2. Worldwide Trends in Behavioral Health Do More with Less Increasing caseloads More regulations and demands for documentation Funding challenges Demand for accountability, EBP Lambert, M.J., Whipple, J.L., Hawkins, E.J., Vermeersch, D.A., Nielsen, S.L., Smart, D.A. (2004)

3. Democracy

4. FEEDBACK

5. TAR

6. Conclusions From Research Feedback about outcome is essential for clinical decision making. The diverse approaches in these studies suggests that the type of therapy is of less importance. Do not need to know whether the current relationship is a good fit and providing benefit, and, if not, to adjust early to maximize the chances of success.

7. Qualities of a Useful Measure; function level & useful ValidValid ReliableReliable FeasibleFeasible ©

8. Individually (Personal well-being) I----------------------------------------------------------------------I Interpersonally (Family, close relationships) I----------------------------------------------------------------------I Socially (Work, school, friendships) I----------------------------------------------------------------------I Overall (General sense of well-being) I----------------------------------------------------------------------I

10. Just Do It! Start using a measure; ORS/SRS Join the ICCE

11. Use internet! www.centerforclinicalexcellence.com www.scottdmiller.comwww.scottdmiller.com www.scottdmiller.com www.scottdmiller.com www.whatispcoms.com

12. Älgeredskollektivet Niklas Waitong Älgered 408 820 70 Bergsjö Hemsida: www.algered.se Mail: niklas@algered.se www.algered.seniklas@algered.se