1. 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
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2. Research Clinic at Metanoia Institute: 2010/2011: Therapists
Gestalt %
Person Centred %
Integrative Psychotherapy and Counselling Psychology 32.5%
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3. Research Clinic at Metanoia Institute: 2010/2011: Clients
Number:
Gender: 72%
Ethnicity: 67% White British, Black 33.4% % Asian
Age: % 20-49; % over 50
1.27% under 20.
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4. Research Sample
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5. OUTCOMES:
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6. LENGTH OF THERAPY
Group 1
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7. OUTCOMES
GROUP 1
GROUP 2

8. 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.

9. 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

10. 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
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11. 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?
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