Outcome assessment: From conceptualization to implementation

A method of assessing outcome after psychotherapy in private practice or clinics is described. Use of this system is illustrated by reference to the progress and rate of recovery of 27 patients seen by a private practice clinician in comparison with base rates from a prior study. The results suggested more rapid recovery in the patients treated by an experienced clinician committed to a brief, solution-focused psychotherapy. The methodology reported, based on weekly assessment of patient progress and the use of clinical significance markers, has implications for routine clinical practice as well as for managed health care practices and social policy decisions.