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Using the Assessment for Signal Clients as a feedback tool for reducing treatment failure
Melissa M White1, Michael J Lambert1, Benjamin M Ogles1
1a Department of Psychology , Brigham Young University , Provo , UT , USA.
Summary
Psychotherapy clients who go off-track often struggle with social support, motivation, and therapeutic alliance. Identifying these patterns helps therapists target interventions for better outcomes.
Area of Science:
- Psychology
- Clinical Psychology
- Psychotherapy Research
Background:
- Clinical Support Tools (CSTs) aid therapists in identifying and addressing factors contributing to negative psychotherapy outcomes.
- The Assessment for Signal Clients is central to CST feedback, aiming to detect potential issues early.
Purpose of the Study:
- To describe and identify common problem patterns in psychotherapy clients whose progress is off-track.
- To understand the characteristics of clients experiencing difficulties in therapy.
Main Methods:
- Analysis of responses and scores from 107 off-track clients in a hospital-based outpatient clinic.
- Utilized cluster analysis to identify distinct client types.
- Employed log-linear modeling to examine relationships between problem areas.
Main Results:
- Cluster analysis revealed three client types: alliance/motivation difficulties, social support/life event difficulties, and an indistinguishable pattern.
- Log-linear modeling indicated that fewer therapeutic alliance problems correlated with fewer motivational problems.
- Off-track participants frequently received signal alerts related to social support.
Conclusions:
- Clients experiencing off-track progress in psychotherapy most commonly face challenges with social support.
- Difficulties with motivation for therapy and the therapeutic alliance are also significant factors.
- Understanding these patterns can inform targeted therapeutic interventions.
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