Differences among trainees in client outcomes associated with the phase model of change.
This study investigated psychotherapy trainees' ability to facilitate change in outcomes (e.g., well-being, symptom reduction, and life functioning) specifically related to the phase model. Four different psychotherapist experience levels (beginning practicum, advanced practicum, intern/postdoc, and psychologist) were compared to determine whether there are training differences related to significant change for psychotherapy outcomes according to the phase model. A total of 1,318 clients from a university counseling center, treated by 64 psychotherapists, were included in the analysis for this study. Results indicate that interns/postdocs' clients achieve more significant change than psychologists' and advanced practicum students' clients related to life functioning. In addition, interns/postdocs' clients achieve more significant change related to symptom reduction, when compared with the clients of psychologists. Implications for these results, given the hypotheses of both the phase model and competency models, are discussed.
Educational and Counseling Psychology, University of Louisville, KY 40292, USA. stephanie.budge@louisville.edu
Stephanie L
SL
Budge
Jesse J
JJ
Owen
S Mark
SM
Kopta
Takuya
T
Minami
Matthew R
MR
Hanson
Glenn
G
Hirsch
D002983:Clinical Competence; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D015146:Midwestern United States; D017145:Models, Educational; D011613:Psychotherapy / Q000193:education*; D013333:Student Health Services; D016896:Treatment Outcome; D055815:Young Adult