, 2011

Answer 5

Whipple & Lambert, 2011

• What research supports the use of OQ scores?
  ——* Also: Lambert & Shimokawa

Question 6

Lambert & Ogles, 2004
Hatfield et al., 2010
Garb, 1998
Warren et al., 2010
Lambert & Shimokawa, 2011

Answer 6

Lambert & Ogles, 2004
Hatfield et al., 2010
Garb, 1998
Warren et al., 2010
Lambert & Shimokawa, 2011

• What is the importance of getting feedback on progress?