1 / 21

Counseling Outcomes

Counseling Outcomes. Achieving Success with Clients. Abuse/Addiction Mental Health Issues Depression Anxiety Sleep Disorders Sexual Issues Cognitive Problems Eating Disorders Personality Disorders Psychotic Disorders. Career Development Crisis Intervention Stress

ami
Download Presentation

Counseling Outcomes

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Counseling Outcomes Achieving Success with Clients

  2. Abuse/Addiction Mental Health Issues Depression Anxiety Sleep Disorders Sexual Issues Cognitive Problems Eating Disorders Personality Disorders Psychotic Disorders Career Development Crisis Intervention Stress Athletic performance Relationship Issues Death/Grief Issues School/Educational problems Developmental Issues Why do people seek counseling?

  3. The problem… is not always the problem.

  4. Linking Process to Outcomes Process Outcomes

  5. Why are outcomes important? • Provide evidence that therapy is beneficial and is working • Guide therapy process • Increasingly being required by payees • Can assist in seeking additional funding • Competitive advantage

  6. Examples of outcomes? • Days abstinent from substance abuse • Number of continuous days without hospitalization (psychotic or bipolar patient) • Employment • Developmental maturity • Homeless to having housing • Measures: QOL, OQ45, SCL-90, BDI Measurable, Time-Bounded, Reasonable

  7. Goals of Most Therapy Relationships are Linked to Outcomes • Crisis stabilization • Symptom reduction • Long-term pattern change • Maintenance of change, stabilization, prevention of relapse • Self-exploration • Development of coping strategies to handle future problems

  8. Process Process Outcomes

  9. Tools of Therapy • Relationship skills • Activation of the patient’s observing self • Knowledge of basic patterns of psychological difficulties • Inductive reasoning • Persuasion Bernard Beitman (1997) Psychiatric Times, VOL. XIV, Issue 4

  10. Processes of Change • Covert and overt activities that people use to progress through the stages of change. • Ten processes have received the most empirical support. • First five are classified as experiential processes and used for the early stage transitions. The last five are labeled behavioral processes and used in the later stages.

  11. Experiential Processes • Consciousness Raising (Increasing awareness) I recall information people had given me on how to stop smoking • Dramatic Relief (Emotional arousal) I react emotionally to warnings about smoking • Environmental Reevaluation (Social reappraisal) I consider the view that smoking can be harmful to the environment • Social Liberation (Environmental opportunities) I find society changing in ways that make it easier for the nonsmoker • Self Reevaluation (Self reappraisal) My dependency on cigarettes makes me feel disappointed in myself

  12. Behavioral Processes • Stimulus Control (Re-engineering) I remove things from my home that remind me of smoking • Helping Relationships (Supporting) I have someone who listens when I need to talk about my smoking • Counter Conditioning (Substituting) I find that doing other things with my hands is a good substitute for smoking • Reinforcement Management (Rewarding) I reward myself when I don’t smoke • Self Liberation (Committing) I make commitments not to smoke

  13. Process Outcomes Outcomes

  14. Major Patient Outcome Variables • Client readiness to change • Symptom type, severity and chronicity • Strength of the working alliance • Number of sessions • Patient strengths/limitations • Patient courage

  15. Other effects including client differences Specific effects due to the specific ingredients of a given therapy What Influences Outcome? General effects due to factors common to all therapies 22% 70% 8% Wampold, BE (2001). The Great Psychotherapy Debate: Models, Methods, and Findings. Mahway, NJ: Lawrence Erlbaum Associates.

  16. What really matters…

  17. Hope and Expectancy 1. Therapist credibility 2. Client-model fit 3. Future focus Extratherapeutic Factors 1. Client factors 2. Chance events 15% 40% 15% Model and Technique 1. Structure/focus 2. Extra-therapeutic focus 3. Encourage responsibility 4. Empowerment/self-efficacy 5. Novelty 30% Relationship Factors 1. Client participation 2. Therapeutic alliance 3. Collaboration (vs. dictation) 40 Years of Outcome Data www.talkingcure.com

  18. Focusing • Eugene Gendlin • 1978

  19. What is Focusing? • Mode of inward bodily attention • Occurs exactly at the interface of body-mind • Specific steps for getting a body sense of how you are in a particular life situation • Body sense is unclear at first, but eventually a felt shift in the body will occur • Over 100 research studies showing the six steps are teachable

  20. Six Steps to Focusing • Clearing a space • Felt sense • Handle • Resonating • Asking • Receiving

  21. Final Thought: In once-weekly therapy, there are 167 hours outside of the therapists’ office.

More Related