A conversation with
Dr. Scott Miller
About the question: What do I need to change in the treatment to make it work better?
Wednesday, May 22, 2024 8 pm - 9:30 pm
(Israel Time; UTC+2) | 1 PM New York Time
We welcome questions in advance for Dr. Scott Miller Please send them to:
In Feedback Informed Treatment, the therapist asks the client to fill out an Outcome Rating Scale (ORS) at the beginning and a Session Rating Scale (SRS) after each session. The ORS evaluates the patient's well-being by measuring sugar levels before administering insulin. The Session Rating Scale (SRS) is a simple, four-item visual analog scale designed to assess key dimensions of effective therapeutic relationships. According to Scott Miller, feedback-informed treatment is a simple, valid, and reliable alternative that can double the effectiveness of treatment while simultaneously reducing costs, drop-out rates, and deterioration.
However, feedback-informed treatment is not just about administering scales. It is creating a whole new culture of feedback with patients. Therapists are encouraged to set aside time to reflect on their performance, consider feedback received, identify errors, and develop, rehearse, execute, and evaluate an improvement plan.
Administering two scales in each session might seem scary and awkward initially, but the rationale for doing this is quite strong. According to Scott Miller, The first real reason is that the outcomes in the field have not improved in 40 years and are exactly where they were in 1976. Also, clinicians' outcomes deteriorate with time and experience, but therapists become more and more confident about their work over time.
Miller found that clients whose scores improve on the SRS from start to finish have better outcomes – almost 50% better. He has also found that top-performing therapists with the best outcomes worldwide create an atmosphere where clients feel safe making these minor complaints.
In this conversation, after the presentation of the concept, the tools & practice, and relevant research, Aner Govrin and Sharon Ziv-Beiman will discuss with Scott Miller questions regarding Feedback Informed Treatment:
How are the scale results used in therapy?
Do therapists discuss the results with patients?
Is it effective with all treatment methods for patient complaints, or does its impact change across various contexts?
How can therapists create a safe environment for patients to speak openly about their therapist's failures and misunderstandings?
Beyond feedback, how we enhance our effectiveness?
The essence and creation process of Miller's and colleagues' seminal book: The Heart and Soul of Change".
The "Common Factors" legacy of Saul Rosensweig and its contemporary evaluation and impact.