Authors: John Farhall, Jane Gierlicz, Nerelie Freeman, Tom Trauer, Frances Shawyer, VIC
Event: 2004 TheMHS Conference
Subject: cognitive behavioral therapy, evaluation research, recovery therapy
Type of resource: Conference Presentations and Papers
Abstract: In the past, development of new treatments and services within an evidence-based (scientific) paradigm relied mainly on results of efficacy studies, which ask, ‘Does the treatment work?’ Recently, the importance of following efficacy studies with effectiveness studies has been highlighted (Foxhall, 2000). Effectiveness studies ask ‘Does the treatment work in an ordinary service environment?’ For psychological therapies in mental health settings, there are many reasons why researched efficacy doesn’t always translate into real-world effectiveness, including therapist expertise, variability in consumer needs and practical impediments to delivery of the treatment. The Recovery Therapy project is studying the effectiveness of a CBT for psychosis treatment (Farhall & Cotton, 2002) in a community mental health setting via a randomised controlled trial. From an intake of 670 new consumers, 94 agreed to take part in the trial. This paper considers issues of recruitment, participation and drop-out, and presents data on the representativeness of those participating and the reasons for declining involvement in the Recovery Therapy study. Issues in studying the practical effectiveness of new mental health treatments in ordinary service settings are discussed.