Progress Monitoring: Tools to Enhance Therapeutic Alliance and Inform Complex Case Interventions

This training is presented in partnership with Greenspace.

Monday, May 25, 2020

9:00 am to 4:40 pm

In psychotherapy, progress monitoring of mental health symptoms, functional symptoms, substance use, and the therapeutic alliance, is increasingly being used to improve therapeutic outcomes. In cases where clients are entrenched in difficult patterns and symptoms, progress monitoring has been shown to help facilitate self-monitoring and the change process. This workshop will explore ways in which progress monitoring can be applied to clients with a range of complex symptoms, patterns, and presenting concerns.

This one-day intensive and interactive seminar starts with a review of the literature and research on progress monitoring as well as an introduction to the current range of tools available for the measurement of symptoms and outcomes relevant to the work of psychotherapists. We will examine how these tools are most commonly used as well as emerging future practices.

In discussing the overt monitoring of the therapeutic alliance, you will learn strategies for monitoring and identifying relational ruptures alongside strategies for repairing the identified relational ruptures. Drawing on clinical research, this workshop will also teach you how to apply progress monitoring to complex cases and to foster the development of clinical skills related to asking difficult questions in the therapy room. The workshop will discuss how to use progress monitoring to manage challenging conversations regarding progress (or lack thereof) and entrenched behavioural patterns/symptoms.

You will Learn—

  • About the range of progress monitoring tools now available
  • Best practices and emerging trends in clinical applications of progress monitoring
  • How to measure therapeutic alliance
  • Strategies for relational or rupture repair
  • How to use progress monitoring to facilitate difficult conversations regarding the therapeutic alliance or to increase engagement
  • Methods of using an electronic system to facilitate measurement-based care and what it offers in terms of your clients’ presenting concerns and supports
  • How progress monitoring tools can inform complex case interventions and supports
W. Rylie Moore, PhD, C.Psych  
9:00 am – 9:10 am

What do you want to get out of today?

Group activity (2+ people per group)
9:10 am – 9:30 am

What do you currently do for progress monitoring? How has this helped/hindered your practice? What piece of information that you don’t have currently, do you think would be most helpful when working with clients?

Progress monitoring
9:30 am – 10:30 am

What is it? Is there a difference between progress monitoring and outcome monitoring? Review of tools Research outcomes: benefits of tools What is currently being done in practice and how is this changing? Notable trends in progress / outcome monitoring CPA Task Force Report: Outcome and Progress Monitoring in Psychotherapy

10:30 am - 10:45 am
Monitoring the therapeutic alliance (TA)
10:45 am – 12:00 pm

What is the TA? Group discussion: how do you define the TA? Contextual Feedback Systems Measuring the TA Group discussion: What items might be the most difficult to discuss Repairing ruptures

Lunch (on your own)
12:00 pm– 1:00 pm
Using an electronic platform to facilitate measurement-based care
1:00 pm - 1:30 pm

The limitations of measuring progress manually. Review of the Greenspace platform as one possible solution. Use of tools available Graphs, client organization, etc.

Complex case example
1:30 pm – 3:00 pm

Present/Review complex case Show progress monitoring charts/graphs for complex case Group discussions (Examples): What do you do when change isn’t demonstrated? What does it mean when change isn’t occurring? What are the maintaining/reinforcing factors of symptoms/patterns?

3:15 pm - 4:40 pm
Use of progress monitoring strategies in complex cases

E.g., Short & long-term disability claims, Litigation, accommodations, self-care, etc.

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Event Detail

May 25, 2020 9:00 am
May 25, 2020 4:40 pm