Barry recently conducted a briefing for government officials and funders regarding consumer driven outcomes management, a different way of saying client directed, outcome informed therapy. I tried to make the most compelling case I could to influence these decision makers to consider the ORS and SRS. I included the latest research findings as well as the push for consumer input in decisions that affect their care. This webinar presents that rationale after a summary of the current state of the field—the good, bad, and ugly of psychotherapy.

Also includes a PDF file of the slides.

Have you ever wondered how to present client directed outcome informed (CDOI) ideas and practices to a general rather than professional audience? Wonder no longer:

We live in a world pervaded by the unspoken attitude that we are all basically flawed, broken, incomplete, scarred or sick: we’re labeled as dysfunctional, codependent, depressed, you name it. Contrary to popular perception and drug company ad campaigns, fifty years of research shows that positive change does not primarily emerge from examining the disorders, diseases, or dysfunctions—all the stuff that’s wrong with us—that allegedly plague the masses. Change, in truth, comes from what’s right with the people attempting it—their strengths, resources, ideas, and relational support—not the labels they are branded with, the special expertise of doctors or the magic methods or potions they peddle.

In this webinar Barry translates CDOI into a six step plan, as detailed in his self help book, What’s Right With You.

Also includes a PDF file of the slides.

Barry interviews the principal investigator, Morten Anker, of the Norway Feedback Study, the largest randomized clinical trial (RCT) ever done with couples. Morten presents the design features that make the study noteworthy as well as the incredible findings. For example, four times more couples achieved clinically significant change in the feedback condition over couples in the treatment as usual condition, and at six month follow up, couples in the feedback condition separated nearly 50% less. Morten and Barry also discuss the response to the study and the national roll out of CDOI in Norway Family Counseling Offices. This webinar presents the first RCT using the ORS and SRS—the study that put CDOI on the map of academic credibility, enabling it to be taught in graduate programs on a large scale. And this is only the beginning.

Also includes a PDF file of the slides.

Dr. Bob Bohanske, Project Leader, provides a no nonsense discussion about how to get started with client directed, outcome informed ideas and practices in your agency—not sometime, next month, or even next week—but in your next day back at work. Based on his extensive experience implementing outcome management at the largest public behavioral health agency in Arizona, Bob addresses the nuts and bolts of getting started including how to integrate CDOI with traditional paperwork requirements, using the ORS in treatment plans, and using graphs as part of progress notes. Using the results of several public agencies documented in his chapter in the new edition of The Heart and Soul of Change, Bob convincingly demonstrates that it is indeed not mission impossible!

Also includes a PDF file of the slides.

Most of us became therapists because we wanted to be helpful to other human beings, and most of us carry an inextinguishable passion to become better at it. But how do we get better? The truth is that although we are painfully aware that some clients clearly don't benefit while others inexplicably end therapy, we don't know how effective we really are or what we can do to improve our outcomes. Despite our hard work and good intentions, unfruitful encounters with clients combined with the confusing cacophony of "latest" developments can weigh on us, steer us into ruts, and make us forget why we became therapists to begin with. How can we remember our original aspirations, continue to develop as therapists, and achieve better results, more often, with a wider variety of clients? In short: how can you become a better therapist?

On Becoming answers that question in a pragmatic and clinically nuanced way, presenting a five-step method of integrating outcome management with therapists' long-term professional development. In this first of seven webinars corresponding to the seven chapters of the book, I present chapter one: including the pitfalls of the search for the Holy Grail, the rationale for outcome feedback, a model of therapist development, and an overview of the common factors—all setting the stage for the chapters and webinars that follow.

Also includes a PDF file of the slides.

This webinar details the first session. Introducing the ORS and SRS: 1) Building a culture of feedback; 2) Understanding that there is no bad news on the measures; 3) Fitting the introduction into your own style; and 4) Scoring the measures. The clinical nuances: 1) Discussing the client’s score in relation to the clinical cutoff and allowing the client to make sense of it; 2) Connecting the client’s described experience of the reason for service to his or her marks; 3) Ensuring that you have a good rating on the ORS; and 4) Discussing the client’s score on the SRS, thanking him or her for the feedback and either inviting the sharing of any future concerns or exploring any noted concerns.

Also includes a PDF file of the slides.

