SCOTT D Miller - For the latest and greatest information on Feedback Informed Treatment

  • About
    • About Scott
    • Publications
  • Training and Consultation
  • Workshop Calendar
  • FIT Measures Licensing
  • FIT Software Tools
  • Online Store
  • Top Performance Blog
  • Contact Scott
scottdmiller@ talkingcure.com +1.773.454.8511

Research on the Outcome Rating Scale, Session Rating Scale & Feedback

January 7, 2010 By scottdm Leave a Comment

PCOMS - Partners for change outcome management system Scott D Miller - SAMHSA - NREPP“How valid and reliable are the ORS and SRS?”  “What do the data say about the impact of routine measurement and feedback on outcome and retention in behavioral health?”  “Are the ORS and SRS ‘evidence-based?'”

These and other questions regarding the evidence supporting the ORS, SRS, and feedback are becoming increasingly common in the workshops I’m teaching in the U.S. and abroad.

As indicated in my December 24th blogpost, routine outcome monitoring (PROMS) has even been endorsed by “specific treatments for specific disorders” proponent David Barlow, Ph.D., who stated unequivocally that “all therapists would soon be required to measure and monitor the outcome of their clinical work.”  Clearly, the time has come for all behavioral health practitioners to be aware of the research regarding measurement and feedback.

Over the holidays, I updated a summary of the data to date that has long been available to trainers and associates of the International Center for Clinical Excellence.  The PDF reviews all of the research on the psychometric properties of the outcome and session ratings scales as well as the studies using these and other formal measures of progress and the therapeutic relationship to improve outcome and retention in behavioral health services.  The topics is so important, that I’ve decide to make the document available to everyone.  Feel free to distribute the file to any and all colleagues interested in staying up to date on this emerging mega-trend in clinical practice.

Measures And Feedback from Scott Miller

Filed Under: evidence-based practice, Feedback Informed Treatment - FIT, Practice Based Evidence Tagged With: behavioral health, continuing education, david barlow, evidence based medicine, evidence based practice, feedback, Hypertension, icce, medicine, ors, outcome measurement, outcome rating scale, post traumatic stress, practice-based evidence, proms, randomized clinical trial, session rating scale, srs, Training

Magical Moments in Kansas

January 2, 2010 By scottdm Leave a Comment

Registrations are already coming in for the first International Conference on “Achieving Clinical Excellence.”

Not too long ago, I announced that internationally known researcher K. Anders Erickson, Ph.D.–the “expert on experts”–had agreed to present at the event.  At that time, I also indicated that a number of internationally accomplished performers from a variety of professions (including psychology, business, medicine, science, music, entertainment, and sports) would be with us in Kansas City to teach and inspire.  Attendees will learn the science and skills for achieving their personal best as a behavioral health practitioner by literally learning from the best.

Practice, as anyone who has been reading my recent blogosts and publications knows, is key for achieving excellence–and not just any old kind will do.  To be effective, it must be deliberate, reflective, and ongoing.   What’s more, it must be accompanied with high levels of support and detailed instruction from exceptional teachers.

michael ammart

No performer embodies these two principles–dedicated practice and exceptional teaching–better than FISM gold-medial winning magician, Michael Ammar.  Magic magazine named him one of the 100 most influential magicians of the century.

Michael will open the second day of the the conference.  First, he’ll perform. What can I say?  You’ll be astonished and amazed.  After that, Michael will talk about the role of practice in achieving excellence.  He’s a master teacher who has spent years studying the elements of successful practice.  He’ll not only inspire you, he will provide you with the means to excel.

Join us for three action packed days of fun, science and skill building.  In the meantime, if you have a spare moment, watch Michael Ammar perform one of the classics of magic: the cups and balls.

 

Filed Under: Behavioral Health, Conferences and Training, excellence, Feedback Tagged With: CEU, conference, expertise, k. andersm erickson, michael ammar, psychology, Training

New Year’s Resolutions: Progress Report and Future Plans

January 1, 2010 By scottdm Leave a Comment

One year ago today, I blogged about my New Year’s resolution to “take up the study of expertise and expert performance.”  The promise marked a significant departure from my work up to that point in time and was not without controversy:

“Was I no longer interested in psychotherapy?”

“Had I given up on the common factors?

“What about the ORS and SRS?” and was I abandoning the field and pursue magic as a profession?”

Seriously.

The answer to all of the questions was, of course, an emphatic “NO!”  At the same time, I recognized that I’d reached an empirical precipice–or, stated more accurately, dead end.  The common factors, while explaining why therapy works did not and could never tell us how to work.  And while seeking and obtaining ongoing feedback (via the ORS and SRS) had proven successful in boosting treatment outcomes, there was no evidence that the practice had a lasting impact on the professionals providing the service.

