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Evaluating the effectiveness of a continuous client feedback system for parolees referred to treatment: Benchmarking treatment outcomes.

机译:评估针对治疗假释的持续客户反馈系统的有效性:对治疗结果进行基准测试。

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摘要

Objective: The purpose of the present study was to evaluate the effectiveness of a group substance abuse program that incorporated continuous client feedback into treatment for parolees who had been referred to attend by the criminal justice system.;Method: The pre-post treatment outcomes, as measured by the Outcome Rating Scale (ORS; Miller & Duncan, 2000), of 1,112 diverse parolees participating in treatment from October 2014 to January 2015 were analyzed. The most up-to-date benchmarking methodology was utilized to compare treatment outcomes observed in the naturalistic setting with those observed in rigorous randomized controlled trials evaluating the Partners for Change Outcome Management System (Duncan, 2012, 2014; Duncan & Sparks, 2010). Two sets of benchmarks were constructed for comparison purposes: one each for the feedback and treatment as usual conditions for two studies of PCOMS in a group setting and one each for the feedback and treatment as usual conditions for all six PCOMS studies.;Results: Compared to the feedback condition benchmarks, the average treatment effect size estimate of psychotherapy for the present sample (d = 0.59) was not found to be clinically equivalent to the average effect size estimate from the two PCOMS group studies or to the effect size estimate constructed from all six PCOMS studies. In regards to treatment as usual, the effect size estimate from the present sample was found to be clinically superior to treatment as usual from all six PCOMS studies, including the two group randomized controlled trials.;Conclusions: Despite the documented success in treatment outcomes regarding the use of continuous client feedback with voluntary clients, results suggest more modest effects with individuals referred to treatment. Although not found to be equivalent with the feedback conditions from randomized controlled trials, the use of client feedback with the present sample resulted in outcomes superior to those of treatment as usual in the six PCOMS studies. Particular characteristics of offender populations that can impact psychotherapy, and potentially treatment outcomes, are discussed.;Keywords: Benchmarking, Client Feedback, Offenders, Group Psychotherapy, Referred Treatment.
机译:目的:本研究的目的是评估一项集体药物滥用计划的有效性,该计划将持续的客户反馈纳入刑事司法系统转介的假释治疗中;方法:治疗前,治疗后,根据结果​​评分量表(ORS; Miller&Duncan,2000),分析了2014年10月至2015年1月参与治疗的1,112个不同的假释者。利用最新的基准测试方法,将自然环境中观察到的治疗结果与评估变更结果管理系统合作伙伴的严格随机对照试验中观察到的结果进行比较(Duncan,2012,2014; Duncan&Sparks,2010)。出于比较目的,构建了两组基准:一组用于一组PCOMS研究中的每项研究的正常情况,分别用于反馈和治疗;对于全部六种PCOMS研究,一组中的方法用于一般情况的反馈和治疗。结果:比较根据反馈条件基准,当前样本的心理治疗平均治疗效果估计值(d = 0.59)在临床上与两个PCOMS组研究的平均效果估计值或从所有六个PCOMS研究。关于常规治疗,从所有六个PCOMS研究(包括两组随机对照试验)中发现,本样本的效果估计值在临床上均优于常规治疗;结论:尽管在治疗结局方面有文献记载成功通过与自愿客户进行持续的客户反馈,结果表明对治疗对象的影响较小。尽管未发现与来自随机对照试验的反馈条件相同,但在本样本中使用客户反馈所产生的结果优于六项PCOMS研究中的常规治疗结果。讨论了可能影响心理治疗并可能影响治疗结果的罪犯群体的特殊特征。关键词:基准,客户反馈,罪犯,团体心理治疗,推荐治疗。

著录项

  • 作者

    Grossl, Alyssa B.;

  • 作者单位

    University of Kentucky.;

  • 授予单位 University of Kentucky.;
  • 学科 Counseling Psychology.;Criminology.
  • 学位 Ph.D.
  • 年度 2016
  • 页码 139 p.
  • 总页数 139
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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