Simple methods for enhancing patient outcome in routine care: Measuring, monitoring, and feedback

  • Michael J. Lambert | Brigham Young University, United States.
  • Gianluca Lo Coco Universita degli Studi di Palermo, Italy.


While highly effective, psychotherapy outcome studies suggest 5?14% of clients worsen while in treatment and that therapists are unable to identify a substantial portion of such cases. Methods to systematically track client mental health functioning over the course of treatment and adjust treatment through the use of problem-solving tools are described. We summarize meta-analyses of the effects of a feedback system indicating that the number of psychotherapy patients who deteriorate can be cut in half. We conclude with a series of practice implications, including that clinicians seriously consider making formal methods of collecting client feedback a routine part of their daily practice.


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Client Feedback, Outcome Questionnaire-45, Treatment Failure
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How to Cite
Lambert, M., & Lo Coco, G. (2014). Simple methods for enhancing patient outcome in routine care: Measuring, monitoring, and feedback. Research in Psychotherapy: Psychopathology, Process and Outcome, 16(2), 93-101.