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Effective use of routine outcome monitoring and feedback in psychotherapy

Jaime Delgadillo

22 Feb 2023


Routine outcome monitoring (ROM) involves the use of psychometric measures in health care. Typically, ROM can be used in two ways. First, measures collected before and after therapy can be used to evaluate the effectiveness of treatment. The second application integrates measurement into the therapy process, by continuously reviewing information about the patient’s treatment response. This approach, also referred to as progress feedback, enables the therapist to determine if treatment is working as expected, or if some adjustments may be necessary. The latest and most comprehensive meta-analysis of controlled trials in this area indicates that progress feedback improves treatment outcomes and reduces dropout (de Jong et al., 2021). This workshop will guide psychotherapists on how to effectively integrate ROM and feedback into their practice.

The event will be equivalent to 1.1/2hrs of CPD.


• Evidence-base for ROM and progress feedback
• Introducing measurement into the therapy process
• Common obstacles and solutions for adherence to ROM
• Patterns of change (e.g., dose-response trends, sudden gains and losses)
• Using ROM to develop and test clinical hypotheses

Learning Objectives

You will learn:
1. How to support patients to adhere to ROM
2. How to interpret clinically relevant patterns is ROM data
3. How to personalise and adjust treatment following a scientist-practitioner method

Training Modalities

Didactic content, case vignettes, Q&A using the chat function of zoom.

Key References

de Jong, K., Conijn, J. M., Gallagher, R., Reshetnikova, A. S., Heij, M., & Lutz, M. C. (2021). Using progress feedback to improve outcomes and reduce drop-out, treatment duration, and deterioration: A multilevel meta-analysis. Clinical Psychology Review, 85, 102002.

de Jong, K., Delgadillo, J., & Barkham, M. (2022). Routine outcome monitoring and feedback in psychological therapies. Open University Press.

Delgadillo, J., de Jong, K., Lucock, M., Lutz, W., Rubel, J., Gilbody, S., Ali, S., Aguirre, E., Appleton, M., Nevin, J., O'Hayon, H., Patel, U., Sainty, A., Spencer, P., & McMillan, D. (2018). Feedback-informed treatment versus usual psychological treatment for depression and anxiety: a multisite, open-label, cluster randomised controlled trial. The Lancet Psychiatry, 5(7), 564–572.

Delgadillo, J., Overend, K., Lucock, M., Groom, M., Kirby, N., McMillan, D., Gilbody, S., Lutz, W., Rubel, J. A., & de Jong, K. (2017). Improving the efficiency of psychological treatment using outcome feedback technology. Behaviour Research and Therapy, 99, 89–97.

Lutz, W., de Jong, K., Rubel, J. A., & Delgadillo, J. (2021). Measuring, predicting, and tracking change in psychotherapy. In: M. Barkham, W. Lutz, & L. G. Castonguay (Eds.), Handbook of psychotherapy and behavior change (7th ed., pp. 89–133). Wiley.

About the presenter

Jaime Delgadillo PhD is a Senior Lecturer and Research Director for the DClinPsy training programme at the University of Sheffield. He is also Director of Psychological Therapies Research at Rotherham Doncaster and South Humber NHS Foundation Trust, where he has his clinical practice and supervises a research team dedicated to mental health. He has postgraduate qualifications in psychoanalysis and cognitive behavioural therapy, and 20 years of clinical experience. His research focuses on understanding individual differences in psychological treatment response. He has over 80 publications in scientific journals and book chapters. He is an associate editor of the journal Psychotherapy Research and chair of the Northern IAPT Practice Research Network (

Who should attend

The content of the webinar will be relevant to practitioners who deliver any form of psychological intervention / therapy to adults with common mental health problems.

Low Intensity clinical contact hours survey - BABCP Low Intensity Special Interest Group

Please click below if you are interested in contributing to the survey.


The BACP Low Intensity SIG are interested in the impact of clinical contact hours on Low Intensity/Wellbeing Practitioner wellbeing. This questionnaire contains six multi-choice questions and a free text box for you to share your experiences. The answers to these questions will help the BABCP SIG plan how to meet CPD topics and other developments within the SIG.  The SIG hope to produce a write up of the answers to this questionnaire to be shared with SIG members and to be used in training.

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This FREE conference is for Psychological Wellbeing Practitioners working in Talking Therapies for Anxiety and Depression services and is brought to you by Bespoke Mental Health in collaboration with the NHS England Talking Therapies National PWP Leads Network

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