This webinar charts the ins and outs of tailoring psychotherapy based on feedback: 1) Plotting the ORS scores on a graph, comparing the current ORS score with the last, and looking at the progression of change or lack thereof. Only two options: there is change or there isn’t. If there is change, work with clients to take responsibility for the change and empower their ability to continue progress. If there is no change, discuss what needs to happen next. If no change persists, the discussions increase in urgency, represented by the Checkpoint Conversation and the Last Chance Discussion, both intended to brainstorm options and entertain the possibility of referring the client elsewhere. If no change persists, it is time to fail successfully, or gracefully move the client on to another provider or venue of service and exercise our ability to help clients in a different but equally important way.

Also includes a PDF file of the slides.

In this fourth of seven webinars corresponding to the seven chapters of On Becoming a Better Therapist, Barry presents chapter four, and discusses the three sources of Orlinsky and Rønnestad’s empirically derived concept of Healing Involvement: First, tracking your cumulative career development with outcome data takes the guesswork out of your growth and ensures that you benefit from your experience over time and not merely repeat it. Regarding theoretical breadth, the second source, it is suggested that you drop the belief in the “truth” value of any given approach in favor of adding many valid myths and rituals to your repertoire. Finally, the primary source of Healing Involvement, your currently experienced growth, helps your your morale and ability to stay vital in the face of the everyday demands of the work. This webinar details a proactive process in which you systematically examine your work with your current clients, and apply a strategy of empowerment and reflection to harvest the lessons of clinical experience.

Also includes a PDF file of the slides.

In this fifth of seven webinars corresponding to the seven chapters of On Becoming a Better Therapist, Barry discusses the main ways to improve your outcomes via the heart (the client) and soul (the alliance) of change. It boils down to two attitudes: first is a dependence on clients and what they bring as the most potent aspect of change—to rally, recruit, or harvest client’s existing resources in service of client goals. The second attitude is the understanding that the alliance is the therapy, and that everything you do must be strained through the alliance filter. Does your behavior build or risk the alliance? This webinars details the best ways to get started to jumpstart your outcomes.

Also includes a PDF file of the slides.

In this sixth of seven webinars corresponding to the chapters in On Becoming a Better Therapist, Barry encourages you to envision your identity as a helper and further contemplate this unpredictable and complexly human enterprise called therapy. To inspire your continual reflection about your identity and how you describe what you do, Barry describes his journey, presenting psychotherapy as a discovery-oriented process, a non-cookie cutter search for what works for each unique client. Feedback provides a comforting compass, a way to manage the uncertainty that is just as characteristic of therapy as it is of life.

Also includes a PDF file of the slides.

In this seventh of seven webinars corresponding to the chapters in On Becoming a Better Therapist, Barry discusses the fifth and final step to keep your development on the front burner, the Treasure Chest. This collection of client comments about your work with them also includes a look at your development through narrative accounts of the clients who taught you the most. Barry will also discuss the controversial issues of the day—managed care, evidence based practice, psychiatric drugs, and the medical model—and encourage you to take a stand to protect the aspects of your identity as a therapist that you hold dear.

Also includes a PDF file of the slides.

This workshop explores the ground-breaking expansion of the use of feedback to case management services. Based on her eight years of experience in extending the use of outcome management to settings other than traditional therapy, Mary addresses the unique benefits and challenges of incorporating client feedback in community-based work with adults.

Also includes a PDF file of the slides.

Although often ignored, the fact of the matter is that the alliance is our most powerful ally and represents the most influence that we can have over outcome. The alliance is an all-encompassing framework for psychotherapy—it transcends any specific therapist behavior and is a property of all aspects of providing services. This webinar addresses the components of the alliance and illustrates how difficult it can be with an adolescent client who began the session by telling Barry to go f himself. Audio of this compelling encounter is presented along with Barry’s commentary about relational connection and the agreement with goals and tasks.

Also includes a PDF file of the slides.

“Recovery,” as defined by the SAMHSA National Consensus Statement, has become the buzz word of mental health and substance abuse services. While the Consensus Statement is a decidedly upbeat and cogent description, how to translate the Statement into everyday practice is not clear. Based on his extensive experience in public behavioral health, Dr. Bohankse discusses the Consensus Statement and how it is a natural fit with client directed, outcome informed (CDOI) practices. He describes how one large agency, using CDOI, has operationalized recovery and in the process improved outcomes and increased productivity across programs.

Also includes a PDF file of the slides.

