All 6 Feedback-Informed Treatment Manuals:

The complete set of all 6 FIT manuals below.

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Manual 1 - What Works in Treatment: A Primer

Manual 1 reviews key empirical literature detailing "what works" in behavioral health treatment, including:

  • Therapeutic factors responsible for effective treatment
  • The qualities of effective helping relationships
  • Qualities of effective clinicians
  • The impact of feedback on retention and outcome



Upon completion of the manual, readers will be able to:
  • Describe the significant findings regarding "what works" in behavioral health services from the past 40 years
  • Identify the core components of the therapeutic alliance and the impact each has on outcome
  • Identify therapist characteristics that have been documented through research to influence outcomes
  • Describe how feedback works to improve outcome


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Manual 2 - Feedback-Informed Treatment: The Basics

Manual 2 - Feedback-Informed Treatment: The BasicsManual 2 details key knowledge and skills regarding the use of routine outcome measurement in clinical practice, including:
  • What to measure
  • Creating a culture of feedback in service delivery
  • Using feedback to inform and improve care


Upon completion of the manual, readers will be able to:
  • Describe the specific components of routine outcome measurement
  • Use of outcome and alliance measurement instruments in routine clinical care
  • Identify important factors in creating a culture for measuring client outcomes and using feedback processes
  • Describe strategies for using feedback to inform and improve care on a routine and ongoing basis


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Manual 3 - Feedback-Informed Supervision

Manual 3 details key knowledge and skills involved in the practical application of FIT in clinical supervision. The chief areas of focus are:
  • Creating a culture of feedback in supervision
  • How to review the Outcome Rating Scale (ORS)
  • How to review the Session Rating Scale (SRS)
  • How to identify cases of concern
  • How to use aggregate data to identify weaknesses in service provision and providers
  • How to develop a collaborative service/provider improvement plan


Upon completion of the manual, readers will be able to:
  • Describe factors necessary to establish an effective culture of feedback in supervision and ways of monitoring outcome data on a routine and ongoing basis
  • Identify and describe areas of focus in reviewing data from the ORS and SRS and how to integrate outcome feedback into supervision
  • Describe common patterns of client response on outcome measures
  • Identify and respond to cases of concern
  • Use aggregate data to identify and develop a plan of remediation.


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Manual 4 - Documenting Change: A Primer on Measurement, Analysis and Reporting

Manual 4 explores key areas involved with documenting and monitoring client progress, analyzing data, and reporting on those data. Specific sections of the manual include:
  • Psychometric Properties of the ORS and SRS
  • Case Documentation of Client Progress
  • Methods of Data Analysis for Individual Providers, Programs, and Agencies
  • Data Reporting


Upon completion of the manual, readers will be able to:
  • Describe the psychometric properties of popular outcome and alliance measures in clear, nontechnical terms
  • Use methods for documenting client progress in case notations
  • Use methods for analyzing outcome data consistently and reliably in a variety of treatment contexts (e.g., private practice, agency, residential settings).
  • Describe processes for using data in various formats for the purposes of reporting to third party payers, funding bodies, regulatory agencies


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Manual 5 - Feedback-Informed Treatment: Advanced Applications

Manual 5 addresses into the advanced applications of clinical work with diverse populations, treatment modalities, and service settings. In addition, Manual 5 offers steps for achieving clinical excellence through deliberate practice. Specific content areas include:
  • Using routine outcome measurement in group therapy
  • Applying FIT with special populations (i.e., children, families, couples, SPMI, DD, mandated clients, etc.)
  • Applying FIT in specific service settings (i.e., inpatient, outpatient, residential, homebased, etc.)
  • Steps to achieving clinical excellence


Upon completion of the manual, readers will be able to:
  • Use of routine outcome measurement in group settings
  • Apply FIT with a number of special populations
  • Applying FIT in specific service settings
  • Apply skills of deliberate practice to continuously improve clinical skills and effectiveness


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Manual 6 - Implementing Feedback-Informed Work in Agencies and Systems of Care

Manual 6 addresses key knowledge and steps for implementing and developing a structure for sustaining feedback-informed work in agencies and larger systems of care. This manual offers detailed guidelines from planning to training to sustainability in organizations. Specific content areas of the manual include:
  • Using the GAP Assessment to identify target areas for organization change (i.e., identification of clinical, policy, administrative, funding, regulatory, supervisory, consumer challenges)
  • How to conduct basic staff training
  • Chief management, leadership, and supervision challenges and obligations
  • Creating and utilizing a transition oversight group to facilitate successful implementation
  • Conducting a pilot project
  • Sustainability strategies (e.g., development of a training program, policy, etc.)


Upon completion of the manual, readers will be able to:
  • Understand how to perform a GAP Assessment and assess organizational readiness for a transition to outcome-informed work
  • Convey strategies for administration, management, leadership, and supervision
  • Prepare a plan and implement a staff training program
  • Pilot and implement an outcome management system
  • Describe strategies for sustaining and improving the outcome management system


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