Evaluation of Problem Oriented Treatment Planning in outpatient psychotherapy

The paper presents systematic evaluation of a modified problem oriented medical record approach to treatment planning in outpatient psychotherapy. By comparison with a four year period prior to the institution of problem oriented treatment planning (POTP), data from a year in which POTP was used indicated a 50% reduction in patient drop out but no change in clinician rated condition of patients at termination. Findings of the report suggest an optimistic stance on the part of the clinician regarding accomplishment of goals in six weeks when patient and clinician are in agreement as to problem and goal even if the goal entails adjustment to psychological conflict. Contrary to authors' expectations staff acceptance of POTP was good.