Efficacy of client feedback in Army Substance Abuse Outpatient Treatment Program
Schuman, Slone, Reese, and Duncan (April 2014) recently published, in the Journal of the Society for Psychotherapy Research, the results of their investigation of routine monitoring of client progress using the Partners for Change Outcome Management System (PCOMS). The study indicated that soldiers receiving treatment in an Army Substance Abuse Outpatient Treatment Program showed improved outcomes when treatment was combined with the use of PCOMS (Feedback group) compared to those who received treatment without PCOMS (Treatment-As-Usual group). The participants (N = 263) were all active-duty male and female soldiers, who were randomly assigned to either the Feedback condition (n = 137) or the Treatment-As-Usual condition (n = 126). Relative to group Treatment-As-Usual, soldiers in the Feedback condition demonstrated significantly greater improvement as measured on PCOMS' Outcome Rating Scale (ORS) (d = 0.28), higher rates of clinically significant change, a higher percentage of successful ratings by both clinicians and commanders, and were less likely to be no-shows. Despite a limited intervention and duration, the preliminary results suggest that the benefits of client feedback extend to psychotherapy for military personnel struggling with substance abuse.
The United States' Army, Navy and Air Force were all early adopters of PCOMS and today, use MyOutcomes® to track and manage the behavioral health services they provide to the dedicated men and women who serve in the U.S. Armed Forces.