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

The New Average: Meeting the Need to Exceed

February 10, 2012 By scottdm Leave a Comment

No matter where you look,good is no longer “good enough.”  In a recent article in the New York Times, author and trend watcher, Thomas L. Friedman, declared, “Average is Over.”  It’s an argument similar to the one made over a decade ago by Robert Reich, former Secretary of Labor under Bill Clinton, in his phenomenally prescient book The Future of Success.  I read it at the time with a mixture of apprehension and anticipation.  Globalization and advances in information technology were then and are now challenging the status quo.  At one time, being average enabled one to live an average life, live in an average neighborhood and, most importantly, earn an average living.  Not so anymore.

Average is now plentiful, easily accessible, and cheap.  What technology can’t do in either an average or better way, a younger, less-trained but equally effective provider can do for less. A variety of computer programs and web-based systems provide both psychological advice and treatment.  (By the way, studies to date document outcomes equal to face-to-face services for at least the most common mental health related issues).  At the same time, as reviewed here previously on this blog, the evidence again and again shows no difference in outcome between professionally trained clinicians and students or paraprofessionals.  Uh-oh.

What is the solution?  Friedman says, “everyone needs to find their extra–their unique value contribution that makes them stand out in whatever is their field.”  Yeah, exactly.  As my father used to say, “Do your best and then a little better.  What can behavioral health professionals do to stand out?  Well, if you are trained, licensed or certified, practicing evidence-based, know the latest methods and research findings, and understand how the brain works, then you are, in a word, average.  Going forward, standing out will require evidence that you are effective; measures documenting not only who you help but identifying those you do not.  Professional development will be less about learning a new method than documenting what you do to “do your best and then a little better.”

Helping clincians stand out is what the ICCE is all about.  Everyday, thousands meet online to learn, share, and support each other in both measuring and improving the impact of their clinical work.  Each year, the ICCE offers two intensive training opportunities: The Advanced Intensive and the Training of Trainers.  Both events are designed to help professionals achieve their personal best.  The Training of Trainers is specifically designed for participants, such as supervisors, managers, and agency directors, who wish to train others or transform public or private agencies for achieving success.   The Advanced Intensive scheduled for March is sold out.  By popular demand, we are offering an unprecedented second opportunity to attend the Advanced Intensive this summer.  Don’t wait to register.  Despite only announcing this event last week, half of the seats are already booked.  Either event will insure that you have the tools and skills necessary to meet the need to exceed.  Email us with any questions at: training@centerforclinicalexcellence.com.

(By the way, if you are interested, you catch watch a clip of Friedman delivering his message to the Hudson Society here).

Filed Under: Behavioral Health, Conferences and Training, excellence, Top Performance Tagged With: icce, Thomas Friedman, training of trainers

New Year’s Resolutions: Progress Report and Future Plans

January 1, 2010 By scottdm Leave a Comment

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 on the common factors?

“What about the ORS and SRS?” and was I abandoning the field and pursue magic as a profession?”

Seriously.

The answer to all of the questions was, of course, an emphatic “NO!”  At the same time, I recognized that I’d reached an empirical precipice–or, stated more accurately, dead end.  The common factors, while explaining why therapy works did not and could never tell us how to work.  And while seeking and obtaining ongoing feedback (via the ORS and SRS) had proven successful in boosting treatment outcomes, there was no evidence that the practice had a lasting impact on the professionals providing the service.

Understanding how to improve my performance as a clinician has, as is true of many therapists, been a goal and passion from the earliest days of my career.  The vast literature on expertise and expert performance appeared to provide the answers I’d long sought.   In fields as diverse as music and medicine, researchers had identified specific principles and methods associated with superior performance.  On January 2nd, 2009, I vowed to apply what I was learning to, “a subject I know nothing about…put[ting] into practice the insights gleaned from the study of expertise and expert performance.”

The subject? Magic (and the ukulele).

How have I done?  Definitely better than average I can say.  In a column written by Barbara Brotman in today’s Chicago Tribune, psychologist Janine Gauthier notes that while 45% of people make New Year’s resolutions, only 8% actually keep them!  I’m a solid 50%.  I am still studying and learning magic–as attendees at the 2009 “Training of Trainers” and my other workshops can testify.  The uke is another story, however.  To paraphrase 1988 Democratic vice-presidential candidate, Lloyd Bentsen , “I know great ukulele players, and Scott, you are no Jake Shimabukuro.”

I first saw Jake Shimabukuro play the ukulele at a concert in Hawaii.  I was in the islands working with behavioral health professionals in the military (Watch the video below and tell me if it doesn’t sound like more than one instrument is playing even though Jake is the only one pictured).

Interestingly, the reasons for my success with one and failure with the other are as simple and straightforward as the principles and practices that researchers say account for superior (and inferior) performance.  I promise to lay out these findings, along with my experiences, over the next several weeks.  If you are about to make a New Year’s resolution, let me give you step numero uno: make sure your goal/resolution is realistic.  I know, I know…how mundane.  And yet, while I’ve lectured extensively about the relationship between goal-setting and successful psychotherapy for over 15 years, my reading about expert performance combined with my attempts to master two novel skills, has made me aware of aspects I never knew about or considered before.

Anyway, stay tuned for more.  In the meantime, just for fun, take a look at the video below from master magician Bill Malone.  The effect he is performing is called, “Sam the Bellhop.”  I’ve been practicing this routine since early summer, using what I’ve learned from my study of the literature on expertise to master the effect (Ask me to perform it for you on break if you happen to be in attendance at one of my upcoming workshops).

Filed Under: Behavioral Health, deliberate practice, excellence, Top Performance Tagged With: Alliance, cdoi, ors, outcome rating scale, psychotherapy, sessino rating scale, srs, Therapist Effects, training of trainers

SEARCH

Subscribe for updates from my blog.

loader

Email Address*

Name

Upcoming Training

Jun
03

Feedback Informed Treatment (FIT) Intensive ONLINE


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

  • Bea Lopez on The Cryptonite of Behavioral Health: Making Mistakes
  • Anshuman Rawat on Integrity versus Despair
  • Transparency In Therapy and In Life - Mindfully Alive on How Does Feedback Informed Treatment Work? I’m Not Surprised
  • scottdm on Simple, not Easy: Using the ORS and SRS Effectively
  • arthur goulooze on Simple, not Easy: Using the ORS and SRS Effectively

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