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Is Time Speeding Up?

Is it me or is time speeding up?  We're already 40 days into the New Year. Seems like only yesterday, I was planning for the Holidays: meals, get-togethers and, of course, gifts. Gifts.  Since the turn of the century, researchers tell us our tastes have changed.  Forget toys, aftershave, ...
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February 9, 2015 / Feedback Informed Treatment - FIT

What do clinicians want anyway?

What topics are practitioners interested in learning about? If you read a research journal, attend a continuing education event, or examine the syllabus from any graduate school course, you're likely to conclude: (1) diagnosis; (2) treatment methods; and perhaps (3) the brain.  As I've blogged about previously, the brain ...
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January 26, 2015 / Behavioral Health, Conferences and Training, FIT

Therapist Wanted: Dead or Alive

Do you get those letters about the top healthcare providers in your area? At the beginning of the new year, our city's local magazine publishes a list of the top healthcare providers.  It's a big deal.  Organized by location and specialty, the issue contains full-page photos, glossy spreads, and ...
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January 15, 2015 / Conferences and Training, Feedback Informed Treatment - FIT, FIT, FIT Software Tools, Top Performance

Dinner with Paul McCartney (and others)

Growing up, my family had a game we frequently played around the dining room table.  "If you could invite anyone to dinner," it always started,"who would it be?"  Invariably, my father chose historical figures: Abraham Lincoln, Mark Twain, Leonardo Da Vinci.  My mom was more inclined toward the living: ...
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December 11, 2014 / Behavioral Health, Conferences and Training, evidence-based practice, Feedback Informed Treatment - FIT, Top Performance

Is Documentation Helping or Hindering Mental Health Care? Please Let me know.

So, how much time do you spend doing paperwork?  Assessments, progress notes, treatment plans, billing, updates, etc.--the lot? When I asked the director of the agency I was working at last week, it took him no time to respond. "Fifty percent," he said, then added without the slightest bit ...
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November 23, 2014 / Behavioral Health, Conferences and Training, evidence-based practice, Feedback, Feedback Informed Treatment - FIT, Practice Based Evidence

What articles have 140,000 of your colleagues read to improve their practice?

Each week, I upload articles to the web about how to improve effectiveness. There are a lot to choose from, but here are the top ones read by behavioral health professionals around the world:
  • Measures and Feedback 2014
This is the latest version of the most widely-read ...
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November 21, 2014 / Behavioral Health, Conferences and Training, evidence-based practice, Feedback, Feedback Informed Treatment - FIT, FIT, Top Performance

Something New

Actually, it’s more accurate to say, “Everything is new!”  The International Center for Clinical Excellence is coming up on its fifth birthday!   Since its launch in 2010, the ICCE has become the largest, online community of behavioral health practitioners and researchers in the world.  To celebrate, we are launching ...
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October 8, 2014 / CDOI, Feedback Informed Treatment - FIT, FIT, ICCE, icce, top performance

Using Feedback Informed Treatment to Improve Medication Adherence and Reduce Healthcare Costs

Medication adherence is a BIG problem.  According to recent research, nearly one-third of the prescriptions written are never filled.  Other data document that more than 60% of people who actually go the pharmacy and get the drug, do not take it as prescribed. What's the problem, you may ask?  ...
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September 10, 2014 / depression, Feedback Informed Treatment - FIT, healthcare, heart disease, medication adherence, medication adherence, medicine, mental health, ors, outcome rating scale, pharmacy, prescriptions, SAMHSA, sesison rating scale, srs

Applying Feedback-Informed Treatment in Diverse Settings around the World

Honestly, I don't know why I hadn't noticed it before.  It's not the first time it happened.  Last week, the ICCE held the "Training of Trainers" and "FIT Implementation" intensive trainings in Chicago, Illinois (USA).  Participants came from all around the world--from the northern-most parts of Alaska to the ...
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August 14, 2014 / Feedback Informed Treatment - FIT

Want to be more effective? Point North!

