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A lab test and algorithms for identifying clients at risk for treatment failure
Author(s) -
Hannan Corinne,
Lambert Michael J.,
Harmon Cory,
Nielsen Stevan Lars,
Smart David W.,
Shimokawa Kenichi,
Sutton Scott W.
Publication year - 2005
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.20108
Subject(s) - session (web analytics) , test (biology) , psychological intervention , psychology , psychotherapist , clinical psychology , applied psychology , computer science , psychiatry , world wide web , paleontology , biology
Many branches of medicine rely heavily on lab tests to monitor client treatment response and use this information to modify their treatment. By contrast, those who offer psychological interventions seldom rely on formal assessments (lab tests) to monitor their clients' response to treatment. Data are presented that demonstrate that clinicians rarely accurately predict who will not benefit from psychotherapy. This finding is contrasted with the use of a questionnaire (lab test data) and decision rules on the basis of a client's expected progress. Results have indicated that formal methods of monitoring were able to identify 100% of the patients whose condition had deteriorated at termination, and 85% by the time they had attended three treatment sessions. Practitioners are encouraged to consider formal methods of identifying the deteriorating client. © 2004 Wiley Periodicals, Inc. J Clin Psychol/In Session.