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Room for Improvement: Feedback Informed Treatment and the Therapeutic Relationship

May 10, 2015 By scottdm 8 Comments

My Scandinavian Grandmother Christina was fond of saying, “The room for improvement…is the biggest one in our house.”

Turns out, when it comes to engaging people in physical and mental health services, Grandma was right.  We healthcare professionals can do better—and recent research points the way.

Stanford psychologists Sims and Tsai found that recipients of care both choose, and are more likely to follow the recommendations of, healthcare providers who match how they ideally want to feel.   People who valued feeling excitement, for example, were more likely to choose a professional who promoted excitement and vice versa.

Bottom line?  Making the helping relationship FIT how people want to feel—their goals, values, and preferences—improves engagement and effectiveness.

Tailoring services in the manner suggested by Sims and Tsai is precisely what Feedback-Informed Treatment (FIT) is all about.  Two simple scales—the Outcome and Session Ratings Scales—facilitate this process, enabling helping professionals to assess and adjust treatment in real time to improve the FIT.

Overwhelmed by paperwork?  No worries.  As I have written about in previous blogposts (1, 2), several web-based and electronic solutions exist that make integration a snap.  The pioneer–the very first to come online–is MyOutcomes.

MYO

Since coming on the scene, the owners have doggedly sought feedback from users, working steadily to provide a system that maximizes practitioners’ effectiveness.  The latest version is packed full of goodies, including a mobile app and the ability to have clients provide feedback remotely (e.g., home, between visits, etc.).  Watch the video below to get a more comprehensive overview of its many features.

I’m also proud to say that the parent company of MyOutcomes has partnered with the International Center for Clinical Excellence to create the first online training on Feedback-Informed Treatment.   Importantly, the FIT E-learning program is not another webinar.  It is a true online classroom, complete with video instruction and an intuitive software interface that tailors learning and mastery to the individual user.

Together, the ORS and SRS, FIT E-learning, and MyOutcomes make “the room for improvement” a much less daunting, even enjoyable, undertaking.

I can almost see my Granma Stina smiling!

Until next time,

Scott

Scott D. Miller, Ph.D.
International Center for Clinical Excellence

P.S.:  We still have a few spots open for our FIT Implementation and FIT Ethics courses coming up in August. Don’t wait.  The number of participants is limited and both courses fill about two months in advance!

ethical 2Fit IMP

 

Filed Under: Feedback, Feedback Informed Treatment - FIT, FIT Software Tools, ICCE

Comments

  1. Cliff Anderson says

    May 11, 2015 at 1:00 am

    Dr. Miller – Thanks for highlighting yet another useful piece of research.

    Dr. Tsai and the good folks at Stanford’s Culture and Emotion Lab have a great web page with this article and a number of others available for free PDF download.

    And if your Granma Stina’s as thrifty as my Nana Anderson, they’d both be smiling at the cost.

    Reply
    • scottdm says

      May 11, 2015 at 10:49 am

      Exactly!

      Reply
  2. Annette says

    May 11, 2015 at 1:29 am

    Thanks Scott. I was present here in Michigan some years ago where you presented on ORS, (paper work and waste on mental health: Mental Health alert: NO CHANGES)and the reality of the importance of the first 6 weeks of therapy in making change. :I KNEW this. If only it was applied in foster care and probation, two professions I held in which I observed this dynamic. Love your work. -Annette

    Reply
    • scottdm says

      May 11, 2015 at 10:49 am

      Thanks Annette! Hope to be back in MI sometime in the future!

      Reply
  3. don quick says

    May 11, 2015 at 2:42 am

    i’m not practising currently but please keep me updated

    Reply
  4. Catherine Barber says

    May 12, 2015 at 5:26 pm

    Although I am not a clinician, I manage a homeless shelter and find that much of your work and information greatly helpful with our client, most of whom have, at minimum, trauma and oftern substance abuse and mental health issues…Thanks!

    Reply
    • scottdm says

      May 19, 2015 at 9:11 pm

      Thanks so much for your comment and kind words Catherine!

      Reply

Trackbacks

  1. Therapy | Pearltrees says:
    May 11, 2015 at 1:12 am

    […] Room for Improvement: Feedback Informed Treatment and the Therapeutic Relationship. My Scandinavian Grandmother Christina was fond of saying, “The room for improvement…is the biggest one in our house.” […]

    Reply

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