Psychotherapy racial/ethnic disparities in treatment outcomes: The role of university racial/ethnic composition.

Objective: Mental health disparities between racial/ethnic minorities (REM) and White individuals are well documented. These disparities extend into psychotherapy and have been observed among clients receiving care at university/college counseling centers. However, less is known about if campus RE composition affects outcomes from psychotherapy for REM and White clients.

Longitudinal measurement invariance of the Behavioral Health Measure in a clinical sample.

The practice of routine outcome monitoring (ROM) has grown in popularity and become a fixture in feedback-supported clinical practice and research. However, if the interpretation of an ROM measure changes over time, treatment outcome scores may be inaccurate and produce erroneous or misguided interpretations of client progress and therapist efficacy. The current study examined whether factorial invariance held when using the Behavioral Health Measure (BHM-20) longitudinally in a clinical sample (n = 12,467).

Are high-performing therapists both effective and consistent? A test of therapist expertise.

Objective: Therapist effectiveness has primarily been defined as being the aggregate of the client therapy outcomes within a therapist's caseload. It may seem intuitive that the most skilled therapists are both effective (in the way defined above) and consistent in facilitating positive outcomes across their clients; however, this premise has not been fully tested. The present study sought to empirically examine this question in a large, multisite, geographically diverse sample.

Correction to: Reliability of Therapist Effects in Practice-Based Psychotherapy Research: A Guide for the Planning of Future Studies.

The original version of this article unfortunately contained a mistake. In Results section, under the heading the "Application", CI difference values were incorrect in one of the sentences. The corrected sentence is given below.

The Psychotherapy Outcome Problem: The Development of the Outcome Stability Index.

Objective: Psychotherapy research commonly utilizes clients' last session score as an indicator of treatment outcome. We examined whether this last session score is consistent with what would be predicted based on clients' general trajectory in psychological functioning across sessions. We focused on the unstandardized residual variance at the last session, as this represents the degree to which the session score is divergent (or not) from what is predicted from the previous sessions (i.

Reliability of Therapist Effects in Practice-Based Psychotherapy Research: A Guide for the Planning of Future Studies.

This paper aims to provide researchers with practical information on sample sizes for accurate estimations of therapist effects (TEs). The investigations are based on an integrated sample of 48,648 patients treated by 1800 therapists. Multilevel modeling and resampling were used to realize varying sample size conditions to generate empirical estimates of TEs.

As good as it gets? Therapy outcomes of trainees over time.

There is a paucity of empirical studies that demonstrate psychotherapy trainees improve at assisting their clients' therapy outcomes over time. We examined whether trainees (i.e.

Measuring psychotherapy outcomes with the Behavioral Health Measure-20: Efficient and comprehensive.

The Behavioral Health Measure-20 (BHM-20; Kopta & Lowry, 2002) through the computer-based CelestHealth System-MH (CHS-MH) has proven to be an effective and efficient instrument for assessing psychotherapy outcomes and providing feedback to psychotherapists. This article describes its features, the psychometric and research support of the measure, as well as its use in clinical training and practice. Additionally, we offer some hopes and possibilities for the future of clinical feedback systems.

Trajectories of Change in Psychotherapy.

Objective: The current study used multilevel growth mixture modeling to ascertain groups of patients who had similar trajectories in their psychological functioning over the course of short-term treatment.

Method: A total of 10,854 clients completed a measure of psychological functioning before each session. Psychological functioning was measured by the Behavioral Health Measure, which is an index of well-being, symptoms, and life-functioning.

Effect of third-trimester premature rupture of membranes on fetal breathing movements: a prospective case-control study.

Fetal breathing movements were examined in 44 women with premature rupture of membranes. All had previously uncomplicated singleton pregnancies (28 to 41 weeks). Of these 44 women, 13 had complications based on later amnionitis/neonatal infection or antepartum fetal distress.

Genetic amniocentesis: impact of placental position upon the risk of pregnancy loss.

Although it is generally believed that a transplacental tap increases the risk of pregnancy loss associated with genetic amniocentesis, objective data are lacking. To quantitate the risk of transplacental amniocentesis, pregnancy outcomes were compared in 998 consecutive patients in whom amniocentesis was performed under direct real-time sonographic guidance. This technique allows visualization of the path of the needle during insertion and documents with certainty whether the placenta has been traversed.

A comparison of the reliability of the estimated date of confinement predicted by crown-rump length and biparietal diameter.

First trimester crown-rump length (CRL) followed by a second-trimester biparietal diameter (BPD) were sonographically measured in 27 patients. Each value was independently used to prospectively predict an estimated date of confinement. The actual delivery date was compared with the estimated dates of confinement predicted by the CRL and the BPD.

Ultrasonic methods of predicting the estimated date of confinement.

The present study examines the relative accuracy of 2 ultrasonic methods of predicting the estimated date of confinement (EDC). The first technique, mean projected gestational age (MPGA), utilizes 2 fetal biparietal diameter (BPD) readings between 19 and 30 weeks' gestation with at least a 3-week interval between examinations. The 2 values are fitted to the mean of the standard curve as closely as possible and an EDC is predicted.

Comparative newborn anthropometric data in symmetric versus asymmetric intrauterine growth retardation.

Autopsy studies have shown that the fetal liver is more severely affected than the brain in asymmetric fetal intrauterine growth retardation (IUGR). This "brain-sparing" concept has led to the suggestion that ultrasonic measurements of biparietal diameter (BPD) are of limited value in detecting IUGR since the BPD is an indirect reflection of head and brain size. This study compares the effects of asymmetric and symmetric IUGR on newborn anthropometric measurements, including head circumference (HC), birth weight (BW), length (L), and ponderal index (Pl) in 33 growth-retarded infants divided into two groups, asymmetric (uteroplacental failure) and symmetric (maternal smoking, drug exposure, congenital anomalies, intrauterine infection), on the basis of the etiology of the IUGR.

Ultrasonic growth patterns in normal and discordant twins.

Prior studies on twin biparietal growth have resulted in conflicting conclusions. This study was designed to establish definitive criteria based on both ultrasonic biparietal diameter (BPD) and newborn anthropometric data for normal versus abnormal growth in multiple pregnancies. Fetal BPD and newborn head circumference values among concordant twins were similar to those of appropriate for gestational age (AGA) singletons at all gestational ages.

Prediction of intrauterine growth retardation via ultrasonically measured head/abdominal circumference ratios.

This prospective study examines the reliability of ultrasonically measured head/abdominal (H/A) ratios in detecting uteroplacental insufficiency (UPI)-related intrauterine growth retardation (IUGR) in 47 patients. Normal H/A ratios were found in 37 (79%) fetuses. None of these infants was classified as small for gestational age (SGA) on newborn pediatric evaluation.

Abnormal fetal growth patterns. Ultrasonic diagnosis and management.

Diagnostic ultrasound is a useful tool in the management of high-risk pregnancies and provides valuable information about abnormal fetal growth patterns including excessive fetal size and intrauterine growth retardation. Two patterns of growth retardation can be distinguished ultrasonically. Fetuses exhibiting "reduced growth potential" type patterns have little risk of fetal distress and are readily recognized as small for gestational age at birth.