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Top Performance Blog

Deliberate Practice, Expertise, & Excellence

Later today, I board United flight 908 on my way to workshops scheduled in Holland and Belgium.  My routine in the days leading up to an international trip is always the same.  I slowly gather together the items I'll need while away: computer (check); european electric adapter (check); presentation materials (check); clothes (check).   And, oh yeah, ...
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February 3, 2010 / achieving clinical excellence, Alliance, Belgium, Carl Rogers, common factors, Conferences and Training, deliberate practice, excellence, Feedback Informed Treatment - FIT, holland, icce, Norway, psychology, psychotherapy, randomized clinical trial, Therapist Effects

The Future of Behavioral Health: Integrated Care & Entrepreneurship

Nicholas Cummings, Ph.D. Sometime in late 1986 I wrote a letter to Dr. Nicholas Cummings.  As a then student-member of the American Psychological Association (APA), I was automatically subscribed to and receiving the American Psychologist.  In the April issue, Dr. Cummings published an article, provocatively titled, "The Dismantling of Our Health System: Strategies for ...
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February 2, 2010 / American Biodyne, American Psychological Association (APA), American Psychologist, Arizona State University, B.F. Skinner, behavioral health, Behavioral Health, Carl Rogers, Conferences and Training, excellence, healthcare reform, icce, integrated care, managed care, Nick Cummings, Norway, psychometrics, public behavioral health, Ronald O'Donnell

The Turn to Outcomes: A Revolution in Behavioral Health Practice

Get ready.  The revolution is coming (if not already here).  Whether you are a direct service provider (psychologist, counselor, marriage and family therapist), agency, broker, or funder, you will be required to measure and likely report the outcomes of your clinical work. Jay Lebow, Ph.D. Just this month, Dr. Jay Lebow, ...
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February 1, 2010 / Behavioral Health, brief therapy, CDOI, evidence based practice, excellence, Feedback Informed Treatment - FIT, icce, Jay Lebow, medicine, post traumatic stress, psychotherapy networker, public behavioral health

Behavioral Healthcare in Holland: The Turn Away from the Single-payer, Government-Based Reimbursement System

Several years ago I was contacted by a group of practitioners located in the largest city in the north of the Netherlands--actually the capital of the province known as Groningen.  The "Platform," as they are known, were wondering if I'd be willing to come and speak at one of their upcoming conferences.  The practice ...
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January 26, 2010 / Behavioral Health, brief therapy, CDOI, cdoi, common factors, Conferences and Training, evidence-based practice, Feedback Informed Treatment - FIT, holland, meta-analysis, ors, outcome rating scale, public behavioral health, reflectum, session rating scale, srs

Accountability in Behavioral Health: Steps for Dealing with Cutbacks, Shortfalls, and Tough Economic Conditions

As anyone who follows me on Facebook knows, I get around.  In the past few months, I visited Australia, Norway, Sweden, Denmark (to name but a few countries) as well as criss-crossed the United States.  If I were asked to sum up the state of public behavioral health agencies in a single ...
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January 25, 2010 / Behavioral Health, cdoi, evidence based practice, icce, ors, outcome rating scale, public behavioral health, research, session rating scale, srs

Outcomes in the Artic: An Interview with Norwegian Practitioner Konrad Kummernes

Dateline: Mosjoen, Norway The last stop on my training tour around northern Norway was Mosjoen.  The large group of psychologists, social workers, psychiatrists, case managers, and physicians laughed uproariously when I talked about the bumpy, "white-knuckler" ride aboard the small twin-engine airplane that delivered me to the snowy, mountain-rimmed town. They were ...
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January 21, 2010 / Behavioral Health, cdoi, Conferences and Training, evidence based practice, Feedback Informed Treatment - FIT, icce, Norway, psychotherapy

Practice-Based Evidence in Norway: An Interview with Psychologist Mikael Aagard

For those of you following me on Facebook--and if you're not, click here to start--you know that I was traveling above the arctic circle in Norway last week.  I always enjoy visiting the Scandinavian countries.  My grandparents immigrated from nearby Sweden.  I lived there myself for a number of years (and speak ...
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January 19, 2010 / Behavioral Health, cdoi, Drug and Alcohol, evidence based practice, evidence-based practice, Hyperlipidemia, icce, meta-analysis, Practice Based Evidence, psychotherapy

Evidence-based practice or practice-based evidence? Article in the Los Angeles Times addresses the debate in behavioral health

