Counselling & Psychotherapy Research最新文献

{"title":"Collaboration with clients to create journal notes: A mixed methods evaluation of a pilot intervention study in a municipality mental health services team","authors":"Kjellaug K. Myklebust,&nbsp;Helene Hoemsnes,&nbsp;Øyvind Kvello,&nbsp;Solveig Karin Bø Vatnar","doi":"10.1002/capr.12829","DOIUrl":"https://doi.org/10.1002/capr.12829","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The purpose of this study was to evaluate an intervention designed to encourage therapists in a municipality mental health services team to collaborate with their clients when writing journal notes. The team was part of a low-threshold mental health service for children, adolescents and their parents. The therapists offered individual therapeutic sessions with children, adolescents and parents, as well as family sessions. The therapists documented their encounters in the clients' electronic health records.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study used a convergent mixed methods design. First, the quality and quantity of documented therapist–client interactions were measured before and after the intervention using the Scale for the Evaluation of Staff-Patient Interactions in Progress Notes (SESPI). Cross-tabulation and logistic regression analyses were used to examine potential differences in the recording of therapists' approaches before and after intervention. Second, we explored the therapists' experiences of participating in this project by conducting individual in-depth interviews. Qualitative interviews were analysed by systematic text condensation. Finally, the quantitative results from assessing the journal notes were contextualised with the qualitative results from the interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The number of journal notes describing therapist approach and client response increased by 25% points after the intervention. In the interviews, the therapists acknowledged the intervention's relevance to their practice. However, they invited only a limited number of clients to co-create journal notes. The clients welcomed the invitation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Collaborative documentation challenges established journal documentation practices and may strengthen the client's voice. This study provides suggestions for strengthening the intervention in the future full-scale studies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12829","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142859867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a muscle relaxation exercise programme on test anxiety and sleep quality among fourth-year nursing students before comprehensive examination in Palestine","authors":"Mohammad Amro,&nbsp;Malakeh Z. Malak,&nbsp;Ahmad Ayed","doi":"10.1002/capr.12831","DOIUrl":"https://doi.org/10.1002/capr.12831","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>There is a lack of research on the effect of progressive muscle relaxation (PMR) on minimising test anxiety and enhancing sleep quality among nursing students in Arab countries, including Palestine. Therefore, this study aimed to investigate the effects of a PMR intervention programme on test anxiety and sleep quality in fourth-year nursing students before the comprehensive examination in Palestine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A one-group pre-/postdesign was conducted on a group of fourth-year nursing students before the comprehensive examination (<i>N</i> = 60) at Arab American University in Palestine. The PMR programme consisted of five sessions lasting 45 min over the course of 1 week and was implemented from the beginning of January to the end of January 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings indicated a significant difference in test anxiety pre- and post-PMR exercise (<i>t</i>_[59] = 19.3, <i>p</i> &lt; .01). Also, a significant difference was found in sleep quality before and after the PMR exercise (<i>t</i>_[59] = 15.4, <i>p</i> &lt; .01). Additionally, no difference was found in test anxiety and sleep based on age and gender pre-/post-PMR intervention programme.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study proposes that PMR effectively reduces test anxiety and improves sleep quality among nursing students. Therefore, the PMR programme should be incorporated as a therapeutic intervention for nursing students and students in general and particularly those suffering from test anxiety and poor sleep quality. Also, mental health counsellors and instructors can use such interventions in their therapeutic management as non-pharmacological therapy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reflections from LGBTQIA+ individuals of their past experiences of psychotherapy and counselling and the use of creative therapy—A qualitative study","authors":"Mark Crummy,&nbsp;Suzy Hansford","doi":"10.1002/capr.12825","DOIUrl":"https://doi.org/10.1002/capr.12825","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Previous literature tends to suggest that the LGBTQIA+ community face higher rates of mental disorders and illnesses. This appears to be due to minority stress as a result of the discrimination and hostility towards the community from society. In relation to psychotherapy and/or counselling, affirmative therapy has been found to be helpful; however, it is clear from the literature that the LGBTQIA+ population do not feel accepted or understood when accessing mental health support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Participants were invited to take part in an