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Mastering Competencies In Family Therapy
Chapter 16: Evaluating Progress in Therapy
1. Therapists have two general options for measuring progress. What are they?
a. General and experimental measures
b. Linear and analytical measures
c. Nonstandardized and standardized measures
d. Formal and informal measures
2. Many insurance companies have shifted toward having clients complete which of the
following to assess if therapy is warranted and effective?
a. Progress checklists
b. Treatment plans
c. Assessments
d. Outcome measures
3. There are many advantages of nonstandardized evaluations. The advantages include
which of the following?
a. They are as reliable or valid as standardized measures.
b. They are easily adapted for diverse clients.
c. They are not difficult to use with persons with severe pathology.
d. They are not difficult to use with children if parents are not there.
4. Gayle, a family therapist working with a couple in therapy, asks the couple at the
beginning of each session, “This week, on a scale of 0 to 10, (0 meaning no improvement
and 10 meaning we did not argue once) how have things been for each of you?” What is
Gayle attempting to do here?
a. Assess her client’s problems
b. Help her clients assess their own progress
c. Standardize therapy
d. None of the above
5. Which of the following is usually true of standardized evaluations?
a. They are considered to be less reliable and valid.
b. They are less able to make cross-client comparisons.
c. It is difficult to use them to make comparisons across time.
d. They may require more therapist time and/or equipment and resources.
6. When scoring standardized evaluations with diverse clients, which of the following
statements is true?
a. Generally, the less diverse the clientele, the more difficult it is to accurately
interpret scores.
b. Generally, the more diverse the clientele, the more difficult it is to accurately
interpret scores.
c. Standardized evaluations cannot be used with diverse populations.
d. Standardized evaluations are developed initially for use with diverse populations.
7. As with nonstandardized evaluations, standardized measures have both advantages and
disadvantages. Which of the following is NOT an advantage of standardized evaluations?
a. They are considered more reliable and valid.
b. The therapist is better able to make cross-client comparisons.
c. The therapist is better able to make comparisons across time.
d. They are easily adapted for diverse clients.
8. Ultra brief instruments are those that require which of the following amounts of time?
a. As little as 1 minute
b. As few a 5 minutes
c. As few as 8 minutes
d. A little as 10 minutes
9. Which of the following is not a guideline for using standardized measures in everyday
practice?
a. Use instruments that take 5 minutes or less to complete.
b. Use instruments at regular intervals, weekly or monthly.
c. Use measures at the beginning and end of every session.
d. Use measures clients will complete at the beginning of sessions.
10. The Outcome Rating Scale is an ultra-brief questionnaire appropriate for use at which
time?
a. Every session
b. Monthly
c. At the start and termination of therapy
d. None of the above
11. Which of the following measures the client-therapist relationship?
a. General Rating Scale
b. Ultra Brief Rating Scale
c. Outcome Rating Scale
d. Session Rating Scale
12. Brief measures refer to assessment instruments that require less than 10 minutes to
complete. Which of the following is considered to be a brief measure?
13. Beth is a first-year family therapist who has just started working with clients. One of her
clients is in therapy to work through his depression. The client is a 19-year-old male who
has just recently moved to the United States from Puerto Rico. The client states that he
still has a hard time with the English language, though he understands enough to carry on
a conversation. Beth wants to get an accurate assessment of the client and his problem,
but is unsure which type of assessment would be best in this case. What type of
measurement should Beth use?
a. Standardized: The client does not fit the cultural norm, so he must be given a
paper and pencil test.
b. Standardized: Culture has no effect on the validity of standardized instruments.
c. Non-standardized: It will give a more detailed and objective assessment based on
the client’s cultural norms.
d. Non-standardized: A detailed self-report is most likely to capture the client’s
perspective.
14. What is one of the most critical aspects of success related to the outcome of using an
assessment system?
a. The client’s willingness to participate in therapy
b. The insurance company’s demand for them
c. The therapist’s attitude about assessment
d. None of the above