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Top Performance Blog

"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

Holidays and Suicide: Tis’ the Season NOT!

The notion that suicides increase during the holiday season is as traditional as "Santa Claus"--and, according to statistics dating back at least a decade, just as illusory.  In fact, research actually shows suicide rates to be the lowest in December!  According to Dan Romer, a researcher at the Annenberg Public ...
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December 21, 2009 / Behavioral Health, british medical hournal, cdoi, dan romer, healthcare, rick oliver, Suicide, suicide

The Effects of Feedback on Medication Compliance and Outcome: The University of Pittsburgh Study

A number of years ago, I was conducting a workshop in Pittsburgh.  At some point during the training, I met Dr. Jan Pringle, the director of the Program Evaluation Research Unit in the School of Pharmacy at the University of Pittsburgh. Jan had an idea: use outcome feedback to improve ...
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December 18, 2009 / Behavioral Health, Feedback Informed Treatment - FIT, jan pringle, medication adherence, michael melczak, ors, outcome rating scale, pharmacy, session rating scale, srs

The Evolution of Psychotherapy: Meeting Michael Hoyt

I'm still reeling from the experience in Anaheim this last week.  I met so many leaders in the field, heard so many presentations on cutting edge clinical practice--as well as was reminded of some "classic" principles of effective psychotherapy. One of the people I met was colleague and friend, Michael ...
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December 16, 2009 / Behavioral Health, Brief Psychotherapies: Principles & Practice, brief therapy, Conferences and Training, constructive therapy, couples therapy, Evolution of Psychotherapy, excellence, Feedback, icce, managed care, Michael F. Hoyt, The Present is a Gift

Five Incredible Days in Anaheim

From December 9-13th, eight thousand five hundred mental health practitioners, from countries around the globe, gathered in Anaheim, California to attend the "Evolution of Psychotherapy" conference.  Held every five years since 1985, the conference started big and has grown only larger.  "Only a few places in the US can accommodate such a ...
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December 15, 2009 / Acheiving Clinical Excellence, Behavioral Health, brendan madden, Conferences and Training, david barlow, Don Meichenbaum, evidence based practice, Evolution of Psychotherapy, excellence, icce, ICCE, Jeff Zeig, jeffrey K. zeig, Marsha Linnehan, mental health, psychotherapy, Steve Hayes

Evolution of Psychotherapy and the International Center for Clinical Excellence

Dateline: Chicago, Illinois December 7, 2009 I've just finished packing my bags and am heading for the airport.  Tomorrow the "Evolution of Psychotherapy" begins.  Nearly 25 years after volunteering at the first "Evolution" conference, I'm back a second time to present.  Tomorrow, I'll be talking about "Achieving Clinical Excellence."  ...
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December 9, 2009 / achieving clinical excellence, Conferences and Training, david barlow, Don Meichenbaum, Evolution of Psychotherapy, excellence, ICCE, Marsha Linnehan, psychotherapy

Climate Change in Denmark

Hans Christian Andersen, the author of such classic stories as The Ugly Duckling and the Emperor's New Clothes, once wrote, "Life itself is the most wonderful fairy tale of all."  That sentiment is certainly true of my own life.  For the last 16 years, I've been privileged to travel around the world conducting training and ...
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December 5, 2009 / Behavioral Health, cdoi, Danish Psychological Association, denmark, excellence, Feedback Informed Treatment - FIT, icce, international center for cliniclal excellence, ors, outcome rating scale, practice-based evidence, session rating scale, srs, supershrinks

Outcomes in OZ III

Dateline: November 28, 2009 Brisbane, Australia Crown Plaza Hotel Pelican Waters Golf Resort & Spa As their name implies, LifeLine Australia is the group people call when they need a helping hand.  During the last leg of my tour of eastern Australia, I was lucky enough to spend two days working with ...
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December 4, 2009 / australia, Behavioral Health, CDOI, evidence-based practice, Feedback Informed Treatment - FIT, Implementation, lifeline community care, mental health

Outcomes in Oz II

Sitting in my hotel room in Brisbane, Australia.  It's beautiful here: white, sandy beaches and temperatures hovering around 80 degrees.  Can't say that I'll be enjoying the sunny weather much.  Tomorrow I'll be speaking to a group of 135+ practitioners about "Supershrinks."  I leave for home on Saturday.  While it's ...
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November 25, 2009 / australia, Behavioral Health, evidence based medicine, evidence based practice, New Zealand, supershrinks, Top Performance
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