The Partners for Change Outcome Management System (PCOMS) Revisiting the Client's Frame of Reference

Despite overall psychotherapy efficacy (Lambert, 2013), many clients do not benefit (Reese, Duncan, Bohanske, Owen, & Minami, 2014), dropouts are a problem (Swift & Greenberg, 2012), and therapists vary significantly in success rates (Baldwin & Imel, 2013), are poor judges of negative ou...

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Bibliographic Details
Published in:Psychotherapy (Chicago, Ill.) Ill.), 2015-12, Vol.52 (4), p.391-401
Main Authors: Duncan, Barry L., Reese, Robert J.
Format: Article
Language:English
Subjects:
Client Attitudes
Clients
Cooperative Behavior
Evidence Based Practice
Feedback
Human
Humans
Mental Disorders - diagnosis
Mental Disorders - psychology
Mental Disorders - therapy
Mentors
Outcome and Process Assessment (Health Care) - methods
Outcome and Process Assessment (Health Care) - standards
Outcome and Process Assessment (Health Care) - statistics & numerical data
Partners
Patient Dropouts - psychology
Professional-Patient Relations
Psychometrics
Psychotherapeutic Processes
Psychotherapy
Psychotherapy - methods
Psychotherapy - standards
Self Report
Surveys and Questionnaires
Therapists
Treatment Dropouts
Treatment Failure
Treatment Outcomes
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Summary:Despite overall psychotherapy efficacy (Lambert, 2013), many clients do not benefit (Reese, Duncan, Bohanske, Owen, & Minami, 2014), dropouts are a problem (Swift & Greenberg, 2012), and therapists vary significantly in success rates (Baldwin & Imel, 2013), are poor judges of negative outcomes (Chapman et al., 2012), and grossly overestimate their effectiveness (Walfish, McAlister, O'Donnell, & Lambert, 2012). Systematic client feedback offers 1 solution (Duncan, 2014). Several feedback systems have emerged (Castonguay, Barkham, Lutz, & McAleavey, 2013), but only 2 have randomized clinical trial support and are included in the Substance Abuse and Mental Health Administration's National Registry of Evidence-Based Programs and Practices: The Outcome Questionnaire-45.2 System (Lambert, 2010) and the Partners for Change Outcome Management System (PCOMS; Duncan, 2012). This article presents the current status of PCOMS, the psychometrics of the PCOMS measures, its empirical support, and its clinical and training applications. Future directions and implications of PCOMS research, training, and practice are detailed. Finally, we propose that systematic feedback offers a way, via large-scale data collection, to reprioritize what matters to psychotherapy outcome, reclaim our empirically validated core values and identity, and change the conversation from a medical model dominated discourse to a more scientific, relational perspective.
ISSN:0033-3204
1939-1536
DOI:10.1037/pst0000026