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Effective Therapist Blog

Advancing Outcome Informed Therapy

Welcome to our community dedicated to advancing outcome informed therapy! Our goal is to provide valuable insights and resources to help therapists improve their practice and achieve better outcomes for their clients. We invite you to subscribe to our blog and join the conversation by sharing our posts on social media. Together, we can make a positive impact on the mental health industry.

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What is Deliberate Practice?

The purpose of deliberate practice is simple and straightforward: improving outcomes. And ample evidence documents its impact in fields as diverse as medicine, music, sports, chess, and surgery. Excitement about the potential for using deliberate practice to improve therapeutic effectiveness can be traced to the first study on the topic published in 2015. Briefly, Chow and colleagues (2015), found the best therapists engaged in significantly more deliberate practice than their more average counterparts and staggering 14 times more than the least effective!

If you are new to concepts of deliberate practice and how they can be applied in psycho therapeutic practices here is a brief video, Scott Miller, and I, developed for the International Center for Clinical Excellence.

What is Deliberate Practice? Let Scott D. Miller explain...


If you have already began trying to adopt a more deliberate form of individualized professional development, you might benefit from listening to Scott Miller’s latest interview with Tor Travis. Tor is a clinical social worker living and working in New Mexico. His story of the steps and missteps he has taken is a great listen for anyone navigating the path of deliberate practice, on their quest for clinical excellence.

Feedback Informed Treatment Improves Outcomes by 25%

In the last decade research into FIT has accelerated.

We have a better understanding now regarding evidence-based strategies for successful implementation of FIT and the role of Deliberate Practice in improving performance and outcomes. New evidence that how FIT is implemented and how receptive and adaptive clinicians are impacts success of FIT in improving outcomes.

If you're looking for a way to get your Team interested in using Feedback-Informed Treatment or Deliberate Practice to reduce drop outs and improve outcomes, I offer two short workshops.


Feedback Culture- A discussion comparing current data collection & outcome reporting compliance with FIT Core Competencies. Introduce and complete the Feedback Readiness Index and Fidelity Measure (FRIFM). The FRIFM is an organizational readiness checklist and evaluation tool for behavioural health agencies, services and/or systems. It addresses six organizational components important for evaluating a system’s fidelity or readiness to implement a feedback- informed approach to services.

Session Focus:

1) Is it working?

2) The FRIFM

3) Failing Successfully

4) Add-ins and Take-aways


Deliberate Practice- A review of current methods for helping staff establish a performance baseline and the introduction of recommended indices. Focus on non-random errors. A discussion on how the focus needs to move from looking at a problem client to finding a problem pattern that emerges with certain kinds of clients. Introducing the Taxonomy of Deliberate Practice and complete the Taxonomy as a supervisor.

Session Focus:

1) Making Sense of the Data

2) Focus on non-random errors

3) The Taxonomy of Deliberate Practice

4) Make a Plan

Book a free FIT Implementation consultation today, find out what training options would be best for you or your Team.


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