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Cited by 608Psychotherapy Techniques and ApplicationsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychiatric care and mental health services

Is it time for clinicians to routinely track patient outcome? A meta-analysis

Lambert, Michael J., Whipple, Jason L., Hawkins, Eric J., Vermeersch, David A., Nielsen, Stevan L., Smart, David W.·2003·Clinical Psychology: Science and Practice
DOI 10.1093/clipsy.bpg025
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Abstract

Empirically supported psychotherapies, treatment guidelines, best practices, and treatment manuals are methods proposed to enhance treatment outcomes in routine practice. Patient-focused research systems provide a compatible and contrasting methodology. Such systems monitor and feed back information about a patient's progress during psychotherapy for the purpose of enhancing outcomes. A meta-analytic review of three large-scale studies is summarized and suggests that formally monitoring patient progress has a significant impact on clients who show a poor initial response to treatment. Implementation of this feedback system reduced deterioration by 4% to 8% and increased positive outcomes. Our interpretation of these results suggests that it may be time for clinicians routinely and formally to monitor patient treatment response.

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Crossref · 10.1093/clipsy.bpg025

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  • In general psychiatry, when clinicians repeatedly measure and monitor patients' during-treatment status and change over time, the effects of outpatient mental health treatment are enhanced.

    “In general psychiatry, it has been demonstrated that when clinicians repeatedly measure and monitor patients’ during-treatment status and change over time, the effects of outpatient mental health treatment are enhanced”

    From Development and initial evaluation of the Brief Addiction Monitor (BAM) (2013) · cites this paper as Lambert et al., 2003

  • Weekly symptom monitoring is effective in improving treatment outcomes when administered either before or after a treatment session.

    “Weekly symptom monitoring is effective in improving treatment outcomes when it is administered either before or after a treatment session (Kordy et al., 2001; Lambert et al., 2003; Lutz et al., 2006).”

    From Translating the Intention to Seek Treatment into Action: Does Symptom Monitoring Make a Difference? Results from a Randomized Controlled Trial (2019) · cites this paper as Lambert et al., 2003

  • The work by Lambert and colleagues suggests that participants who received psychotherapy and monitored their symptoms would have better outcomes than participants who received psychotherapy and do not monitor their symptoms.

    “The work by Lambert and colleagues would suggest that participants who received psychotherapy and monitored their symptoms would have better outcomes than participants who received psychotherapy and do not monitor their symptoms (Kordy et al., 2001; Lambert, 2007, 2013; Lambert et al., 2003; Lutz et al., 2006).”

    From Translating the Intention to Seek Treatment into Action: Does Symptom Monitoring Make a Difference? Results from a Randomized Controlled Trial (2019) · cites this paper as Lambert et al., 2003

  • Routine monitoring of psychotherapy client outcomes with data-driven feedback to therapists can lower premature dropout and improve outcomes regardless of the intervention approach used.

    “increasing evidence has emerged that routinely monitoring psychotherapy client outcomes and providing data-driven feedback to therapists can reduce premature dropout and improve outcomes irrespective of the particular intervention approach used by the therapist (Bickman, Kelley, Breda, de Andrade, & Reimer, 2011; Lambert et al., 2003).”

    From User‐centered design for psychosocial intervention development and implementation. (2016) · cites this paper as Lambert et al., 2003

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Authors
Lambert, M. J., Whipple, J. L., Hawkins, E. J., Vermeersch, D. A., Nielsen, S. L., & Smart, D. W.
Affiliations
  • Brigham Young University (US)
  • Loma Linda University (US)
ORCID
Venue
Clinical Psychology: Science and Practice
Publisher
American Psychological Association (APA)
Published
2003
Volume
10
Issue
3
Pages
288-301
ISSN
  • 0969-5893 (ISSN-L)
  • 1468-2850
DOI
10.1093/clipsy.bpg025
OpenAlex
W2130631445
Cited by
608
References
53
Citations by year
2026: 11 · 2025: 20 · 2024: 55 · 2023: 19 · 2022: 21 · 2021: 48 · 2020: 18 · 2019: 13 · 2018: 61 · 2017: 22 · 2016: 27 · 2015: 55 · 2014: 28 · 2013: 22 · 2012: 25
FWCI
2.48
Type
journal article
Language
en
Open access
closed
Licence
doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 4626 d)
Locations
Clinical Psychology Science and Practice (publishedVersion)
Funders
Brigham Young University
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
patient progress monitoring, psychotherapy outcome, treatment deterioration, routine clinical practice

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