Supervision helps therapists experience the benefits of feedback firsthand—that conversation they have never had before that turns things around or that stretches them outside of their comfort zone to try something for the first time based on client preference and cultural values. This webinar discusses the three responsibilities of supervision (protecting client welfare, agency liability, and therapist development) as well as the four steps of outcome informed supervision; a supervision based on outcome data not theory or pontification that is aimed at early identification of clients at risk as well as training and encouragement of therapist growth.

Also includes a PDF file of the slides.

This webinar highlights an application of CDOI to alcohol and drug recovery-oriented systems of care. Building on Georgia’s seminal work on mental health peer specialists, the webinar focuses on the service delivery tools used by peer recovery coaches who have completed the Certified Addiction Recovery Empowerment Specialist (CARES) Academy. Mr. Braucht combines his extensive experience in the peer recovery movement as well as his personal recovery to offer lively discussion of yet another pathway of change for persons struggling with alcohol or drug abuse.

Also includes a PDF file of the slides.

Graduate training has traditionally involved the supervision of trainees in assessment and implementation of treatment techniques. However, standard clinical training is often based on assumptions that lack empirical support, including the effectiveness of techniques without client input, the degree to which skills training translates into improved practice, the impact of supervision on outcome, and the equating of clinical hours accrual with improved effectiveness. This webinar will describe how one graduate training program in couple and family therapy has integrated CDOI practice, from day one to graduation, throughout curricula, paperwork, procedures, and evaluation to train effective therapists.

Also includes a PDF file of the slides.

The "what works" research conducted over the last 40 years identifies several key principles that contribute to reducing criminogenic factors and recidivism. This webinar focuses on implementation of three key principles and the vital role of client-directed and outcome-informed recovery services. George Braucht is a Certified CDOI Trainer who’s three-decade career has blended work in academic, behavioral health and criminal justice fields.

Also includes a PDF file of the slides.

The pharmaceutical industry has made it very difficult to know what the clinical trial evidence actually is regarding psychotropics. Consequently, primary care physicians and other front-line practitioners are at a disadvantage when attempting to adhere to the ethical and scientific mandates of evidence based prescriptive practice. This presentation calls for a higher standard of prescriptive care derived from a risk/benefit analysis of clinical trial evidence. In the spirit of evidenced based medicine’s inclusion of patient values as well as the movement toward health home and integrated care, a patient bill of rights for psychotropic prescription is presented. Guidelines are the offered to raise the bar of care equal to the available science for all prescribers of psychiatric medications. The presentation is based on an article of the same title written by Barry and David Antonuccio.

Also includes a PDF file of the slides.

Unlike other measures where clinical expertise or paying attention to nuance is not required (e.g, questionnaires that simply list symptoms and require Likert Scale responses), using the Outcome Rating Scale (ORS) in a clinically meaning way demands much more. The ORS begins as a general snapshot of the client’s perspective of his or her life but then evolves into an idiosyncratic, client specific measure of the client's reasons for service and progress in therapy. This webinar shows how looking at the data can be used to not only insure data integrity but also identify clinicians who need additional support and training. A high percentage of scores over the clinical cutoff, scores between 35-40, and a "saw" pattern of scores are discussed.

Also includes a PDF file of the slides.

This webinar discusses couple therapy in which at least one partner is ambivalent about the viability of the relationship. Commitment is vital for couples to successfully develop a secure emotional base and maintain a healthy relationship. When commitment wavers it affects nearly all aspects of the relationship, such as communication, couple identity, willingness to sacrifice, as well as respect, trust, and safety. Treating couples with wavering commitment is rarely discussed in either the theoretical or empirical literature. This webinar covers: (a) cutting-edge research on the importance of assessing couples’ initial relationship goals as a facet of the working alliance; (b) a theoretical framework to understand couples’ commitment; and (c) treatment guidelines for treating couples when at least one partner desires to clarify the viability relationship.

Also includes a PDF file of the slides.

This is truly your all-in-one resource for client directed outcome informed ideas practices and PCOMS. This "manual" for CDOI takes a "just the facts, ma'am" approach and details all you need to know to implement CDOI in your practice or agency. In this completely revised and updated second edition (2010), therapists, counselors, case managers, students, supervisors, and administrators of agencies will find step-by-step instructions for conducting client-directed, outcome-informed therapy services, including Barry's latest work about supervision and therapist development. Written in everyday language, the manual contains suggestions for everything from the "nuts and bolts" of helpful therapeutic conversations to using ongoing feedback from clients via the ORS/SRS to enhance outcome. This manual details the how to's of involving clients as valued partners and provides down-to-earth suggestions for bringing justice to your agency, and perhaps beyond.

