Valutazione multistrumentale della qualità degli interventi psicoterapeutici e integrati e formazione degli operatori

Aims: In this study we intend to deal with the problem of how to transmit to clinicians, in an effective way, the results of research on processes and outcomes in psychotherapy and integrated psychiatry. This can be carried out at the same time as the assessment of psychotherapeutic intervention quality, and takes the form of a structured discussion between researcher and clinician. Methods: The ESMS - Empirically Supported Multinstrumental Supervision - is based on the clinical use of assessment validated tools that measure therapeutic factors of proven or potential effectiveness (OPD-2, AR, CCRT, IVAT-2, SASB). The evaluations have been made on the basis of recorded interviews and discussed together with clinicians, who have received training on the management of the tools. Results and Conclusions: With this model it has been possible to identify in a reliable and consistent way both imperfections (risk factors) of the treatment and the therapeutic effectiveness of the intervention. Moreover, the ESMS task force was able to achieve the necessary self questioning approach, and was successful in fostering integration between researchers and clinicians. The use of the ESMS model, despite being labour intensive, is accepted by clinicians and allows the clinical discussion to be established on a “solid base”. Furthermore, the data obtained by use of the tools, facilitates communication between different therapeutic approaches.