A lab test and algorithms for identifying clients at risk for treatment failure

TLDR

While medical fields routinely use lab tests to monitor and adjust treatment, psychological interventions rarely employ formal assessments, prompting the use of questionnaire-based data and decision rules to predict client progress. The study shows clinicians poorly predict psychotherapy failure, yet formal monitoring methods detected all deteriorating patients at termination and 85% after three sessions, encouraging practitioners to adopt such methods. © 2004 Wiley Periodicals, Inc., J Clin Psychol/In Session.

Abstract

Abstract Many branches of medicine rely heavily on lab tests to monitor client treatment response and use this information to modify their treatment. By contrast, those who offer psychological interventions seldom rely on formal assessments (lab tests) to monitor their clients' response to treatment. Data are presented that demonstrate that clinicians rarely accurately predict who will not benefit from psychotherapy. This finding is contrasted with the use of a questionnaire (lab test data) and decision rules on the basis of a client's expected progress. Results have indicated that formal methods of monitoring were able to identify 100% of the patients whose condition had deteriorated at termination, and 85% by the time they had attended three treatment sessions. Practitioners are encouraged to consider formal methods of identifying the deteriorating client. © 2004 Wiley Periodicals, Inc. J Clin Psychol/In Session.