A client treatment matching protocol offers a framework for selecting the most appropriate solution for those hoping to escape addition. It involves using questionnaires and other measurement tools to determine the characteristics of the individual.
How do you match clients with therapists?
· Client treatment matching involves matching the client to the solution that best suits their situation and personal characteristics. The Need for Client Treatment Matching In the past it was usual to assign addicts to treatment programs without …
Should racial/ethnically matched clients benefit equally from therapy?
Patient-Treatment Matching. For several decades it has been suggested that matching alcoholic patients to treatments based on their particular characteristics may have the potential to improve alcoholism treatment outcomes. This idea developed from observations that alcoholics differ and that while many benefit from treatment, no single ...
What is the client-centered approach to therapy?
Project MATCH is a multisite clinical trial designed to test a series of a priori hypotheses on how patient-treatment interactions relate to outcome. Two independent but parallel matching studies are being conducted, one with clients recruited from outpatient settings, the other with patients receiving aftercare treatment following inpatient care.
Do client-therapist ethnicity and gender matching predict outcome at practicum training clinics?
Abstract. Across several decades the effects of matching clients with therapists of the same race/ethnicity have been explored using a variety of approaches. We conducted a meta-analysis of 3 variables frequently used in research on racial/ethnic matching: individuals' preferences for a therapist of their own race/ethnicity, clients' perceptions of therapists across racial/ethnic …
How can matching alcoholics to treatment improve outcomes?
For several decades it has been suggested that matching alcoholic patients to treatments based on their particular characteristics may have the potential to improve alcoholism treatment outcomes. This idea developed from observations that alcoholics differ and that while many benefit from treatment, no single treatment has been shown to be effective for all. In fact, in many areas of medicine, matching patients to treatments on the basis of patient characteristics is widely practiced; for example, patients with a cancer diagnosis may be matched to surgery, radiation, or chemotherapy.
How many patients were recruited in the alcoholic treatment trial?
A total of 1,726 patients were recruited at treatment facilities throughout the United States, making this the largest clinical trial of psychotherapies undertaken to date. Twenty-five percent of the patients were women, and 15 percent were from minority populations. There were two parallel arms representing the two major venues of treatment for alcoholic patients: an "outpatient" arm, with patients recruited directly from the community, and an "aftercare" arm, consisting of patients who had just completed an inpatient or intensive day hospital treatment (9).
What is TSF therapy?
All patients were randomly assigned to one of three treatments: Twelve-Step Facilitation (TSF), Cognitive-Behavioral Therapy (CBT), or Motivational Enhancement Therapy (MET). These treatments were selected because they showed potential for matching, promising outcomes, and utility in clinical situations. TSF consisted of 12 weekly sessions in which the therapist encouraged patients to attend and become involved in the traditional fellowship activities of Alcoholics Anonymous (AA) and to introduce the first 5 of the 12 steps. Involvement in AA included finding a sponsor, attending meetings regularly, and reading AA material. TSF was an approach designed specifically for Project MATCH. Although grounded in the 12-Step principles, it was a professionally delivered, individual therapy different from the usual peer-organized AA meetings and was not intended to duplicate or substitute for traditional AA. In CBT, therapists taught and coached skills to enable patients to cope with situations and emotional states known to precipitate relapse. Patients practiced drink-refusal skills, learned to manage negative moods, and learned to cope with urges to drink in 12 weekly sessions. MET therapists used techniques of motivational psychology and, rather than training the patients in particular skills, encouraged individuals to consider their situation and the effect of alcohol on their life, develop a plan to stop drinking, and implement the plan. MET consisted of four sessions over the course of 12 weeks (9,10).
Is coping skills training better than interactional therapy?
For example, Kadden and colleagues (2) found that coping-skills training was more effective than interactional therapy at the end of 6 months of treatment in preventing relapse among patients with more psychiatric problems or higher in a rating of sociopathy. These patients were followed for an additional 18 months after treatment, and these matches were still present at the end of this followup period (3). Contrary to their expectations, the researchers found that patients with cognitive impairment had better outcomes when treated with interactional therapy than with coping-skills training. In addition, Kadden and colleagues (5) found that patients who reported less anxiety and fewer urges to drink during their first skills training session experienced better outcomes with interactional therapy than with coping-skills training. Conversely, those who reported more anxiety or more urges to drink experienced better outcomes with coping-skills training than with interactional therapy (5).
What is client centered therapy?
What Is Client-Centered Therapy? Client-centered therapy, also known as person-centered therapy or Rogerian therapy, is a non-directive form of talk therapy developed by humanist psychologist Carl Rogers during the 1940s and 1950s.
