A clinic director recently sent in the following question: “These measures claim to improve therapist skills, yet there has been a recent study showing that therapists did not learn from the feedback on the two measures (ORS and SRS) and did not improve their skills.
How do you explain this?” To save some time, I went to the source of many of the articles and posts discussing these head-scratching study results and asked him for his thoughts: Here is Dr. Scott Miller’s unedited response to the inquirer: “Thanks so much for your note and for paying attention. You are absolutely right. Using the measures does not improve individual therapist ability. I’ve blogged about this several times and written several articles as well (available for free on my website). “That said, routine outcome monitoring (ROM) DOES improve outcome and retention in treatment. The research is equally clear on this subject. So, ROM is the first step, and a crucial one. “To develop as a clinician, however, two additional steps are required: first, the identification of therapeutic process errors; and, second, deliberate practice. I’ve written about both of these subjects in two articles available on my website (‘Supershrinks’ and ‘The Road to Mastery’). We also have a series of state-of-the-art manuals that outline this process. If you’d like to dive into this subject, I can recommend joining the ICCE, the largest Web-based community of mental-health professionals in the world dedicated to feedback- informed work. It’s free! And best of all, no self-promotion or advertisements.
“One of the most admirable things about Scott is his willingness to listen to the data and to revise his assumptions and assertions accordingly. The development and client support team at MyOutcomes is similarly committed to updating and improving our product and services as new evidence and best practices emerge. Together, we’ll work with you to ensure you always get the most up-to-date advancements in outcome-informed therapy.
Category: Feedback Informed Treatment