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(p. 78) Measuring Clinical Progress with the OQ-45 in a Private Practice Setting 

(p. 78) Measuring Clinical Progress with the OQ-45 in a Private Practice Setting
Chapter:
(p. 78) Measuring Clinical Progress with the OQ-45 in a Private Practice Setting
Author(s):

Michael J. Lambert

DOI:
10.1093/med:psych/9780190272166.003.0007
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date: 20 September 2017

This chapter makes a case for the value of tracking mental health functioning over the course of psychotherapy. The need for progress monitoring in psychotherapy arises from the fact that about 8% of clients worsen during treatment, and clinicians have a difficult time identifying such treatment failures. A tracking measure (Outcome Questionnaire-45 [OQ-45]) consisting of 45 self-report items used to rate symptoms, interpersonal problems, and social role dysfunction is described and recommended for use in private practice with adults. The consequences for clients identified as at-risk cases in several clinical trials are presented. The data show that by using these outcome measures, deterioration rates can be substantially reduced and positive outcomes are doubled.

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