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The Mystery of Mastery: Excellence Takes Center Stage in the Psychotherapy Networker

May 16, 2011 By scottdm Leave a Comment

The Psychotherapy Networker has long been the most popular periodical among practicing clinicians.  Rumor has it that the magazine has 80,000+ subscribers and sells over 120,000 copies of each issue.  If you want to know what therapists are thinking and talking about, the Networker magazine is the place to look.  And in the May/June issue, the topic of excellence is front and center.

The reason is obvious: the field of psychotherapy is in trouble.  Think about it for a moment.  What real accomplishments can psychotherapy boast of in recent years? What was the last truly revolutionary discovery in the field of psychotherapy? What “treatment” (analogous to penicillin in medicine) has ever successfully eradicated a mental or emotional disorder? In fact, while we’ve been at our posts, provisioning and parading an army of techniques and methods, rates of depression and anxiety have soared.  Even if one disagrees with this grim assessment of the field’s contributions and influence, it’s hard to be sanguine about our status. Over the last decade, median incomes for psychologists, both applied and academic, have dropped by thousands of dollars. In the same period, workloads have increased, professional autonomy has been subverted, and funding for public behavioral healthcare has all but disappeared.  Meanwhile, the very relevance of psychotherapy is an open question in the minds of many current and prospective consumers. Despite overwhelming evidence that therapy works, and that more than 90 percent of people say they’d prefer to talk about their problems than take psychopharmacological drugs, most people doubt the efficacy of treatment. Perhaps this accounts for the fact that the use of medications has steadily increased, while visits to a psychotherapist have been decreasing.

What can be done?

In 2007, we wrote an article that appeared in the pages of the Networker on the subject of “top performing” clinicians–those that consistently achieve superior results with their clients.  Over the last four years, we’ve continued to research and write on the subject and in the latest issue of the Networker we review the latest findings.  ICCE Associate, Dr. Bob Bertolino, also has an article in the issue detailed the steps required to reac excellence in agencies and healthcare systems.

Scott Miller         Mark Hubble          Bob Bertolino

Never has a moment in the history of the field existed when the need for a “culture of excellence” has been more pressing or when the qualities of that culture are more unambiguous.  Seeing as we spend so much of our lives at work anyway—often more in total than with our families, friends, and in leisure—the question is, “why not?”   If not for ourselves, then for our clients, the very people the research shows benefit the most from top performance and on whom our livelihoods depend.  Don’t wait.  Click on the links above to read both articles.

Filed Under: Behavioral Health, Conferences and Training, excellence Tagged With: cdoi, evidence based practice

The "Fragile Balance": Putting the Pieces together at the 2013 Achieving Clinical Excellence Conference in Amsterdam, Holland

May 9, 2011 By scottdm Leave a Comment

Dateline: May 8th, 2011

Copenhagen, Denmark

It is with great pleasure and high expectations that I announce the second “Achieving Excellence Conference” to be held in Amsterdam, Holland on May 16th-18th, 2013.

The title of the 2013 ACE conference is, “Putting the Pieces Together: The ‘Fragile Balance,'” emphasizing the steps, practices, and supports required for excellence in the field of behavioral health.

This last weekend, the organizing committe met in Horsholm, Denmark to begin planning the event.  The 2013 conference chair is Dutch psychologist Rick Plutt (pictured on the left in the photo to the right).  Committee members flew in from all over Europe and include ICCE associates (from left to right in the photo on the left) Liz Plutt (Holland), Rick Plutt (Holland), Anthony Jordan (Sweden), Bogdan Ion (Romania), Bill Andrews (UK), and Susanne Bargmann (Denmark).

Information about the event is already available on the official ACE 2013 Conference website.  Registration will soon be available.

The committee has also issued a “Call for Papers” from clinicians, researchers, and policy makers interested in presenting at the event.  Guidelines for submitting a proposal to present at the conference can be obtained by sending an email to:  info@centerforclinicalexcellence.com.

Details regarding the event, including keynote presenters will be released shortly so stay tuned.  In the meantime, make sure you watch the video highlights from the 2010 conference in Kansas City, Missouri:

More videos from the conference are available on the International Center for Clinical Excellence video channel.

Don’t wait until 2013 to begin improving the quality and outcome of your clinical work.  The one and only, official “Training of Trainers” is open for registration.  This hands on event is conducted by me and other ICCE Senior Associates.  Space is limited to 35 participants.  You can register by clicking the icon below.

Here’s what last year’s participants said about the “Training of Trainers”:

Filed Under: Conferences and Training, excellence Tagged With: holland, Therapist Effects

The Cryptonite of Behavioral Health: Making Mistakes

May 7, 2011 By scottdm 2 Comments

Most people readily agree that its important to “learn from mistakes.”  In truth, however, few actually believe it.  Mistakes are like cryptonite, making us feel and, more importantly, look stupid and weak.  As a result, despite what we might advise others, we do our best to avoid making and admitting them.  Such avoidance comes with a big cost: personal and professional growth stalls and even atrophies.  We take on less challenging tasks, avoid taking risks, and give up more easily when confronted with situations that might expose our weaknesses.  Far all that, falling a bit on “error-phobic” side of life is hardly an instance of  irrationality.  As Alina Tugend, author of Better by Mistake points out, “As much as people hate to make mistakes, they love pointing out the ones others have made.”  Indeed, for most of us, the glee others take in pointing out our shortcomings only serves to compound our avoidance and deepen our public denial.  And that’s what makes Tony Rousmaniere’s recent blogpost so unusual.

Briefly, Tony is a psychologist in private practice in San Francisco and Palo Alto.  As he tells the story, he was riding in his car, listening to a recording of my presentation at the 2009 Evolution of Psychotherapy conference.  The subject was “Achieving Clinical Excellence.”  The message: routinely seeking feedback from clients about our mistakes decreases dropout rates and improves outcomes in psychotherapy.  Tony took the message to heart.  Unlike many of our peers who say they routinely ask clients for feedback, Tony actually downloaded the outcome and session rating scales and began formally asking his clients for feedback.

The story he relates makes for compelling reading, most of all because the feedback he received was not always easy to hear.  And yet, he persisted, not only asking clients, but recording his work and then seeking input from colleagues.  In the article, he gives step-by-step instructions for making use of the painful and sometimes confusing and contradictory feedback one receives.

Tony’s willingness to share his experience makes it tempting to say he is one brave soul.  In actuality, he’s pragmatic.  He placed outcomes over image.  As he reports in the article, his dropout rate has plummeted and his outcomes improved.  I say, “Bravo!”
________________________

Addendum

If you are thinking of writing to tell me that I misspelled the word, “cyptonite” (the accepted spelling is kryptonite), don’t bother.  I know.  I did it on purpose.  See what I mean?!

Filed Under: deliberate practice, evidence-based practice, Feedback Informed Treatment - FIT Tagged With: evidence based practice, holland, randomized clinical trial

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