interview consisting of open-ended questions relating to the topic of interest. Following this, a thematic analysis was completed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The thematic analysis revealed four main themes: these were ‘sexuality and gender within the therapeutic relationship’, ‘desirable characteristics and attributes in a therapist’, ‘undesirable characteristics and attributes in a therapist’ and ‘creative therapy’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The results could be used to inform mental health practitioners of the importance of cultural competency in relation to the LGBTQIA+ community, as well as helping aid how to approach sexuality and/or gender in a therapeutic space. The conclusions also highlight the need for practitioners to explore context with LGBTQIA+ clients rather than solely emotion focus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study indicated that the LGBTQIA+ community prefer working with LGBTQIA+ therapists due to a shared lived experience and perceived baseline understanding of each other. It was also found that context was important for them in therapy, rather than emotion focus, and creative therapy was also shown to be useful for the community.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12825","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing perceived empathy and intervention strategies of an AI chatbot and human psychotherapists in online mental health support","authors":"Refael Yonatan-Leus,&nbsp;Hadas Brukner","doi":"10.1002/capr.12832","DOIUrl":"https://doi.org/10.1002/capr.12832","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Given the growing potential of artificial intelligence (AI) to enhance therapeutic interventions and work with a large number of people, it is crucial to understand AI's differences, advantages and limitations compared with human therapists.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>This study compared an AI chatbot's and human psychotherapists' capabilities in responding to mental health enquiries in an online forum. One hundred and fifty questions from a Reddit forum, where qualified therapists provide mental health support, were selected. Each question received two responses: one from a human therapist and one generated by AI. These 300 responses were coded and compared based on empathy indices and psychological intervention types.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results indicated that AI scored significantly higher in perspective-taking (<i>V</i> = 12,957, <i>p</i> &lt; .001, <i>r</i> = .53) and empathic concern (<i>V</i> = 17,400, <i>p</i> &lt; .001, <i>r</i> = .60). AI was more likely to use supportive interventions (42.2% vs. 21.8%) and slightly more likely to aim for insight-driven change (6.41% vs. 4.57%). In contrast, human therapists were more inclined to provide advice and information (47.84% vs. 39.81%), explore dysfunctional patterns (19.95% vs. 10.29%) and ask clarifying questions (4.09% vs. 0.97%). A chi-squared test confirmed significant differences between the intervention types used by AI and human therapists (χ²[8, <i>N</i> = 300] = 67.80, <i>p</i> &lt; .001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>These findings highlight AI's potential for basic perceived empathic support, especially in administrative tasks and therapist training. However, the study's scope is limited to single interactions, without the consideration of the nuanced communication available to human therapists through speech, facial expressions and body language.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The new wave: Integrating artificial intelligence into ethical and multicultural counselling","authors":"Chidozie Urom,&nbsp;Brittn Grey,&nbsp;Sylvia Lindinger-Sternart,&nbsp;Samantha Lucey","doi":"10.1002/capr.12830","DOIUrl":"https://doi.org/10.1002/capr.12830","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The disruptive forces of the COVID-19 pandemic offer an example of how cutting-edge innovations such as telehealth became established in society. Simultaneous to the rise of telehealth, artificial intelligence (AI) has advanced rapidly and with the potential to further disrupt services across the spectrum of technology and healthcare delivery. Deemed as the next frontier in the mental health field, AI technology has introduced cutting-edge innovations within human-centred fields across disciplines (Espejo [Academic Psychiatry, 47, 437 and 2023]). This paper calls into question the transformative potential of AI in a field, such as psychotherapy and professional counselling, which is significantly based on human relations. As professional counsellors, it is imperative that AI does not dehumanise effective services based on empathy and positive regard.