Effect of Matching Therapists to Patients vs Assignment as Usual on Adult Psychotherapy Outcomes

A Randomized Clinical Trial


JAMA Psychiatry June 9, 2021

MCRA Member, Outcome Referrals, latest research is published by JAMA:

https://jamanetwork.com/journals/jamapsychiatry/article-abstract/2780658


 
Key Points

Question Can assigning patients to therapists with empirically determined strengths in treating the patients’ specific mental health problem(s) (ie, measurement-based matching) improve the outcomes of naturalistic psychotherapy compared with case assignment as usual?


Findings In this 2-arm, double-blind randomized clinical trial including 48 therapists and 218 outpatients, measurement-based matching promoted significantly greater reductions in patients’ general symptomatic and functional impairment, global psychological distress, and domain-specific impairment on patients’ most elevated presenting problem over 16 weeks postintake.


Meaning In this study, mental health care was enhanced by prospectively assigning patients to empirically good-fitting therapists, which requires minimal disruptions within a mental health care system.


 
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2021 Constantino et al. _JAMA Psychiatry
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