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The Power of Clients' Feedback In Therapy



Samples of Clients' Satisfaction Surveys & Forms for Eliciting Client Feedback
(please note: some of the surveys are copyrighted)

Keely Kolmes

North Carolina A&T University

Ferris State University

Psychotherapy Services of CT

Client satisfaction validation study and form Example

Client Counsellor Feedback Form

Additional resources on Outcome Questionnaires and the work of Michael Lambert (note: many of these resources are not free)

For articles, videos and other resources about client-directed outcome informed practices, visit Barry Duncan's Heart and Soul of Change

Supervision and Feedback Articles

Freeman, Edith (1985). The Importance of Feedback in Clinical Supervision: Implications for Direct Practice, The Clinical Supervisor 22 (1), July 2004, 21-33

Heckman-Stone, Carolyn (2004) Trainee Preferences for Feedback and Evaluation in Clinical Supervision

Reese, Robert J.; Usher, Ellen L.; Bowman, Derek C.; Norsworthy, Larry A.; Halstead, Jackie L.; Rowlands, Steven R.; Chisholm, Rachael R. (2009) Using client feedback in psychotherapy training: An analysis of its influence on supervision and counselor self-efficacy Training and Education in Professional Psychology, Vol 3(3), 157-168.

Client Feedback Articles

ACORN: A Collaborative Outcomes Resource Network. A site to help you measure, manage & market your outcomes.

LinkedIn Discussion on Clients' Feedback

Anker, M.G., Duncan, B.L., & Sparks, J.A. (2009). Using client feedback to improve couple therapy outcomes: A randomized clinical trial in a naturalistic setting. Journal of Consulting and Clinical Psychology, 77, 693–704.

Asay, T.P., Lambert, M.J., Gregersen, A.T., & Goates, M.K. (2002). Using patient focused research in evaluating treatment outcome in private practice. Journal of Clinical Psychology, 58, 1213–1225.

Bordin, E.S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research and Practice, 16, 252–260.

Brown, J., Dreis, S., & Nace, D.K. (1999). What really makes a difference in psychotherapy outcome? Why does managed care want to know? In M.A. Hubble, B.L. Duncan, & S.D. Miller (Eds.), The heart and soul of change: What works in therapy (pp. 389–406). Washington, DC: American Psychological Association Press.

Duncan, B.L., Miller, S.D., Sparks, J.A., Claud, D.A., Reynolds, L.R., Brown, J., & Johnson, L.D. (2003). The Session Rating Scale: Preliminary psychometric properties of a "working" alliance measure. Journal of Brief Therapy, 3, 3–12.

Lambert, Michael J., Interview on Prevention of Treatment Failure. Michael Lambert did some of the first research on use of measurement and feedback

Lambert, M.J. (2007). Presidential address: What we have learned from a decade of research aimed at improving psychotherapy outcome in routine care. Psychotherapy Research, 17(1), 1–14.

Lambert, M.J. (2007). Presidential address: What we have learned from a decade of research aimed at improving psychotherapy outcome in routine care. Psychotherapy Research, 17(1), 1–14.

Lambert, M.J. (2010). Yes. It is time for clinicians to routinely monitor treatment outcome. In B.L. Duncan, S.D. Miller, B.E. Wampold, & M.A. Hubble (Eds.), The heart and soul of change (2nd ed., pp. 239–268). Washington, DC: American Psychological Association.

Lambert, M.J. (2001). The status of empirically supported therapies: Comment on Western and Morrison's (2001) multidimensional meta-analysis. Journal of Consulting and Clinical Psychology, 69, 910–913.

Lambert, M.J., & Cattani-Thompson, K. (1996). Current findings regarding the effectiveness of counseling: Implications for practice. Journal of Counseling and Development, 74, 601–608.

Lambert, M.J., Hansen, N.B., & Finch, A.E. (2001a). Patient-focused research: Using patient outcome data to enhance treatment effects. Journal of Consulting and Clinical Psychology, 69, 159–172.

