Received an email from friend and colleague John Norcross, Ph.D. Attached were the results of a meta-analysis completed by Michael Lambert and Kenichi Shimokawa on Feedback-Informed Treatment (FIT) which will appear in the second edition of his book, Psychotherapy Relationships that Work (Oxford University Press). For those who cannot wait, you can access the same results in the lastest issue of the APA journal Psychotherapy (Volume 48, Number 1, March 2011, pages 72-79).
Briefly, the chapter begins with a review of the literature on feedback–a body of evidence that, by the way, dates back to 1930’s and has always shown small to moderate effects on the outcome of treatment. In reviewing studies specific to the ORS and SRS, the authors conclude, “”>the results indicated that those in the feedback group ha[ve] 3.5 times higher odds of experiencing reliable change while having less than half the odds of experiencing deterioration.” Additionally, Lambert and Shimokawa report few if any meaningful differences between therapies informed by the ORS and SRS and those using the well-established and widely used Outcome Questionnaire (OQ). Finally, and importantly, the authors note that in “busy practices…the brevity of the [ORS and SRS]…expedite and ease practical difficulties” thereby decreasing barriers to implementation.
How much more evidence will it take before feedback informed treatment becomes standard practice? All of the available data is summarized in the materials below.
Be sure and join other clinicians and researchers who are discussing FIT at the International Center for Clinical Excellence–the largest, free, web-based community dedicated to improving the quality and outcome of behavioral health.
Finally, if you are in thinking about or in the process of becoming FIT in your agency or practice, please join us at the upcoming “Training of Trainers” workshop held the first week of August. Registration is limited to 35 participants and we have only a few spots left! Here’s what attendees from last year had to say about the event…