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This article reviews the current landscape of AI and counselling research and offers two main messages: (1) what new or revised ethical standards are needed for clinical practice to prevent negative consequences of improper use when integrating AI and (2) the practical implications for effective multicultural counselling when integrating AI into psychotherapy and counselling services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-sectional online survey on the perspectives of more than 1100 Austrian therapists on integrating nature in psychotherapy","authors":"Sandra Elisabeth Aigner,&nbsp;Rachel Dale,&nbsp;Eric Pfeifer,&nbsp;Thomas Probst,&nbsp;Stefanie Winter,&nbsp;Bernhard Herburger,&nbsp;Christoph Pieh,&nbsp;Elke Humer","doi":"10.1002/capr.12823","DOIUrl":"https://doi.org/10.1002/capr.12823","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Integrating natural environments into therapeutic practices is increasingly recognised for its positive effects on mental health recovery. However, there is limited research on how nature is utilised in psychotherapeutic treatments. This study aimed to fill this gap by providing initial data on the frequency and application of nature-integrating psychotherapy. Additionally, it explores psychotherapists' attitudes towards the potential and limitations of integrating nature into psychotherapy under practical conditions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of <i>N</i> = 1190 Austrian psychotherapists (mean age: 53.75 ± 10.84 years; 74.9% female; 19.9% psychodynamic, 47.9% humanistic, 23.0% systemic, 9.2% behavioural) participated in a cross-sectional online survey assessing personality traits (Big Five Inventory), connectedness to nature (NCI), professional experiences in integrating aspects of nature in psychotherapy and estimated potentials and risks of nature-integrating interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The majority of participating psychotherapists reported experience with conducting psychotherapy in nature (65.9%) and with integrating nature materials into their treatments (79.1%). Differences in some personality traits among psychotherapeutic orientations were observed, whereas the NCI did not differ. Overall, systemic therapists had the most positive attitude towards integrating nature into psychotherapy, whereas the opposite was observed for psychodynamic psychotherapists. Several aspects were found to also be affected by an interaction between orientation and gender.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results indicate that nature-integrating psychotherapy is both common and valued among Austrian psychotherapists, with differences observed across therapeutic orientations and genders. These differences highlight the need for further research to better understand the factors influencing psychotherapists' approaches to nature integration in clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12823","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An exploration of psychotherapists' readiness to join the psychedelic renaissance","authors":"Siobhan Scanlon,&nbsp;Gráinne Donohue","doi":"10.1002/capr.12828","DOIUrl":"https://doi.org/10.1002/capr.12828","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Research on psychedelics centres on two key areas: the action of psychedelics on the brain and the protocol for delivering therapy. There is little research that considers the implications of this novel therapy on the therapist delivering the treatment. This research study sought to explore this.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim and Objectives</h3>\u0000 \u0000 <p>The aim of this research was to explore the considerations for psychotherapists interested in delivering psychedelic therapy. Objectives were to examine the therapeutic conditions needed for effective outcomes, to explore the perceived differences between the practice of standard psychotherapy and psychedelic therapy and to determine the challenges for therapists working in the field.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Six semi-structured interviews were conducted with therapists who work in clinical or retreat settings. Interview transcripts were analysed using qualitative thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Three themes emerged that highlight the importance of preparation for effective clinical outcomes, the differences in standard and psychedelic practice and the personal and professional implications for therapists.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The results highlighted challenges and revealed the need for clear protocols for integrating psychedelics into psychotherapy practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12828","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142861982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting treatment success and failure using routine outcome data: The role of therapist effects in dynamic predictive modelling","authors":"Daryl Mahon,&nbsp;Takuya Minami,&nbsp;Jeb Brown","doi":"10.1002/capr.12827","DOIUrl":"https://doi.org/10.1002/capr.12827","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The goal of this research was to identify how early in psychotherapy a reliable prediction regarding the probability of premature termination, treatment failure or treatment success can be made, and which variables are most predictive. This research breaks new ground by including data on each clinician's historical outcomes (therapist effects) to explore to what degree predictions and decision rules might differ with therapist effectiveness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials &amp; Methods</h3>\u0000 \u0000 <p>Data was drawn from a large online database of clients regularly completing self-report outcome questionnaires. The sample included clinicians (<i>n</i> = 1020) treating clients (<i>n</i> = 68,690) with an intake score in the clinical range during a treatment episode of between 2 and 10 sessions. Variables available at the first session and later sessions were tested for predictive validity for status at subsequent sessions using general linear regression models and logistic regression models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results suggest that therapy outcomes can be predicted as early as the second session with a good degree of accuracy, 65%. The analyses revealed that predictions made as early as the second session remain valid even for clients taking up to 10 sessions to complete treatment. Adding therapist effects to the predictive model provides a much more nuanced understanding of the results. By session two, therapists in the top quartile demonstrate effect sizes comparable to the effect sizes of bottom quartile therapists at session ten.