In June, I spent several days in the air traveling to and from Perth, Australia for a conference.  Too tired to read anymore, I turned on the video system and began watching a program from the Discovery Channel about the North American red fox.  The furry little creatures were shown hunting rodents ...
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July 24, 2014 / evidence based practice, feedback informed treatment, Feedback Informed Treatment - FIT

The Sounds of Silence: More on Research, Researchers, and the Media

Back in April, I blogged about an article that appeared in The Guardian, one of the U.K.'s largest daily newspapers.  Citing a single study published in Denmark, the authors boldly asserted, "The claim that all forms of psychotherapy are winners has been dealt a blow."  Sure enough, that one ...
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July 21, 2014 / evidence based practice, Practice Based Evidence

Public Attitudes Toward Mental Health Services: A Change for the Worse

The results are not encouraging.  A recent meta-analysis found that public attitudes toward psychotherapy have become progressively more negative over the last 40 years.  The impact on practitioners is staggering.  Between 1997 and 2007, use of psychotherapy declined by 35%.  Not surprisingly, clinicians' incomes also suffered, dropping 15-20% over the last decade ...
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July 3, 2014 / antidepressants, Behavioral Health, Colorado Center for Clinical Excellence, drugs, meta-analysis, ors, outcome rating scale, pharmalogical, psychotherapy, SAMHSA, session rating scale, srs

Is Supervision Important to you?

How valuable is clinical supervision to you?  In their massive, long-term international study of therapist development, researchers Orlinsky and Rønnestad (2005) found that "practitioners at all experience levels, theoretical orientations, professions, and nationalities report that supervised client experience is highly important for their current and career development" (p. 188). Despite the ...
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June 20, 2014 / clinical supervision, feedback informed treatment, Feedback Informed Treatment - FIT, icce, international center for cliniclal excellence, Orlinsky, ors, outcome rating scale, PCOMS, psychotherapy supervision, Rønnestad, SAMHSA, session rating scale, srs

Is your therapy making your clients worse? The Guardian Strikes Again

Last week, an article appeared in The Guardian, one of the U.K.'s largest daily newspapers.  "Counselling and Therapy can be Harmful," the headline boldly asserted, citing results of a study yet to be published.  It certainly got my attention. Do some people in therapy get worse?  The answer is, ...
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June 12, 2014 / clinical trial, counselling, Feedback Informed Treatment - FIT, lilenfeld, michael lambery, psychotherapy, the guardian, therapy, Training, whatispcoms

What’s in an Acronym? CDOI, FIT, PCOMS, ORS, SRS … all BS?

"What's in a name?" --William Shakespeare A little over a week ago, I received an email from Anna Graham Anderson, a graduate student in psychology at Aarhus University in Denmark.  "I'm writing," she said, "in hopes of receiving some clarifications." Anna Graham Anderson Without reading any further, I knew ...
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June 7, 2014 / cdoi, evidence based medicine, evidence based practice, feedback informed treatment, Feedback Informed Treatment - FIT, FIT, ors, outcome measurement, outcome rating scale, PCOMS, SAMHSA, session rating scale, srs, Substance Abuse and Mental Health Service Adminstration

What can therapists learn from the CIA? Experts versus the "Wisdom of the Crowd"

What can we therapists learn from the CIA?  In a phrase, "When it comes to making predictions about important future events, don't rely on experts!" After a spate of embarrassing, high-profile intelligence failures, a recent story showed how a relatively small group of average people made better predictions about critical world events than highly-trained ...
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May 6, 2014 / feedback, Feedback, feedback informed treatment, Feedback Informed Treatment - FIT, icce, international center for cliniclal excellence, National Registry of Evidence Based Programs and Practices, NREPP, PCOMS, SAMHSA, therapy, Training
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Recent Posts

  • Time for a New Paradigm? Psychotherapy Outcomes Stagnant for 40 years
  • Beating the Dodo Verdict: Can Psychotherapy Ever Achieve Better Results?
  • “Clients Won’t Like It” and Other Concerns about Feedback Informed Treatment
  • Aren’t You the Anti-Evidence-Based Practice Guy? My Socks. And Other Crazy Questions.
  • What Works in Psychotherapy? Valuing “What Works” rather than Working with What We Value

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