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

What’s disturbing Mental Health? Opportunities Lost

November 29, 2011 By scottdm Leave a Comment

In a word, paperwork.  Take a look at the book pictured above.  That massive tome on the left is the 2011 edition of “Laws and Regulations” governing mental health practice in the state of California.  Talk about red tape!  Hundreds and hundreds of pages of statutes informing, guiding, restricting, and regulating the “talking cure.”  Now, on top of that, layer federal and third party payer policies and paperwork and you end up with…lost opportunities.  Many lost opportunities.  Indeed, as pointed out in our recent article, The Road to Mastery, as much as 30% of clinicians time is spent completing paperwork required by various funding bodies and regulatory agencies.  THIRTY PERCENT.  Time and money that could be spent much more productively serving people with mental health needs. Time and money that could be spent on improving treatment facilities and training of behavioral health professionals.  In the latest edition of our book, The Heart and Soul of Change, authors Bob Bohanske and Michael Franczak described their struggle to bring sanity to the paperwork required in public mental health service settings in the state of Arizona.  “The forms needed to obtain a marriage certificate, buy a new home, lease an automobile, apply for a passport, open a bank account, and die of natural causes were assembled,” they wrote, “…and altogether weighed 1.4 ounces.  By contrast, the paperwork required for enrolling a single mother in counseling to talk about difficulties her child was experiencing at school came in at 1.25 pounds” (p. 300).  What gives?

The time has come to confront the unpleasant reality and say it outloud: regulation has lost touch with reality.  Ostensibly, the goal of paperwork and oversight procedures is to improve accountability.  In these evidence-based times, that leads me to say, “show me the data.”  Consider the wide-spread practice–mandate, in most instances–of treatment planning. Simply put, it is less science than science fiction.  Perhaps this practice improves outcomes in a galaxy far, far away but on planet Earth, supporting evidence is spare to non-existent (see the review in The Heart and Soul of Change, 2nd Edition).

No amount of medication will resolve this craziness.  Perhaps a hefty dose of CBT might do some good identifying and correcting the distoreted thinking that has led to this current state of affairs.  Whatever happens, the field needs an alternative.  What practice not only insures accountability but simultaneously improves the quality and outcome of behavioral health services?  Routine outcome measurement and feedback (ROMFb).  As I’ve blogged about several times, numerous RCT’s document increased effectiveness and efficiency and decreased costs and rates of deterioration.   Simply put, as the slide below summarizes, everybody wins.  Clinicians.  Consumers.  Payers.
Everybody wins

Learn about or deepen your knowledge of feedback-informed treatment (FIT) by attending the upcoming “Advanced Intensive” workshop in March 2012; specfically, the 19th-22nd.  We will have four magical days together.  Space is filling rapidly, so register now.  And then, at the end of the last day of the training, fly to Washington, D.C. to finish off the week by attending the Psychotherapy Networker conference.  Excellence is front and center at the event and I’ve been asked to do the keynote on the subject on the first day!

Filed Under: Behavioral Health, Conferences and Training, Feedback Informed Treatment - FIT Tagged With: bob bohanske, counselling, mental health, michael franczak, The Heart and Soul of Change

SEARCH

Subscribe for updates from my blog.

loader

Email Address*

Name

Upcoming Training

Oct
01

Training of Trainers 2025


Nov
20

FIT Implementation Intensive 2025

FIT Software tools

FIT Software tools

LinkedIn

Topics of Interest:

  • Behavioral Health (112)
  • behavioral health (5)
  • Brain-based Research (2)
  • CDOI (14)
  • Conferences and Training (67)
  • deliberate practice (31)
  • Dodo Verdict (9)
  • Drug and Alcohol (3)
  • evidence-based practice (67)
  • excellence (63)
  • Feedback (40)
  • Feedback Informed Treatment – FIT (246)
  • FIT (29)
  • FIT Software Tools (12)
  • ICCE (26)
  • Implementation (7)
  • medication adherence (3)
  • obesity (1)
  • PCOMS (11)
  • Practice Based Evidence (39)
  • PTSD (4)
  • Suicide (1)
  • supervision (1)
  • Termination (1)
  • Therapeutic Relationship (9)
  • Top Performance (40)

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

  • 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
  • himalayan on Do certain people respond better to specific forms of psychotherapy?

Tags

addiction Alliance behavioral health brief therapy Carl Rogers CBT cdoi common factors conferences continuing education denmark evidence based medicine evidence based practice Evolution of Psychotherapy excellence feedback feedback informed treatment healthcare holland 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