ERIC Number: ED585370
Record Type: Non-Journal
Publication Date: 2017
Pages: 130
Abstractor: As Provided
ISBN: 978-0-3557-9076-4
ISSN: EISSN-
EISSN: N/A
Available Date: N/A
Changes of University of Rhode Island Change Assessment over Time Associated with Stages of Change
Harden, Tamara Shank
ProQuest LLC, Ph.D. Dissertation, The University of Toledo
Approximately one-quarter of the American population are affected by their own mental illness each year (National Alliance on Mental Illness [NAMI], 2013). Of those who take part in counseling, one-third to one-half do not see treatment gains and approximately 50% leave counseling prematurely (Duncan, Miller & Hubble, 2007). Research examining immediate feedback on the therapeutic alliance and therapeutic progress has shown statistically significant therapeutic improvements (Reese, Norworthy, & Rowlands, 2009). In addition, the client's stage of change has been shown through research to correlate with progress in counseling (Ogrodniczuk, Joyce, & Piper, 2005). Clients who have not met their goals and leave counseling prematurely have described a reduction in therapeutic improvement and more emotional distress and are two times as likely seek out mental health services again, often becoming "chronic" clients (Ogrodniczuk, Joyce, and Piper (2005). Premature termination, along with other factors, leads to 10% of clients being the source of 60-70% of expenses (Miller, n.d.). The purpose of this research was to determine whether completing Feedback Informed Treatment (FIT) moved clients through the Stages of Change more quickly, discouraging premature termination and lowering mental health expenses. Participants were mental health clients 18 and over assigned to four counselors for counseling at a community counseling center. Half of the participants were given FIT and half were not. The intent was for the URICA scores of the two groups to be compared to determine if FIT moves people through the Stages of Change more quickly. URICA scores were measured at the beginning of counseling and at 30 days and 60 days when possible. Six participants consented to the research so descriptive statistics are presented. This study showed it would be worthwhile to rerun the study with a larger sample. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com.bibliotheek.ehb.be/en-US/products/dissertations/individuals.shtml.]
Descriptors: Mental Disorders, Mental Health, Outcomes of Treatment, Change, Help Seeking, Mental Health Programs, Client Characteristics (Human Services), Counseling Services, Scores, Pretests Posttests
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Publication Type: Dissertations/Theses - Doctoral Dissertations
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: Rhode Island
Grant or Contract Numbers: N/A
Author Affiliations: N/A