A consideration of factors influencing the utilization of time-limited, short-term group therapy

Previous reviews of the research literature and a new review conducted for this article were examined for evidence of the efficacy, applicability, and efficiency of time-limited, short-term group therapy (TSGT). Strong evidence for all three factors was found. Additional patient and therapist factors influence the effectiveness and utilization of TSGT in clinical settings, however. Some are analogous to criteria routinely considered in the use of medication such as "ease of administration" and "side effects." Others are particularly relevant to therapists, such as lack of training and experience, organizational difficulties, and negative reactions to managed-care initiatives. Optimal matching of patient and treatment also affects treatment decisions. Implications for clinicians and administration are considered.