Systematic Client Feedback: A naturalistic pilot study

Introduction: Routine outcome monitoring or systematic client feedback (SCF) continues to garner empirical support. The Partners for Change Outcome Management System (PCOMS) is one application of SCF with significant research support but no studies have been conducted in Spain. This investigation describes the effects of PCOMS in routine practice via a comparison to published PCOMS studies. Material and methods: In a retrospective observational study, PCOMS was implemented with 42 clients treated in routine psychotherapy. Outcomes were measured by the Outcome Rating Scale (ORS) and descriptively compared to PCOMS studies included in a meta-analysis and a PCOMS benchmarking study regarding reliable and/or clinically significant change, no change, and deterioration. Results: The current study achieved similar rates of reliable and clinically significant change (73.8\%) to the benchmarking study (65.6\%) and the RCTs (67.5\%). Regarding no change rates, the current study (23.8\%) mirrored results of the RCTs (25.6\%) and was better than the benchmarking study (35.4\%). The current study incurred a low 2.4\% deterioration rate compared to a 10.7\% and 7.0\% rate of the benchmarking study and RCTs, respectively. Conclusions: While not without flaws, this pilot study offers some evidence that the improved outcomes associated with PCOMS may also occur in psychotherapy settings in Spain.