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This is an archive of my blog posts over the year. For my recent content head to https://scottdmiller.co

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Tag: practice-based evidence

Are you any good as a therapist? The Legacy of Paul W. Clement

Twenty years ago, I came across an article published in the journal, Professional Psychology. It was written by a psychologist in private practice, Paul Clement. The piece caught my eye for a number of reasons. First, although we’d never met, Paul lived and worked in Pasadena, California, a short ride from my childhood home. Second, the… — read more

Mar 26, 2014
Dealing with Scientific Objections to the Outcome and Session Rating Scales: Real and Bogus

The available evidence is clear: seeking formal feedback from consumers of behavioral health services decreases drop out and deterioration while simultanesouly improving effectiveness. When teaching practitioners how to use the ORS and SRS to elicit feedback regarding progress and the therapeutic relationship, three common and important concerns are raised: How can such simple and brief scales provide… — read more

Dec 15, 2012
Clinical Support Tools for the ORS and SRS

I have so much to be grateful for at this time. Most of all, I’m happy to be home with my family. As we have in the past, this year we’ll be spending the holiday at the home of our long time friends John and Renee Dalton. The two always put out a fantastic spread and our son,… — read more

Nov 20, 2012
Feedback Informed Treatment as Evidence-Based Practice

Back in November, I blogged about the ICCE application to SAMSHA’s National Registry for consideration of FIT as an official evidence-based approach (EBP). Given the definition of EBP by the Institute of Medicine and the American Psychological Association, Feedback Informed Treatment seems a perfect, well, FIT. According to the IOM and APA, evidence-based practice means… — read more

May 23, 2012
Improving Outcomes in the Treatment of Obesity via Practice-Based Evidence: Weight Loss, Nutrition, and Work Productivity

Obesity is a large and growing problem in the United States and elswhere. Data gathered by the National Center for Health Statistics indicate that 33% Americans are obese. When overweight people are added to the mix, the figure climbs to a staggering 66%! The problem is not likely to go away soon or on its own as the same figures apply… — read more

Apr 9, 2010
Research on the Outcome Rating Scale, Session Rating Scale & Feedback

"How valid and reliable are the ORS and SRS?" "What do the data say about the impact of routine measurement and feedback on outcome and retention in behavioral health?" "Are the ORS and SRS ‘evidence-based?’" These and other questions regarding the evidentiary support for the ORS, SRS, and feedback are becoming increasingly common in the workshops… — read more

Jan 7, 2010
Climate Change in Denmark

Hans Christian Andersen, the author of such classic stories as The Ugly Duckling and the Emperor’s New Clothes, once wrote, "Life iteself is the most wonderful fairytale of all." That sentiment is certainly true of my own life. For the last 16 years, I’ve been privileged to travel around the world conducting trainings and providing consultation. Each year, I meet… — read more

Dec 5, 2009
The Debate of the Century

What causes change in psychotherapy? Specific treatments applied to specific disorders? Those in the "evidence-based" say so and have had a huge influence on behavioral healthcare policy and reimbursement. Over the last 10 years, my colleagues and I have written extensively and traveled the world offering a different perspective: by and large, the effectiveness of… — read more

Aug 27, 2009

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