title: Psychotherapy assessment and treatment selection.
abstract: BACKGROUND
  Current acceptance of the need for a wide range of treatments and growing pressure for cost-effectiveness suggest the need for a more discriminating approach to assessment of psychotherapy.
  
  
  METHODS
  Medline and manual literature searches, and personal experience of over 1000 assessments in a district psychotherapy service.
  
  
  RESULTS
  There is substantial evidence for the general efficacy of psychotherapy; differential benefits are beginning to be identified. Short-term treatments are appropriate in a wide variety of situations and can be surprisingly effective. Chronic/complex psychopathology is likely to need longer term therapy.
  
  
  CONCLUSIONS
  Effective use of scarce psychotherapy resources requires knowledge of the research evidence of treatment effectiveness, careful assessment of the patient and a logical and collaborative approach to treatment planning.
authors.affiliation: Wonford House Hospital, Exeter.
authors.forename: R
authors.initials: R
authors.lastname: Tillett
mesh_terms: D003362:Cost-Benefit Analysis; D006801:Humans; D001523:Mental Disorders / Q000191:economics / Q000523:psychology / Q000628:therapy*; D010043:Outcome and Process Assessment, Health Care; D010552:Personality Assessment; D011613:Psychotherapy / Q000191:economics* / Q000379:methods; D011614:Psychotherapy, Brief / Q000191:economics