Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. C. Summary


Structure measures are appealing as an initial step for setting expectations related to how providers should implement evidence-based psychotherapies and monitor consumer symptoms and functioning over time. This is particularly useful given the very limited information on the use of evidence-based therapies in routine settings and concerns that where the therapies are implemented they are not being done with sufficient adherence to protocols demonstrated to be efficacious in research trials. Furthermore, as described in a later chapter, processes for outcomes monitoring are critical because even in randomized trials showing the benefit of evidence-based treatment, many participants do not benefit and efforts to adjust treatment are needed. Structure measures are likely to serve best as building blocks to guide the delivery of care and as complements to other measures.

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