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Therapists' and clients' perceptions of routine outcome measurement in the NHS: A qualitative study

Unsworth, G, Cowie, H and Green, A (2012) Therapists' and clients' perceptions of routine outcome measurement in the NHS: A qualitative study Counselling and Psychotherapy Research, 12 (1). pp. 71-80.

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Primary objective: This is the first qualitative study that elicited the perceptions of both psychological therapists and their clients in the use of Clinical Outcomes in Routine Evaluation with computer software (CORE-Net), where instant visual feedback for session tracking was given on a computer screen in the therapy room at each therapy session. The study also examined how therapists viewed its potential value in supervision and provides suggestions for improving training. Research design: The study adopted a convenience sample of four therapists in a primary care counselling setting (PCC - General Practitioner referrals) who were experienced in using CORE-Net, and five therapists in an NHS employee/occupational support counselling service (OH) who had just begun to use CORE-Net for session tracking with 10 of their clients. Method: A qualitative methodology was used and interview data were collected from the therapists via focus groups; the clients were interviewed individually face to face. All data was analysed inductively. Findings: The study identified six overarching themes: (i) therapists were initially anxious and resistant; (ii) therapists adapt 'creatively'; (iii) outcome measures help the client/therapist relationship; (iv) clients perceive visual measures as helpful; (v) CORE scores inform supervision; and (vi) proper and ongoing training/support of therapists is necessary. The main limitations are comparability of data and the generalisabilty of results. Conclusions: The implementation of routine outcome measurement (ROM) is a challenge but can be made easier with proper training and supervision. Clients appear happier than their therapists when routine outcome measurement is used. © 2012 Copyright British Association for Counselling and Psychotherapy.

Item Type: Article
Divisions : Surrey research (other units)
Authors :
Unsworth, G
Green, A
Date : 1 March 2012
DOI : 10.1080/14733145.2011.565125
Depositing User : Symplectic Elements
Date Deposited : 17 May 2017 09:45
Last Modified : 24 Jan 2020 17:35

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