Identifying clients at risk for treatment failure


Positive outcomes can be expected for most clients who enter psychotherapy, and clinicians

are appropriately optimistic about the effects of their services. Despite clinician con-

fidence in their ability to help clients, many clients do not benefit and a small portion even

deteriorate before they leave treatment. It appears that clinicians are unwilling or unable to

identify these clients, despite knowing the baseline rates for failure. Whereas other health

care professionals rely heavily on lab test results for diagnosis and monitoring of treatment

response, psychotherapists continue to practice without reliance on them. Formally tracking

treatment response with the use of standardized measures and markers for likely negative

response increases the likelihood that clinicians can take timely steps to reduce treatment

failure.We now have the ability to use effective lab tests to aid clinical practice. The nagging

question is whether clinicians will use them in routine practice. We have developed

elegant methods for accurately predicting client treatment response, and failure to respond

in particular. The degree to which such information, when made accessible to practitioners,

improves client outcome is a topic highlighted in other articles in this issue.

Rest of this article can be found at link below:

http://centerforclinicalexcellence.com/wp-content/plugins/buddypress-group-documents/documents/1330071104-Hannanetal2005.pdf

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