Lambert, M.J., Harmon, C., Slade, K., Whipple, J., & Hawkins, E. (2005). Providing feedback to psychotherapists on their patients' progress: Clinical results and practice suggestions. Journal of Clinical Psychology, 61, 165–174.

Lambert, M.J., Hansen, N.B., Umphress, V., Lunnen, K., Okiishi, J., & Burlingame, G.M. (1996). Administration and Scoring Manual for the OQ-45.2. Stevenson, MD: American Professional Credentialing Services.

Lambert, M., Whipple, J., Hawkins, E., Vermeersch, D., Nielsen, S., & Smart, D. (2003). Is it time for clinicians to routinely track patient outcome? A Meta-Analysis. Clinical Psychology: Science and Practice, 10, 288–301.

Lambert, M.J., Whipple, J.L., Smart, D.W., Vermeersch, D.A., Nielsen, S.L., & Hawkins, E.J. (2001b). The effects of providing therapists with feedback on client progress during psychotherapy: Are outcomes enhanced? Psychotherapy Research, 11, 49–68.

Lambert, M.J., Whipple, J.L., Vermeersch, D.A., Smart, D.W., Hawkins, E.J., Nielsen, S.L., & Goates, M.K. (2002). Enhancing psychotherapy outcomes via providing feedback on client progress: A replication. Clinical Psychology and Psychotherapy, 9, 91–103.

Miller, S.D., & Duncan, B.L. (2004). The Outcome and Session Rating Scales: Administration and scoring manual. Chicago: Institute for the Study of Therapeutic Change.

Miller, S.D., Duncan, B.L., Brown, J., Sorrell, R., & Chalk, M.B. Using formal client feedback to improve retention and outcome: Making ongoing, real-time assessment feasible

Miller, S.D., Duncan, B.L., Brown, J., Sorrell, R., & Chalk, M.B. (2006). Using informal client feedback to improve retention and outcome: Making ongoing, real-time assessment feasible. Journal of Brief Therapy, 5, 5–22.

Miller, S.D., Duncan, B.L., Brown, J., Sparks, J.A., & Claud, D.A. (2003). The Outcome Rating Scale: A preliminary study of the reliability, validity and feasibility of a brief visual analogue measure. Journal of Brief Therapy, 2, 91–100.

Miller, S.D., Duncan, B.L., Sorrell, R., & Brown, G.S. (2005). The Partners for Change Outcome Management System. Journal of Clinical Psychology: In Session, 61, 199–208.

Sundet, R. (2009). Therapeutic collaboration and formalized feedback: Using perspectives from Vygotsky and Bakhtin to shed light on practices in a family therapy unit. Clinical Child Psychology and Psychiatry, 15, 81–85.

Sundet, R. (2011). Collaboration: Family and therapist perspectives of helpful therapy. Journal of Marital and Family Therapy, 37, 236–249.

Swift, J.K., Callahan, J.L., & Vollmer, B.M. (2011). Preferences. Journal of Clinical Psychology, 67, 155–165.

Tryon, G.S., & Winograd, G. (2011). Goal consensus and collaboration. Psychotherapy, 48, 50–57.

Walfish, S., McAlister, B., O'Donnell, P., Lambert, M.J., (2002). An investigation of self-assessment bias in mental health providers. Psychological Reports, Apr;110(2):639-44.

Books on Client Feedback in Psychotherapy

Duncan, B.L., Miller, S.D., & Sparks, J.A. (2004). The Heroic Client: A revolutionary way to improve effectiveness through client-directed outcome-informed therapy. San Francisco, CA: John Wiley & Sons Inc.

Lambert, Michael J., Prevention of treatment failure: The use of measuring, monitoring, and feedback in clinical practice. Washington: American Psychological Association

Meier, S. (2015). Incorporating Progress Monitoring and Outcome Assessment Into Counseling and Psychotherapy: A Primer. Oxford University Press

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