This is truly your all-in-one resource for client directed outcome informed ideas practices and PCOMS. This "manual" for CDOI takes a "just the facts, ma'am" approach and details all you need to know to implement CDOI in your practice or agency. In this completely revised and updated second edition (2010), therapists, counselors, case managers, students, supervisors, and administrators of agencies will find step-by-step instructions for conducting client-directed, outcome-informed therapy services, including Barry's latest work about supervision and therapist development. Written in everyday language, the manual contains suggestions for everything from the "nuts and bolts" of helpful therapeutic conversations to using ongoing feedback from clients via the ORS/SRS to enhance outcome. This manual details the how to's of involving clients as valued partners and provides down-to-earth suggestions for bringing justice to your agency, and perhaps beyond.

Unlimited within agency use is just $99.95.

The 2011 update covers all the research since the original ORS/SRS manual (Miller & Duncan, 2004--also included for same price) as well as the clinical nuances of administering, scoring, and interpreting the measures gleaned from now over 300,000 administrations of the measures.

The 2011 update covers all the research since the original ORS/SRS manual (Miller & Duncan, 2004--also included for same price) as well as the clinical nuances of administering, scoring, and interpreting the measures gleaned from now over 300,000 administrations of the measures.

Unlimited within agency use of the Manuals is just $99.95.

Barry was on Oprah about this book (published as Overcoming Relationship Impasses). The Lone Changer dispels the commonly held myth that it takes two to help a troubled relationship. Joe Rock and Barry Duncan offer unique one-person strategies to help with the most common problem areas of relationships: communication, power, and sex, as well as a host of other parenting and relational problems.

Whether you’re a novice or expert practitioner, becoming better at what you do requires you to step up to the plate with two things: attaining systematic client feedback and taking your development as a helper to heart. This 2 hour professionally recorded workshop integrates these two critical aspects and strives to help you re-remember why you became a counselor in the first place. Barry presents a pragmatic, five-step method for accelerating your development as a helper, invigorating your work, expanding your theoretical breadth, and dramatically improving your outcomes.

Also includes a PDF file of the slides.

In the face of cultural devaluation and financial uncertainty, how do we buffer ourselves against burnout and stay vitally involved in the work? A recent study of more than 11,000 therapists provides the answer: the lifeblood of our identity is our professional growth, so much so that we keep our finger on the pulse of our development throughout our careers. We conduct a continual retrospective evaluation, looking for evidence of our mastery, and constantly review our clinical experiences, mining them for the golden moments that replenish us. In this 2 hour professionally recorded workshop, you’ll learn a simple, low tech way of gathering, tracking, and analyzing client feedback to monitor professional growth--our greatest ally for sending the “grim reaper” of burnout packing--and explore a five-step method of integrating outcome measures into your long-term development.

Also includes a PDF file of the slides.

On this professionally-recorded 38 minute audio recording, Barry Duncan surveys the last 25 years of psychotherapy research and identifies, in a rapid-fire, entertaining way, its greatest hits and disasters.

Also includes a PDF file of the slides.

You’ve been inspired by her in Barry's workshops and read about her in his books. You’ve asked for a copy of this video for years. And now, it’s finally available—the incomparable Molly, from the "Impossible" Case project, explains what successful therapy is all about. This entertaining video tells the story of Molly, a veteran of failed therapy, and how she ultimately triumphs when given a chance to enlist her own resources and apply her own ideas about change.

Also includes a PDF file of the slides.

This PowerPoint presentation offers the compelling case for consumer driven outcomes management. It includes the latest research findings about efficacy, drop outs, and therapist variability, and presents practice-based evidence as the solution for psychotherapy's "bad" and "ugly."

48 slides with animation and sound effects.

This PowerPoint presentation offers a one day workshop in client directed, outcome informed ideas and practices. It covers the waterfront, from enhancing the effects of the common factors, particularly client and alliance factors to how to implement practice-based evidence, the use of the Outcome and Session Rating Scales.

157 slides with animation and sound effects.