1. Subject Area: Solution-Focused /Client-Directed Therapy - Iowa ...

4. Subject Area: Solution-Focused /Client-Directed Brief Therapy/Brief InterventionsIs it Time for Clinicians to Routinely Track Patient Outcome? A Meta-Analysis.Author/sIndividualized or GroupIntervention?Outcome/sMeasuresSubjects Info Randomized ControlledTrial?Lambert, Whipple, N/ANo.HawkinsMultipleoutcomes in ameta-analysisof patientfocusedresearchsystems.Clients aremonitored andscales are used todetermine risk oftermination.Generalizable to Iowa?Yes. Could benefitretention and engagementneeds for providers.CitationLambert, M. J., Whipple, J. L., Hawkins, E. J., & et al. (2003). Is it time for clinicians to routinely track patient outcome? A meta-analysis. Clinical Psychology:Science and Practice, 10(3), 288-301.Abstract/Results/Notes: Lambert supported Scott Miller’s client-directed model. Patient-focused research systems monitor and feed back data about a patient’sprogress during therapy to enhance outcomes. A review of three larger-scale psychotherapeutic studies suggested that formally monitoringpatient progress has a significant impact on clients who show poor treatment response in early sessions. Once poor response is identifieddeterioration of that response can be reduced and treatment outcomes can be improved. The monitoring questionnaires are formal and structuredand indicate when changes need to happen in the client-clinician relationship to avoid termination from treatment.