Why did Rogers use the term "client" instead of "patient"?
By using "client" instead, Rogers emphasized the importance of the individual in seeking assistance, controlling their destiny, and overcoming their difficulties.
How can a therapist help you with internal experiences?
By modeling genuineness and congruence , your therapist can help teach you these important skills.
What are the three techniques that therapists use to help clients grow psychologically?
Genuineness and congruence. Unconditional positive regard. Empathetic understanding. By using these three techniques, therapists can help clients grow psychologically, become more self-aware, and change their behavior via self-direction. In this type of environment, a client feels safe and free from judgment.
What does a therapist do in therapy?
Throughout treatment, your therapist will encourage you to step into an equal role. They may reflect what you say back to you to make sure they understand the thoughts and feelings you're expressing. Overall, you'll be encouraged to explore the issues that are important to you, with your therapist offering support along the way.
What does a therapist do during a therapy session?
Your therapist will also practice empathy during sessions, acting as a mirror of your feelings and thoughts. They will seek to understand you and maintain an awareness and sensitivity to your experience and your point of view.
What did Rogers call his therapy?
Initially, Rogers called his technique "non-directive therapy." Much like psychoanalyst Sigmund Freud, Rogers believed that the therapeutic relationship could lead to insights and lasting changes in clients.
Who was the first person to emphasize the importance of engaging a client in therapy?
Carl Rogers was one of the first persons who emphasized the importance of engaging a client in therapy. His article in the Journal of Consulting Psychology mentioned that sustaining clients’ focus in the counseling sessions require:
What is the importance of a treatment engagement plan?
A healthy treatment engagement plan in such cases can lead to better prognosis of the psychopathology and help the client address his issues with more reality orientation. While several factors influence the effectiveness of the engagement plan, one of the most critical factors is treatment entry.
What is the outcome of psychotherapy?
The outcome of psychotherapy is mostly dependent on the quality of the relationship between the therapist and the client. Any form of therapy requires self-disclosure from the client’s end and an immense commitment to bringing about the desired change. Client engagement or treatment engagement in psychotherapy is one of ...
What is the best way to make a client feel welcome?
While basic as it may sound, beginning and ending the session with warm greetings and goodbyes is an excellent way to make the client feel welcome and cared.
What is client engagement model?
The Client Engagement Model helps us in understanding the dynamics of therapeutic alliance and how it affects the upshot of therapy. Although it is mainly used in the corporate sectors, the principles of this model hold for therapeutic settings as well.
Why is it important to discuss intervention strategies at the beginning and end?
Discussing the intervention strategy and techniques at the beginning and the end is a good step for ensuring client engagement. It helps the client to understand the road map and have something to look forward to.
Why is music important in therapy?
It bridges the gap between verbal and nonverbal communication (Slyter, 2012). Using music in therapy is, by far, one of the most reliable and effective strategies for sustaining client engagement in treatment (Veach & Gladding, 2006).
How is similarity determined in multimodal therapy?
Clients were evaluated with the Brief Symptom Inventory (BSI) after sessions 1 and 12 to determine psychotherapy outcome. Similarity was determined by computing D″2statistics on therapists' and clients' responses to the Structural Profile Inventory (SPI). Similarity on the SPI predicted psychotherapy outcome, showing a statistically significant relationship with the Global Severity Index of the BSI.
Why were family and marital therapy clients not recruited?
Only clients 18 years or age or older were recruited for participation. Family and marital therapy clients were not recruited, so as to optimize concentration on the interactions between therapists and individual therapy clients. Each therapist was asked to participate only once with one individual client.
Why is dissimilarity important in psychotherapy?
For education to be effective, the “student” must be presented with some information that is new or that is presented in a different way. In psychotherapy, clients must be able to learn something novel and different from their therapists that they would not ordinarily learn on their own . Therefore, therapists who are too similar to their clients will be unable to present a different perspective or any new learning .12Even studies that have shown the importance of client–therapist similarity have demonstrated that extreme similarity appears to be a deterrent to successful psychotherapeutic outcome for precisely this reason.7
What is the mean SD for a therapist?
Descriptively, therapist–client similarity scores (SPI D-scores corrected for elevation and scatter) were found to range from 1.11 to 4.89 (mean = 3.50, SD = 1.02), with larger numbers signifying greater differences between therapists and clients in modality functioning. Mathematically, the largest difference (D″2) possible between two individuals on the SPI is 5.29.
