Through feedback-informed treatment (FIT), clinicians gather real-time input from clients using structured yet flexible measures that identify what is and is not working in therapy and how to better meet clients' needs.

This book coalesces expert insights from practitioners who have successfully integrated FIT in their own work. Their experiences demonstrate how other clinicians can incorporate FIT into their own practices to consistently monitor clients' progress and the therapeutic alliance.

The contributors first review FIT theory, specific measures (including the Outcome Rating Scale and the Session Rating Scale), and general strategies for implementing FIT in practice and supervision. This information is then translated into more specific applications of FIT with different kinds of clients, including individuals, couples, children and families, LGBTQ clients, and clients with addiction and early onset psychotic disorders.

A variety of treatment settings are also represented, such as private practice, clinics, group therapy, the criminal justice system, and pharmacies.

The concluding chapter ties together the book's overarching themes with friendly, practical advice about using FIT to bolster professional development and improve one's clinical abilities.

Table of Contents


David S. Prescott, Scott D. Miller, and Cynthia L. Maeschalck

I. Feedback-Informed Treatment Theories and General Practice

  1. Feedback-Informed Treatment: Historical and Empirical Foundations
    Eeuwe Schuckard, Scott D. Miller, and Mark A. Hubble
  2. Feedback-Informed Treatment: An Overview of the Basics and Core Competencies
    David S. Prescott
  3. Using Client Feedback to Inform Treatment
    Cynthia L. Maeschalck and Leslie R. Barfknecht
  4. Achieving Excellence Through Feedback-Informed Supervision
    Susanne Bargmann
  5. Implementing Feedback-Informed Treatment: Challenges and Solutions
    Randy K. Moss and Vanessa Mousavizadeh

II. Feedback-Informed Treatment in Specific Settings

  1. Feedback-Informed Treatment in a Private Practice Setting: Personal Advice and Professional Experience
    Jason A. Seidel
  2. Feedback-Informed Group Treatment: Application of the OQ–45 and Group Questionnaire
    Robert L. Gleave, Gary M. Burlingame, Mark E. Beecher, Derek Griner, Kristina Hansen, and Sue A. Jenkins
  3. Feedback-Informed Treatment in Agency and Clinic Settings
    Robbie Babins-Wagner
  4. Feedback-Informed Treatment in an Agency Serving Children, Youth, and Families
    Bob Bertolino
  5. Feedback-Informed Treatment With Couples
    Bill Robinson
  6. Feedback-Informed Treatment in an Addiction Treatment Agency
    Julie Seitz and David Mee-Lee
  7. Feedback-Informed Treatment With LGBTQ Clients: Social Justice and Evidence-Based Practice
    Brittney Chesworth, Alex Filippelli, David Nylund, Julie Tilsen, Takuya Minami, and Chrystal Barranti
  8. Feedback-Informed Treatment With Clients in the Criminal Justice System: The Time Is Now
    David S. Prescott
  9. Feedback-Informed Treatment for Adolescents and Young Adults With Early-Onset Psychotic Disorders: Developmentally Appropriate Mental Health Services and the Need for Relevant Outcome Measures
    Ryan Melton and Elinor Taylor
  10. Facilitating the Therapeutic Alliance Between Pharmacists and Patients to Improve Medication Adherence
    Janice Pringle and Jaime Fawcett

III. Professional Development in the Pursuit of Excellence

  1. The Practice and the Practical: Pushing Your Clinical Performance to the Next Level
    Daryl Chow


About the Editors

Editor Bios

David S. Prescott, LICSW, has worked in human services for 32 years.

Devoted to building healthy lives and safe communities, he has produced 14 book projects and numerous articles and chapters in the areas of assessing and treating sexual violence and trauma.

Mr. Prescott is a current fellow and past president of the Association for the Treatment of Sexual Abusers, the largest professional organization of its kind in the world.

