The Relationship Between Therapist Effects and Therapy Delivery Factors: Therapy Modality, Dosage, and Non-completion

The Relationship Between Therapist Effects and Therapy Delivery Factors: Therapy Modality,... To consider the relationships between, therapist variability, therapy modality, therapeutic dose and therapy ending type and assess their effects on the variability of patient outcomes. Multilevel modeling was used to analyse a large sample of routinely collected data. Model residuals identified more and less effective therapists, controlling for case-mix. After controlling for case mix, 5.8 % of the variance in outcome was due to therapists. More sessions generally improved outcomes, by about half a point on the PHQ-9 for each additional session, while non-completion of therapy reduced the amount of pre-post change by six points. Therapy modality had little effect on outcome. Patient and service outcomes may be improved by greater focus on the variability between therapists and in keeping patients in therapy to completion. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Administration and Policy in Mental Health and Mental Health Services Research Springer Journals

The Relationship Between Therapist Effects and Therapy Delivery Factors: Therapy Modality, Dosage, and Non-completion

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Publisher
Springer US
Copyright
Copyright © 2016 by The Author(s)
Subject
Medicine & Public Health; Public Health; Health Administration; Clinical Psychology; Psychiatry; Health Informatics
ISSN
0894-587X
eISSN
1573-3289
D.O.I.
10.1007/s10488-016-0750-5
Publisher site
See Article on Publisher Site

Abstract

To consider the relationships between, therapist variability, therapy modality, therapeutic dose and therapy ending type and assess their effects on the variability of patient outcomes. Multilevel modeling was used to analyse a large sample of routinely collected data. Model residuals identified more and less effective therapists, controlling for case-mix. After controlling for case mix, 5.8 % of the variance in outcome was due to therapists. More sessions generally improved outcomes, by about half a point on the PHQ-9 for each additional session, while non-completion of therapy reduced the amount of pre-post change by six points. Therapy modality had little effect on outcome. Patient and service outcomes may be improved by greater focus on the variability between therapists and in keeping patients in therapy to completion.

Journal

Administration and Policy in Mental Health and Mental Health Services ResearchSpringer Journals

Published: Jul 16, 2016

References

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