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The probability of client success, failure or early termination varies significantly depending on the clinician. Implications for training and supervision are discussed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of outcomes from a university counselling service before and during COVID-19: Exploring the use of remote therapy","authors":"Connie Newcombe,&nbsp;Emma Broglia,&nbsp;Charlotte Wright","doi":"10.1002/capr.12821","DOIUrl":"https://doi.org/10.1002/capr.12821","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Research pooling data from UK university counselling services (UCSs) has allowed UCSs to compare their outcomes and demonstrate their effectiveness in improving student mental health. During the COVID-19 pandemic, UCSs moved to remote delivery. Consequently, it was necessary to understand how this impacted students' outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This evaluation aimed to (1) understand how the therapeutic outcomes of a UCS compared with established norms in UK UCS literature, and (2) understand whether delivering therapy online affected student outcomes compared with UK norms from in-person therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Sessional outcome data from 627 students who attended the UCS in the 2020/2021 academic year were gathered. Descriptive analyses of students' initial clinical data (determined by the CCAPS-34) were conducted. Paired sample <i>t</i>-tests determined differences between the pre- and post-therapy scores. The effect size of this difference was derived.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Students presented with high levels of academic distress, social anxiety, generalised anxiety and depression. The initial severity of mental health concerns was lower than that reported in previous literature. The largest improvements were evidenced for depression and general anxiety and 25% (<i>n</i> = 112) of students achieved reliable reductions in distress. Compared with existing literature, the UCS showed similar levels of improvement over therapy. It is suggested that remote therapy increased service accessibility.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The delivery of remote therapy produced results consistent with norms in the UK data, highlighting the effectiveness of online therapy for university students. Further large-scale evaluations of student outcomes from remotely delivered therapy are recommended.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12821","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical supervisors' expectations and experiences with a routine outcome monitoring system in a psychotherapy training service","authors":"Jorge Valdiviezo-Oña,&nbsp;Nicole Ortiz-Mancheno,&nbsp;Clara Paz","doi":"10.1002/capr.12826","DOIUrl":"https://doi.org/10.1002/capr.12826","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Routine outcome monitoring (ROM) enables data-informed decision-making in mental health care, yet its implementation presents both benefits and challenges. To date, the literature on the perception of ROM implementation has extensively focussed on therapists and clients; hence, there is limited information available about the perceptions of supervisors in services that provide training for psychological interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This qualitative study explored supervisors' expectations and experiences with a web-based ROM system in a university psychotherapy service. Through semi-structured interviews and framework analysis, two senior clinical supervisors' perspectives were examined before and after ROM implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Expectations highlighted the need for clinically useful information, adaptability and user-friendly interfaces. Supervisors anticipated using ROM data for case analysis, training and institutional learning. Following the implementation, supervisors recognised the system's utility in case supervision, enhancing understanding and facilitating learning processes. Perceived challenges included the potential misuse of information, client resistance and technological issues, underscoring the importance of ongoing communication and training during the implementation process. Additionally, supervisors provided some recommendations, such as enhancing system usability, providing comprehensive training, improving client engagement, refining data collection methods and conducting ongoing evaluation of the implementation process and promoting effective communication with clients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings align with previous research, emphasising the significance of system adaptability and user-friendliness for effective ROM utilisation. Supervisors play a crucial role in fostering collaboration, providing feedback and integrating ROM into supervision. Overall, these insights contribute to refining our ROM implementation processes, as well as guiding future ROM adoption in similar centres interested in involving supervisors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12826","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}