Objective: This article reviews the current debate surrounding the use of manualized treatments within behavioral health settings and presents the results of an exploratory study (N = 230) that examined client satisfaction with structured, time-limited treatment versus unstructured individualized treatment. Method: The study employed a survey design using the Client Satisfaction Questionnaire (CSQ-8) to determine levels of client satisfaction with the two distinct treatment options: standardized group treatment versus unstructured, individual therapy. Results: The data suggest that clients are equally satisfied with both types of intervention and that this satisfaction is consistent across descriptive variables. Conclusions: The report concludes with a discussion of the implications of these findings for social work practitioners and administrators and the implications for future research.
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References
1.
Atkinson, M. J., & Caldwell, L. (1997). The differential effects of mood on patients’ ratings of life quality and satisfaction with their care. Journal of Affective Disorders, 44, 169-175.
2.
Austad, C. S., & Berman, W. H. (Eds.). (1991). Psychotherapy in managed health care: The optimal use of time and resources. Washington, DC: American Psychological Association.
3.
Baker, L., Zucker, P. J., & Gross, M. J. (1998). Using client satisfaction surveys to evaluate and improve services in locked and unlocked adult inpatient facilities. Journal of Behavioral Health Services and Research, 25, 51-63.
4.
Barlow, D. H., & Craske, M. (1994). Mastery of your anxiety and panic. (2nd ed.). Albany, NY: Graywind.
5.
Bartlett, J. (1994). Practice guidelines: The managed care view. In R. K. Schreter, S. S. Sharfstein, & C. A. Schreter (Eds.), Allies and adversaries: The impact of managed care on mental health services (pp. 153-162). Washington, DC: American Psychiatric Press.
6.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy for depression. New York: Guilford.
7.
Beutler, L., & Clarkin, J. F. (1990). Systematic treatment selection. New York: Brunner/Mazel.
8.
Bohart, A. C., & Greenberg, L. S. (1997). Empathy and psychotherapy: An introductory overview. In A. C. Bohart, & L. S. Greenberg (Eds.), Empathy reconsidered: New directions in psychotherapy (pp. 3-31). Washington, DC: American Psychological Association.
9.
Bourne, E (1995). The anxiety and phobia workbook (2nd ed.). Oakland, CA: New Harbinger.
10.
Burns, D. D. (1990). The feeling good handbook. New York: Plume.
11.
Chambless, D. L., Sanderson, W. C., Shoham, V., Johnson, S. B., Pope, K. S., Crits-Christoph, P., Baker, M., Johnson, B., Woody, S. R., Sue, S., Beutler, L., Williams, D. A., & McCurry, S. (1996). An update on empirically validated therapies. Clinical Psychologist, 49(2), 5-18.
12.
Copeland, M. E. (1992). The depression workbook: A guide for living with depression and manic depression. Oakland, CA: New Harbinger.
13.
Curtis, G. C. (1996). The scientific evaluation of new claims. Research on Social Work Practice, 6, 117-121.
14.
Fischer, J., & Corcoran, K. (Eds.). (1994). Measures for clinical practice, (2nd ed., Vol. 2). New York: Free Press.
15.
Folkers, C. E., & Steefel, N. M. (1991). Group psychotherapy. In C. S. Austad, & W. H. Berman (Eds.), Psychotherapy in managed health care: The optimal use of time and resources (pp. 46-64). Washington, DC: American Psychological Association.
16.
Garfield, S. L. (1996). Some problems associated with “validated” forms of psychotherapy. Clinical Psychology: Science and Practice, 3, 218-229.
17.
Garfield, S., & Bergin, A. (1986). Introduction and overview. In S. Garfield, & A. Bergin (Eds.), Handbook of psychotherapy and behavior change (pp. 3-22). New York: Wiley.
18.
Giles, R. R. (1993). Handbook of effective psychotherapy. New York: Plenum.
19.
