David R. Kraus

Learn More
This article reviews the benefits, obstacles, and challenges that can hinder (and have hindered) implementation of routine outcome monitoring in clinical practice. Recommendations for future routine outcome assessment efforts are also provided. Spanning three generations, as well as multiple developed tools and approaches, the four authors of this article(More)
Significant therapist variability has been demonstrated in both psychotherapy outcomes and process (e.g., the working alliance). In an attempt to provide prevalence estimates of "effective" and "harmful" therapists, the outcomes of 6960 patients seen by 696 therapists in the context of naturalistic treatment were analyzed across multiple symptom and(More)
In 1994, the American Psychological Association and the Society for Psychotherapy Research convened a Core Battery Conference to develop a set of criteria for the selection of a universal core battery that could be used as a common outcome tool across all outcome studies. The Treatment Outcome Package (TOP) is a behavioral health assessment and outcome(More)
As an effort to foster the use of standardized data in clinical practice, this article discusses an outcome measure developed by clinicians for use in naturalistic settings: the treatment outcome package (TOP). In addition to describing how the TOP can be used in day-to-day practice, the article illustrates how its multidimensional structure can inform(More)
Evidence shows that routine outcome monitoring (ROM) and feedback using standardized measurement tools enhances the outcomes of individual patients. When outcome data from a large number of patients and clinicians are collected, patterns can be tracked and comparisons can be made at multiple levels. Variability in skills and outcomes among clinicians and(More)
Address all correspondence to Dr. Klocke, Erie County Medical Center. Received for publication 17 March 1981 and in revised form 8 June 1981. 'Abbreviations used in this paper: LC, left circumflex; Pf=0, zero-flow pressure-axis intercept. 970 to capacitive effects averaged only 5.9+3.0 mm Hg before vasodilation and were smaller during dilation. We conclude(More)
In this commentary, we address the critical importance of the research literature documenting therapist differences in skill and outcomes. In particular, we focus on the implications of therapist differences for patient-centered decision making, including the matching of patients to specific psychotherapists who have empirically-based track records of(More)
OBJECTIVE Differences between therapists (therapist effect) are often larger than differences between treatments (treatment effect) in explaining client outcomes, and thus should be considered relevant to providing optimal treatment to clients. However, research on therapist effectiveness has focused largely on global measures of distress as opposed to a(More)
This paper describes the experience of clinicians in conducting research and collaborating with academic researchers. As part of clinical routine of a residential program for adolescent substance abusers, empirical data have been collected to assess client's needs before and after treatment, improve clinical practice, and identify barriers to change. Some(More)
The Treatment Outcome Package (TOP) is a behavioral health assessment and outcome battery with modules that assess a wide array of behavioral health symptoms and functioning, demographics, case-mix variables, and treatment satisfaction. The TOP was developed to follow the design specifications set forth by the Core Battery Conference (Horowitz, Lambert, &(More)