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scottdmiller@ talkingcure.com +1.773.454.8511

Do you know who said, "Sometimes the magic works, sometimes it doesn’t"?

April 30, 2014 By scottdm Leave a Comment

Dan George

Chief Dan George playing the role of Old Lodge Skins in the 1970 movie, “Little Big Man.”  Whether or not you’ve seen or remember the film, if you’re a practicing therapist, you know the wisdom contained in that quote.  No matter how skilled the clinician or devoted the client, “sometimes therapy works, sometimes it doesn’t.”

Evidence from randomized clinical trials indicates that, on average, clinicians achieve a reliable change–that is, a difference not attributable to chance, maturation, or measurement error–with approximately 50% of people treated.  For the most effective therapists, it’s about 70%.  Said another way, all of us fail between 30-50% of the time.

Of greater concern, however, is the finding that we don’t see the failure coming.  Hannan and colleagues (2005) found, for example, that therapists correctly predicted deterioration in only 1 of 550 people treated, despite having been told beforehand the likely percentage of their clients that would worsen and knowing they were participating in a study on the subject!

It’s one thing when “the magic doesn’t work”–nothing is 100%–but it’s an entirely different matter when we go on believing that something is working, when it’s not.  Put bluntly, we are a terminally, and forever hopeful group of professionals!

What to do?  Hannan et al. (2005) found that simple measures of progress in therapy correctly identified 90% of clients “at risk” for a negative outcome or dropout.  Other studies have found that routinely soliciting feedback from people in treatment regarding progress and their experience of the therapeutic relationship as much as doubles effectiveness while simultaneously reducing dropout and deterioration rates.

You can get two, simple, evidence-based measures for free here.   Get started by connecting with and learning from colleagues on the world’s largest, online network of clinicians: The International Center for Clinical Excellence.  It’s free and signing up takes only a minute or two.

Six FIT Manuals-1

Finally, take advantage of a special offer for the 6 Feedback Informed Treatment and Training Manuals, containing step by step instructions for using the scales to guide and improve the services you offer.  These manuals are the reason the ICCE received the perfect scores when SAMHSA reviewed and approved our application for evidence-based status.

Here’s to knowing when our “magic” is working, and when it’s not!

Filed Under: Feedback Informed Treatment - FIT Tagged With: icce, international center for cliniclal excellence, magic, outcome measurement, randomized clinical trial, therapy

Implementation Science, FIT, and the Training of Trainers

March 8, 2012 By scottdm Leave a Comment

The International Center for Clinical Excellence (ICCE) is pleased to announce the 6th annual Training of Trainers event to be held in Chicago, Illinois August 6th-10th, 2012.  As always, the ICCE TOT prepares participants provide training, consultation, and supervision to therapists, agencies, and healthcare systems in Feedback-Informed Treatment (FIT).  Attendees leave the intensive, hands-on training with detailed knowledge and skills for:

  1. Training clinicians in the Core Competencies of Feedback Informed Treatment (FIT/CDOI);
  2. Using FIT in supervision;
  3. Methods and practices for implementing FIT in agencies, group practices, and healthcare settings;.
  4. Conducting top training sessions, learning and mastery exercises, and transformational presentations.

Multiple randomized clinical trials document that implementing FIT leads to improved outcomes and retention rates while simultanesouly decreasing the cost of services.

This year’s “state of the art” faculty include: ICCE Director, Scott D. Miller, Ph.D., ICCE Training Director, Julie Tilsen, Ph.D., and special guest lecturer and ICCE Coordinator of Professional Development, Cynthia Maeschalck, M.A.

Scott Miller (Evolution 2014)

tilsencynthia-maeschalckJoin colleagues from around the world who are working to improve the quality and outcome of behavioral healthcare via the use of ongoing feedback. Space is limited.  Click here to register online today.  Last year, one participants said the training was, “truly masterful.  Seeing the connection between everything that has been orchestrated leaves me amazed at the thought, preparation, and talent that has cone into this training.”  Here’s what others had to say:

 

Filed Under: Behavioral Health, Conferences and Training, evidence-based practice, excellence, Feedback Informed Treatment - FIT Tagged With: addiction, Carl Rogers, cdoi, magic, psychometrics

Achieving Clinical Excellence Conference 2013: CALL FOR PAPERS

September 20, 2011 By scottdm Leave a Comment

Horsholm, Denmark

Spent the weekend with the planning committe for the 2013 Achieving Clinical Excellence Conference.  Committee members came in from all over the world–the USA, Romania, Holland, the UK, and Denmark–to finalize speakers, the conference venue, and mock up the logo for the conference brochure and advertizing.  Like last time, we are not only bringing in the top researchers to present the latest scientific findings, but also superior performers from a variety of vocations to inspire all of us to achieve our personal best.

Despite all the effort, a significant part of the program remains incomplete.  That part involves YOU!  The conference committee is issuing a formal “call for papers”on expertise and expert performance in the field of behavioral health.  In keeping with the theme of the conference–“Putting the Pieces Together: The Fragile Balance”–the committe is looking for presentations on:

  • Innovative strategies for improving the quality and outcome of behavioral health;
  • Research and experiences of using routine monitoring of progress and the alliance to improve retention and outcome of treatment services;
  • Principles, practices, and experiences regarding maintaining balance between professional and personal life in the achievement of clinical excellence;
  • Implementation of strategies for improving performance in agencies and systems of care
  • How professional development can improve performance of behavioral health professionals;
  • Management and leadership practices associated with superior performance in behavioral health;

Any and all papers may be submitted directly to: info@scottdmiller.com.  The conference website is also available for earlybird registration.

There are so many other developments that I hope to blog in detail about in the coming days.  In the meantime, here’s a short summary of what’s in store:

Filed Under: Conferences and Training, excellence Tagged With: holland, icce, magic

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