China, Diagnosis, Youth, and PCOMS: Updates from the Project
—Barry Duncan
Date Posted 2017-06-21
Category: PCOMS (ORS/SRS)
Keywords: PCOMS, partners for change outcome management system, diagnosis, Barry Duncan, Jacqueline Sparks, Bob Bohanske, Jeff Reese,

China Recap:The China trip was an amazing experience. Thanks again to Project Leader, Dr. Bob Bohankse for making it happen and to Project Leader Jacqueline Sparks for her contributions to making it successful. There are many exciting possibilities for helping mental health services get off the ground. Check out the pictures at my Facebook Page 


Chinese RCT of PCOMS: First, thanks to She Zhuang for making this happen. In the PCOMS condition, those clients identified as not on track achieved reliable change six times more than the clients in the treatment as usual (no PCOMS) condition. Clients in the feedback PCOMS condition achieved more overall change in the total sample and more change in the not on track sample, and achieved more change in less time. This study suggests that PCOMS and the feedback effect is a cross-cultural phenomenon. The article is in preparation for submission.

PCOMS as an alternative to psychiatric diagnosis (Duncan, Sparks, & Timimi, in press, in the Journal of Humanistic Psychology). Here is an excerpt from the abstract: Critics claim that current psychiatric diagnostic systems lack reliability, validity, and clinical utility; are incompatible with known evidence of how change occurs in psychotherapy; are compromised by bias; and risk harmful effects for clients. This article argues that the Partners for Change Outcome Management System (PCOMS; Duncan & Reese, 2015), a transparent, egalitarian process that collects and utilizes client feedback at each session, convincingly addresses these concerns.

Jonathan Kodet’s dissertation under Project Leader Jeff Reese’s tutelage with a little help from Bob Bohanske and Barry was recently submitted. It is a benchmarking study of services offered to youth at or below the federal poverty level. This study found that youth services incorporating PCOMS achieved outcomes comparable to RCTS with youth.

And the integrated care RCT will be underway next month. Information about other projects, including validation of measures for use in primary care and an article addressing the uniqueness of PCOMS given its clinical rather than research roots are forthcoming.


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