What is a Research Clinic? AIM: Research evidence for the effectiveness in clinical practice Naturalistic Setting Routine Outcomes Evaluation. Adherence to the Approach monitored Use of Standardised Measures Registered Charity No. 1050175

Research Clinic at Metanoia Institute: 2010/2011: Therapists Gestalt 12.8% Person Centred 30.4% Integrative Psychotherapy and Counselling Psychology 32.5% Registered Charity No. 1050175

Research Clinic at Metanoia Institute: 2010/2011: Clients Number: 321 Gender: 72% Ethnicity: 67% White British, Black 33.4% 16.25% Asian Age: 82.17% 20-49; 15.29% over 50 1.27% under 20. Registered Charity No. 1050175

Research Sample Registered Charity No. 1050175

OUTCOMES: Registered Charity No. 1050175

LENGTH OF THERAPY Group 1 Registered Charity No. 1050175

OUTCOMES GROUP 1 GROUP 2

EFFECTIVENESS GROUP 1 Improvement rates are significant (P<0.01), large effect size on all scores GROUP 2 Improvement rates overall are not significant GROUP 3 Significance at P<0.05 was achieved for PHQ-9, GAD-7, Core 10 and WAI with large effect sizes.

WHICH VARIABLES ACCOUNT FOR CHANGE? Severity (Pre Scores) and WAI accounted for a significant proportion of the variation (P < 0.05) ( higher scores at the outset more change, better working alliance more change) No difference between theoretical orientation and improvement No difference between number of sessions and improvement for group 1

Difficulties of Evaluation within the Practice Setting Pre and Post measures were less useful in research and practice (BDI-II,CORE 34) Differences between individual therapists could not be calculated No data on lack of engagement with a therapist Registered Charity No. 1050175

Emerging Questions and Implications for further research What does effectiveness in practice mean about efficacy? What is the optimum length of therapy? How do we develop the conditions for the initial engagement in therapy? Registered Charity No. 1050175