Hetznecker, W. (1996). Are guidelines useful in managed care? In A. Lazarus (Ed.), Controversies in managed mental health care (pp. 41-54). Washington, DC: American Psychiatric Press.
20.
Kirk, S. A. (1999). Good intentions are not enough: Practice guidelines for social work. Research on Social Work Practice, 9, 302-310.
21.
Larsen, D. L., Attkisson, C. C., Hargreaves, W. A., & Nguyen, T. D. (1979). Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning, 2, 197-207.
22.
LaSala, M. (1997). Client satisfaction: Considerations of correlates and response bias. Families in Society, 78, 54-64.
23.
McIntyre, J. S. (1994). Practice guidelines: The clinician’s view. In R. K. Schreter, S. S. Sharfstein, & C. A. Schreter (Eds.), Allies and adversaries: The impact of managed care on mental health services (pp. 163-168). Washington, DC: American Psychiatric Press.
24.
Mitchell, C. G. (1998). Perceptions of empathy and client satisfaction with managed behavioral healthcare. Social Work, 43, 404-411.
25.
Munson, C. E. (1996). Autonomy and managed care in clinical social work practice. Smith College Studies in Social Work, 66, 241-260.
26.
Myers, L., & Thyer, B. A. (1997). Should social work clients have the right to effective treatment?Social Work, 42, 288-298.
27.
National Committee on Quality Assurance. (1999). HEDIS 1999 Reporting Set Measures by Domain. Retrieved July 1, 1999, from the World Wide Web: http://www.ncqa.org/Pages/Communications/News/h99meas.htm
28.
Pekarik, G., & Guidry, L. L. (1999). Relationship of satisfaction to symptom change, follow-up, and clinical significance in private practice. Professional Psychology—Research & Practice, 30, 474-478.
29.
Persons, J. B. (1995). Why practicing psychologists are slow to adopt empirically-validated treatments. In S. C. Hayes, V. M. Follette, R. M. Dawes, & K. E. Grady (Eds.), Scientific standards of psychological practice: Issues and recommendations (pp. 141-157). Reno, NV: Context Press.
30.
Raw, S. (1998). Who is to define effective treatment for social work clients?Social Work, 43, 81-86.
31.
Ries, R. K., Jaffe, C., Comtois, K. A., Kitchell, M. (1999). Treatment satisfaction compared with outcome in severe dual disorders. Community Mental Health Journal, 35, 213-221.
32.
Rubin, A., & Babbie, E. (1997). Research methods for social work. Pacific Grove, CA: Brooks/Cole.
33.
Saeman, H. (1997). Debate on validated treatments spirited; solutions remote as questions abound. National Psychologist, 6(3), 6-7.
34.
Safran, J. D., & Messer, S. B. (1997). Psychotherapy integration: A postmodern critique. Clinical Psychology: Science and Practice, 4, 140-152.
35.
Sanderson, W. C., Woody, S. (1995). Manuals for empirically validated treatments: A project of the Task Force on Psychological Interventions, Division of Clinical Psychology, American Psychological Association. Clinical Psychologist, 48(4), 7-11.
36.
Sovner, R. (1991). A psychopharmacology service model. In C. S. Austad, & W. H. Berman (Eds.), Psychotherapy in managed health care: The optimal use of time and resources (pp. 86-97). Washington, DC: American Psychological Association.
37.
Task Force on Promotion and Dissemination of Psychological Procedures (1995). Training and dissemination of empirically validated psychological treatments: Report and recommendations. Clinical Psychologist, 48, 3-23.
38.
Tuttman, S. (1997). Protecting the therapeutic alliance in this time of changing health-care delivery systems. International Journal of Group Psychotherapy, 47, 3-16.
39.
Wambach, K. G., Haynes, D. T., & White, B. W. (1999). Practice guidelines: Rapprochement or estrangement between social work practitioners and researchers. Research on Social Work Practice, 9, 322-330.