Understanding how to improve my performance as a clinician has, as is true of many therapists, been a goal and passion from the earliest days of my career.  The vast literature on expertise and expert performance appeared to provide the answers I’d long sought.   In fields as diverse as music and medicine, researchers had identified specific principles and methods associated with superior performance.  On January 2nd, 2009, I vowed to apply what I was learning to, “a subject I know nothing about…put[ting] into practice the insights gleaned from the study of expertise and expert performance.”

The subject? Magic (and the ukulele).

How have I done?  Definitely better than average I can say.  In a column written by Barbara Brotman in today’s Chicago Tribune, psychologist Janine Gauthier notes that while 45% of people make New Year’s resolutions, only 8% actually keep them!  I’m a solid 50%.  I am still studying and learning magic–as attendees at the 2009 “Training of Trainers” and my other workshops can testify.  The uke is another story, however.  To paraphrase 1988 Democratic vice-presidential candidate, Lloyd Bentsen , “I know great ukulele players, and Scott, you are no Jake Shimabukuro.”

I first saw Jake Shimabukuro play the ukulele at a concert in Hawaii.  I was in the islands working with behavioral health professionals in the military (Watch the video below and tell me if it doesn’t sound like more than one instrument is playing even though Jake is the only one pictured).

Interestingly, the reasons for my success with one and failure with the other are as simple and straightforward as the principles and practices that researchers say account for superior (and inferior) performance.  I promise to lay out these findings, along with my experiences, over the next several weeks.  If you are about to make a New Year’s resolution, let me give you step numero uno: make sure your goal/resolution is realistic.  I know, I know…how mundane.  And yet, while I’ve lectured extensively about the relationship between goal-setting and successful psychotherapy for over 15 years, my reading about expert performance combined with my attempts to master two novel skills, has made me aware of aspects I never knew about or considered before.

Anyway, stay tuned for more.  In the meantime, just for fun, take a look at the video below from master magician Bill Malone.  The effect he is performing is called, “Sam the Bellhop.”  I’ve been practicing this routine since early summer, using what I’ve learned from my study of the literature on expertise to master the effect (Ask me to perform it for you on break if you happen to be in attendance at one of my upcoming workshops).

Filed Under: Behavioral Health, deliberate practice, excellence, Top Performance Tagged With: Alliance, cdoi, ors, outcome rating scale, psychotherapy, sessino rating scale, srs, Therapist Effects, training of trainers

  • « Previous Page
  • 1
  • …
  • 95
  • 96
  • 97
  • 98
  • 99
  • …
  • 108
  • Next Page »

SEARCH

Subscribe for updates from my blog.

[sibwp_form id=1]

Upcoming Training

There are no upcoming Events at this time.

FIT Software tools

FIT Software tools

LinkedIn

Topics of Interest:

  • behavioral health (5)
  • Behavioral Health (109)
  • Brain-based Research (2)
  • CDOI (12)
  • Conferences and Training (62)
  • deliberate practice (29)
  • Dodo Verdict (9)
  • Drug and Alcohol (3)
  • evidence-based practice (64)
  • excellence (61)
  • Feedback (36)
  • Feedback Informed Treatment – FIT (230)
  • FIT (27)
  • FIT Software Tools (10)
  • ICCE (23)
  • Implementation (6)
  • medication adherence (3)
  • obesity (1)
  • PCOMS (9)
  • Practice Based Evidence (38)
  • PTSD (4)
  • Suicide (1)
  • supervision (1)
  • Termination (1)
  • Therapeutic Relationship (9)
  • Top Performance (37)

Recent Posts

  • Agape
  • Snippets
  • Results from the first bona fide study of deliberate practice
  • Fasten your seatbelt
  • A not so helpful, helping hand

Recent Comments

  • Typical Duration of Outpatient Therapy Sessions | The Hope Institute on Is the “50-minute hour” done for?
  • Dr Martin Russell on Agape
  • hima on Simple, not Easy: Using the ORS and SRS Effectively
  • hima on The Cryptonite of Behavioral Health: Making Mistakes
  • himalaya on Alas, it seems everyone comes from Lake Wobegon

Tags

addiction Alliance behavioral health brief therapy Carl Rogers CBT cdoi common factors continuing education denmark evidence based medicine evidence based practice Evolution of Psychotherapy excellence feedback feedback informed treatment healthcare holland Hypertension icce international center for cliniclal excellence medicine mental health meta-analysis Norway NREPP ors outcome measurement outcome rating scale post traumatic stress practice-based evidence psychology psychometrics psychotherapy psychotherapy networker public behavioral health randomized clinical trial SAMHSA session rating scale srs supershrinks sweden Therapist Effects therapy Training