January 11th, 2010 "Debate over Cognitive & Traditional Mental Health Therapy" by Eric Jaffe The fight debate between different factons, interest groups, scholars within the field of mental health hit the pages of the Los Angeles Times this last week. At issue?  Supposedly, whether the field will become "scientific" in practice ...
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January 18, 2010 / behavioral health, Behavioral Health, cognitive-behavioral therapy (CBT), Dodo Verdict, evidence based practice, icce, Los Angeles Times, mental health, meta-analysis, Practice Based Evidence, public behavioral health

"What Works" in Norway

Dateline: Tromso, Norway Place: Rica Ishavshotel For the last two days, I've had the privilege of working with 125+ clinicians (psychotherapists, psychologists, social workers, psychiatrists, and addiction treatment professionals) in far northern Norway.  The focus of the two-day training was on "What Works" in treatment, in particular examining what constitutes ...
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January 13, 2010 / behavioral health, Behavioral Health, Conferences and Training, evidence based practice, evidence-based practice, icce, Norway, psychotherapy, public behavioral health, Therapist Effects

Are all treatments approaches equally effective?

Bruce Wampold, Ph.D. Late yesterday, I blogged about a soon-to-be published article in Clinical Psychology Review in which the authors argue that the finding by Benish, Imel, & Wamppold (2008) of equivalence in outcomes among treatments for PTSD was due to, "bias, over-generalization, lack of transparency, and poor judgement."  Which interpretation of the evidence ...
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January 9, 2010 / behavioral health, Behavioral Health, bruce wampold, Children, continuing education, evidence-based practice, icce, post traumatic stress, Practice Based Evidence, PTSD, PTSD, public behavioral health

DODO BIRD HYPOTHESIS PROVEN FALSE! Study of PTSD finally proves Wampold, Miller, and other "common factor" proponents wrong

Researchers Anke Ehlers, Jonathon Bisson, David Clark, Mark Creamer, Steven Pilling, David Richards, Paula Schnurr, Stuart Turner, and William Yule have finally done it!  They slayed the "dodo." Not the real bird of course--that beast has been extinct since the mid to late 17th century but rather the "dodo bird" conjecture first ...
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January 8, 2010 / behavioral health, Behavioral Health, Children, continuing education, Dodo Verdict, icce, medicine, meta-analysis, post traumatic stress, public behavioral health, reimbursement

Why ongoing, formal feedback is critical for improving outcomes in healthcare

Not long ago, I had a rather lengthy email exchange with a well-known, high profile psychotherapist in the United States.  Feedback was the topic.  We both agreed that feedback was central to successful psychotherapy.   We differed, however, in terms of method.  I argued for the use of simple, standardized measures of progress and alliance (e.g., ...
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January 8, 2010 / Alliance, Behavioral Health, behavioral health, cdoi, Feedback, Feedback Informed Treatment - FIT, medicine, Norway, randomized clinical trial

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

"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 ...
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January 7, 2010 / behavioral health, continuing education, david barlow, evidence based medicine, evidence based practice, evidence-based practice, feedback, Feedback Informed Treatment - FIT, Hypertension, icce, medicine, ors, outcome measurement, outcome rating scale, post traumatic stress, Practice Based Evidence, practice-based evidence, proms, randomized clinical trial, session rating scale, srs, Training

Magical Moments in Kansas

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 ...
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January 2, 2010 / Behavioral Health, CEU, conference, Conferences and Training, excellence, expertise, Feedback, k. andersm erickson, michael ammar, psychology, Training

New Year’s Resolutions: Progress Report and Future Plans

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 ...
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January 1, 2010 / Alliance, Behavioral Health, cdoi, deliberate practice, excellence, ors, outcome rating scale, psychotherapy, sessino rating scale, srs, Therapist Effects, Top Performance, training of trainers

The Study of Excellence: A Radically New Approach to Understanding "What Works" in Behavioral Health

"What works" in therapy?  Believe it or not, that question--as simple as it is--has and continues to spark considerable debate.  For decades, the field has been divided.  On one side are those who argue that the efficacy of psychological treatments is due to specific factors (e.g., changing negative thinking patterns) inherent ...
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December 24, 2009 / Behavioral Health, brendan madden, cdoi, cognitive behavioral therapy, common factors, continuing education, david barlow, evidence based medicine, evidence based practice, Evolution of Psychotherapy, excellence, feedback, Feedback, icce, micheal lambert, ors, outcome rating scale, proms, session rating scale, srs, therapist, therapists, therapy, Top Performance
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