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More Questions and Answers about Feedback Informed Treatment and Deliberate Practice

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A recording of a live meeting with professionals around the world interested in FIT and Deliberate Practice.

Topics covered are listed below along with times when particular questions are addressed.

  1. How to incorporate deliberate practice (DP) into supervision? (3:10)
  2. How to use DP to address personal issues of the therapist? (12:37)
  3. When and how to teach and learn FIT? (14:10; 43:37)
  4. The importance of a FIT culture (21.45)
  5. How to deliberately practice supervision? (23:15)
  6. How to to discuss a lack of progress on the ORS with clients? (27:00)
  7. Should DP be a part of FIT supervision? (33:10)
  8. The learning versus the performance zone (36:09)
  9. Tips for analyzing video in deliberate practice (37:55)
  10. What if clients fake bad on the ORS to stay in therapy? (40:21)
  11. What is the meaning of declining SRS scores? (48:00)
  12. How to combine FIT with other approaches and treatment protocols? (50:40)
  13. How to address mismatched scores on the ORS and SRS? (52:44)

Questions and Answers about Feedback Informed Treatment and Deliberate Practice: Another COVID-19 Resource

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Since they were developed and tested back in the late 90’s, the Outcome and Session Rating Scales have been downloaded by practitioners more than 100,000 times!  Judging by the number of cases entered into the three authorized software applications, the tools have been used inform service delivery for millions of clients seeking care for different problems in diverse treatment settings.  The number of books, manuals, and “how to” videos describing how to use the tools has continued to grow dramatically.

Here is one more option for support: a recording of a live webinar discussing FIT and deliberate practice with professionals from around the world.  I think you’ll be surprised by the depth and breadth of the information covered.  You can listen to the entire broadcast or use the guide below to jump directly to the questions that matter most to you. 

  1. How to get started with FIT? (2:23)
  2. How can I encourage my clients to provide open, honest feedback? (10:30; revisited 36:15)
  3. Should I start using the measures with established clients? (13:18, revisited 17:05)
  4. How do I know how effective I am? (14:45)
  5. How to interpret ORS and SRS feedback (18:10)
  6. How to use the scales online/on the phone? (22:00)
  7. How effective is supervision? (26:58)
  8. How to work with mandated clients? (31:30)
  9. Why do some clients not give feedback? (37:00)
  10. What is deliberate practice and how to apply it for improving therapist effectiveness? (46:00)

Creating a “Culture of Feedback” when working virtually

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When I was around 11 years old, a gag quickly circulated through my school.

Cornering an unsuspecting chum, you’d ask, “Hey, have you seen my hammerfor?”

“What’s a hammerfor?” they’d invariably ask, a quizzical look glued to their face.

“Pounding nails!” you’d then scream, followed by paroxysms of laughter.

Funny in a sad, underhanded kind of way.  “But what,” you might wonder, “has this got to do with using the Outcome and Session Rating Scales in psychotherapy?”

As services have moved more and more online, I’ve been getting a fair bit of email about using the tools in an online format.

The majority of the questions thus far focus on technical details (e.g., administration, scoring, software application, etc.).  Again, this makes sense.  And in my previous two blogs (1, 2), colleagues Stacy Bancroft and Brooke Mathewes and I provided detailed suggestions and video instruction for working feedback-informed in an online environment.

However, while making the transition, it’s important to keep in mind “What’s an ORSSRSfor?”  The answer, like the old joke, is “soliciting feedback from clients that can be used to fine tune and tailor treatment.”  Whether working face-to-face or digitally, research and clinical experience document that failing to establish a “culture of feedback” is the root cause of most problems encountered when using the measures — in the particular, clients reporting, “everything’s great” and then not returning for their next session.

Here’s another “how to” video specifically target to creating a culture of feedback in online work.