How does psychotherapy work?
Regardless of the therapist's philosophical orientation, it is the application of administered techniques that results in change and symptomatic relief. These techniques must be communicated and perceived in order for them to have any true efficacy. Techniques can be administered (and perceived) by only two means: verbally and behaviorally. Similarity of modality structure between therapists and clients has already been demonstrated to be an important predictor of the establishment of rapport in early psychotherapy.23Thus, even if therapists choose the same techniques and practice psychotherapy exactly the same regardless of their philosophical orientation, it appears that the techniques will be presented more clearly, be more “on target,” and have a greater degree of efficacy when therapists and clients are more similar in their modality orientation. Frank40postulated that in order for psychotherapy to be effective, clients must perceive it as being effective. Because clients will be more likely to perceive and explain their own psychopathology in terms of their own modality functioning,24this would suggest that when clients and therapists are similar in their modality functioning, clients will perceive the psychotherapeutic interventions used as being more “on target” and thus more effective and pertinent in treating their issues. Even if more dissimilar therapists are able to eventually modify their delivery, or even if more dissimilar clients are able to eventually translate or make use of what they receive from their therapist, the loss of productive therapy time apparently takes its toll in attenuated outcome levels. Regardless of the mechanism underlying the process, modality similarity between therapists and clients does appear to have a positive effect on the effectiveness of psychotherapy outcome.
Why is modality important?
According to the theory and clinical observation of multimodal theory,19,20one's “dominant modality” (having the highest score on the Structural Profile Inventory [SPI]) will be the sphere of functioning in which one will be most likely to react, especially in times of stress. The implications of this finding for marital and other interpersonal relationships are that when individuals share dominant modalities, their communication will most likely be clearer and a more productive interpersonal relationship will result.22 –24
How to determine dominant modalities?
Dominant modalities can be determined through the application of several different assessments. The Structural Profile was originally a verbally administered tool25that consisted of describing the seven modalities and requesting the client's self-rating for each. Straightforward in its approach, the Structural Profile is a quick and easy way to obtain a general and global picture of a client's modality functioning. However, to gain further insight into the nuances of a client's modality functioning, the 35-item SPI was created.19The reliability and validity of SPI were demonstrated in a study by Landes,26who showed internal consistency and test-retest reliability, as well as concurrent validity, for the Affects, Sensations, Cognitions, and Interpersonal Relations modality scales through correlations with the MBTI. Recently, the SPI has been shown to have even higher reliability scores than previously demonstrated, and, through a correlation with the Vocational Preference Inventory, validity has been established for the Affects, Sensations, Imagery, and Interpersonal Relations modalities, with some indication of validity established for the Behaviors modality.27
What Is Client-Centered Therapy?
Techniques
- Mental health professionals who utilize this approach strive to create the conditions needed for their clients to change. This involves a therapeutic environment that is conformable, non-judgmental, and empathetic. They use three techniques to achieve this:2 1. Genuineness and congruence 2. Unconditional positive regard 3. Empathetic understanding By using these three t…
What Client-Centered Therapy Can Help with
- Client-centered therapy may help people who are experiencing: 1. Anxiety and psychosis6 2. Dementia7 3. Depression8 4. Mood disorders4 5. Negative thoughts related to post-traumatic stress disorder (PTSD)9
Benefits of Client-Centered Therapy
- Sometimes, self-concept is congruent with reality. In other cases, self-perceptions are unrealistic or not in tune with what exists in the real world. While most people distort reality to at least a small degree, when self-concept is in conflict with reality, incongruence can result. For example, imagine a young woman who views herself as uninteresting and a poor conversationalist despit…
Effectiveness
- Several studies have shown that the techniques used in client-centered therapy are beneficial. 1. Genuineness and congruence appear to lead to better outcomes, especially when they are used in school counseling settings.3 2. Unconditional positive regard is also effective, particularly at improving overall well-being for people with mood or anxiety disorders.4 3. Empathetic understa…
Things to Consider
- For client-centered therapy to be effective, you need to be willing to share your internal experiences with your therapist without their direct guidance or advice. You will act as an equal partner during therapy, often determining the course of your sessions (though your therapist may also ask questions or seek clarification). While client-centered therapy can help you gain the sel…
How to Get Started
- Client-centered therapy can be delivered individually or as part of group therapy in both outpatient and inpatient settings. If you're looking for a therapistnear you, you can ask your primary healthcare provider for recommendations. During your first session, your therapist will ask about the problems you're facing and your reasons for seeking treatment. They may also go over how t…