Grounded in over 50 years of outcome research, this comprehensive textbook focuses on outcomes management and the principles and core strategies for delivering competent and effective therapeutic practice. Applicable to all settings and models, the text illuminates four foundational principles of therapeutic practice: a strengths-based framework, collaborative practice, clinician effectiveness, and routine and ongoing outcome-oriented clinical work.

The book presents strategies for identifying, evoking, and using client strengths to promote behavioral health. It focuses on the importance of client engagement during initial interactions and describes advanced listening and attending strategies for strengthening the clinical alliance. A chapter titled “Matching and Classes of Interventions” examines important processes for increasing client fit and improving treatment outcome. Clinical dialogues, vignettes, sample questions, anecdotes, practice exercises, printable forms, and online resources help to reinforce content. An appendix provides additional insights into outcome measures, graphs, and charts covered within the book, and a robust instructor packet includes an instructor’s manual, PowerPoint slides, a test bank, and student exercises.

Key Features:

Describes current research and practice strategies for tracking therapeutic effectiveness
Underscores the fundamental principles and core strategies for delivering effective therapy
Provides specific, evidence-based ways to improve the benefit of therapy and therapist effectiveness
Presents strategies for identifying, evoking, and using client strengths to promote behavioral health
Delivers proven methods for monitoring client progress
Includes clinical dialogues, vignettes, sample questions, practice exercises, printable forms, and online resources
Provides instructor’s manual, PowerPoint slides, and test bank, as well as a free digital ebook

Contents

Contributors

Preface

Acknowledgments

1. The Influence of the Therapist

An Evolution in Psychotherapy?

The Good News, Bad News Conundrum

An Evolution in Context

Methods, Models, and Techniques

Training and Supervision

Exploring Therapist Performance

Therapist Effects

2. Principles and Core Strategies of Effective Therapy

Evidence-Based Practice and Empirically Supported Treatments: One and the Same?

Defining Evidence-Based Practice

Common Factors: A Brief History and Conundrum

Evolving From the Common Factors

The Third Wave: A Strengths-Based Perspective

Strengths-Based Principles: From Evidence to Practice

Putting the Pieces Together: Qualities and Actions of Effective Therapists

3. Early Client Engagement

The Alliance–Outcome Correlation

A Few Words About Words: Strengths-Based Language and Conversations

Strengthening the Alliance Through Collaboration Keys

4. Active Client Engagement (ACE): Information-Gathering Processes

The 80/20 Rule in Action: Preparing for Change

Strengths-Based Information Gathering

Process 1: ROM in Practice: Partners for Change Outcome Management System

Process 2: Interviewing for Strengths

5. Therapeutic Conversations for Achieving Structure and Direction

Funneling: Bringing Focus to Therapeutic Conversations

Advanced Listening and Attending Skills: Using Language to Strengthen the Alliance and Create Possibilities

6. Matching and Classes of Intervention

The I-Am Approach to Client Orientations

Matching: Increasing the Factor of Fit

The Path to Models: A Brief Summary

From Philosophy to Theory to Practice

Classes of Problems/Classes of Intervention: Selecting Models

7. Client Progress and the Benefits of Therapy

The Progression of Therapy in Future Sessions

Category 1: Unimprovement or Deterioration

Responses to Unimprovement and Deterioration

Category 2: Improvement

Revisiting Goals and Outcomes: The Meaning of Progress

Transition From Therapy

8. Professional Development and Clinical Excellence

Understanding Therapist Effectiveness

The Road to Excellence: Natural and Talented?

Cycle of Excellence

Strategies for Practice to Improve Therapeutic Effectiveness

Deliberate Practice in Context

Future-Forward: Supervision Revisited

The Path to Excellence

Index

Authors

Bob Bertolino, PhD, is Professor of Rehabilitation Counseling, Maryville University; Senior Clinical Advisor, Youth In Need, Inc.; and a Senior Associate; International Center for Clinical Excellence.

Instructors

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