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Quality Measures Database

Detailed Results


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Presence of Therapeutic Rapport Overall Rank: 47
The presence of a good working relationship between a patient and therapist as this predicts effectiveness of most types of psychotherapy.
Domain : Psychotherapy
The treatment of mental or emotional problems using psychological techniques (e.g., cognitive behavioural therapy, or talking therapy).
Rationale
This principle is important in decisions by GPs and their patients about the option of psychological therapy, because ‘therapeutic alliance’ is the single best predictor of benefit. A good working relationship in therapy does not necessarily mean the absence of conflict or difficulty, but a fundamental agreement on the goals and tasks of therapy and some level of commitment to the relationship. If this is lacking, the therapy is less likely to be helpful, whatever other research evidence may recommend it in general terms. If this occurs, a second opportunity to establish a working relationship is advisable.
Primary Reference
Department of Health, British Psychological Society Centre for Outcomes Research and Effectiveness. (2001).Treatment Choice in Psychological Therapies and Counselling: Evidence based clinical practice guideline. London, United Kingdom: Author.
Retrieved July 31, 2006 from World Wide Web: http://www.dh.gov.uk/assetRoot/04/05/82/45/04058245.pdf
Level of Evidence
II: Less rigorous studies specifically focused on primary mental health care or extrapolated from higher quality studies from secondary mental health care.

Summarized CommentsAdd Comment
  • * It may be hard to ensure and measure this in an unbiased way.
  • * Very important for First Nations peoples to have a trusting relationship.
  • To measure this in an unbiased way use simple evaluation/customer satisfaction techniques - these are easy to use and should not be threatening to competent practitioners
Variation in Results
Ratings-based Rank
Relevance 35
Actionability 90
Overall Importance 33
 
Stakeholder Rank
Academics 66
Clinicians 35
Consumers 32
Decision Makers 64
 
Special Group Rank
First Nations 28
Rural Areas 26
Federal Stakeholders 59
Regional Rank
BC AB SK MB ON QC NB NS PE NL YT NT NU
67 70 50 70 38 19 51 40 55 143 92 27 57
 
Overall Rank

      

47


SA14c (B1364)

 
Distribution of Survey Respondent Ratings
Relevance
100
90
80
70
60
50
40
30
20
10
0
0.89 0.54 0.71 0.54 1.25 3.61 6.15 37.35 48.96
1 2 3 4 5 6 7 8 9
Low High
Actionability
100
90
80
70
60
50
40
30
20
10
0
1.43 2.04 2.33 3.18 9.49 11.1 19.1 26 25.31
1 2 3 4 5 6 7 8 9
Low High
Overall Importance
100
90
80
70
60
50
40
30
20
10
0
3.03 17.14 79.84
3 2 1

3 = can live without
2 = nice to have
1 = indispensable
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The views expressed herein do not necessarily represent the official policies of Health Canada