He is also the 2014 recipient of that organization's Distinguished Contribution award, one of only a handful of recipients. Previously, he received the Bright Lights award from the National Adolescent Perpetration Network in 2007.

He is a certified trainer for the International Center for Clinical Excellence and a member of the Motivational Interviewing Network of Trainers. He has lectured around the world, including repeatedly in Australia, Japan, Germany, Iceland, Poland, Romania, Canada, and the United Kingdom.

He serves and has served on the editorial boards of three scholarly journals, Motivational Interviewing: Training, Research, Implementation, and Practice; the Journal of Sexual Aggression; and Sexual Abuse: A Journal of Research and Treatment.

Mr. Prescott is also coeditor of the NEARI News, which is read by thousands of professionals each month.

Cynthia L. Maeschalck, MA, CCC, has more than three decades of experience working as a counselor, clinical supervisor, and manager in mental health and addiction services. She has used feedback-informed treatment (FIT) in her practice and has been training clinicians in the use of FIT since 2005.

Currently, she is the community manager and director of professional development for the International Center for Clinical Excellence (ICCE) and has been a senior associate, certified FIT trainer, and faculty member with the ICCE since its inception. As such, she is dedicated to assisting clinicians, supervisors, and agencies around the world to effectively implement FIT into practice.

She provides consultation and training on FIT and has developed online courses, produced webinars, and assisted in the development and delivery of intensive training workshops on various aspects of FIT.

Ms. Maeschalck also helped to develop the ICCE FIT Core Competencies, is coauthor of three of the six ICCE FIT manuals, and has written several articles about FIT.

Scott D. Miller, PhD, is the founder of the International Center for Clinical Excellence, an international consortium of clinicians, researchers, and educators dedicated to promoting excellence in behavioral health services.

Dr. Miller conducts workshops and training in the United States and abroad, helping hundreds of agencies and organizations, both public and private, to achieve superior results. He is the author of many books and articles and one of a handful of "invited faculty" whose work, thinking, and research are featured at the prestigious Evolution of Psychotherapy Conference.

He also developed the two scales and interpretive algorithms that make up the Partners for Change Outcome Management system that is helping practitioners, administrators, and policymakers to bring about effective change in service delivery around the globe.

Reviews & Awards

Feedback-Informed Treatment in Clinical Practice is well written, is well edited, and has a clear agenda: to encourage readers to embark upon the journey of excellence to improve their performance, although the journey can be both hazardous and threatening to the identity of the therapist...This agenda is, however, important and innovative in psychotherapy, which makes the book relevant to any mental health practitioner, psychotherapy researcher, and student in this field.

This timely and masterful compilation describes feedback-informed treatment, challenges and opportunities in its adoption and implementation, and applications in a wide range of practice settings with a variety of client populations. Practitioners who have a serious commitment to excellence in the practice of psychotherapy will not want to miss this book.
—Robert Kinscherff, PhD, JD
William James College, Newton, MA; Center for Law, Brain and Behavior, Massachusetts General Hospital, Boston

The future of effective practice is revealed in this treasure trove of information (from theory to application) on innovative methods for enhancing psychotherapy outcomes by tracking their mental health functioning over the course of psychotherapy.
—Michael J. Lambert, PhD
Professor Emeritus, Department of Psychology, Brigham Young University, Provo, UT

This is the FIT book that I have been waiting for! Written by the leaders in the field, this volume is packed with practical guidance and illustrative clinical examples. I recommend it to everyone, from FIT beginners to supervisors.
—Tony Rousmaniere, PsyD
Clinical Faculty, University of Washington, Seattle

Most practitioners gather some client feedback, but the process proves inert unless such feedback becomes part of an ongoing, genuine process to inform and propel psychotherapy. The contributors show how to translate patient-centered care into excellent care. One of the most practical books I have ever read: feedback expertly applied to diverse activities in real-world settings!
—John C. Norcross, PhD, ABPP
Distinguished Professor, University of Scranton, Scranton, PA