Abstract
Title: Therapists' and clients' perceptions of using CORE-Net and ARMS in the NHS Objective This qualitative study elicited the perceptions of both psychological therapists and their clients in the use of Clinical Outcomes in Routine Evaluation (CORE-Net) where instant visual feedback was given on a computer screen and the combined use of an alliance measure (Agnew Relationship Measure, ARM-5) at each therapy session for session tracking. It elicited how therapists view its potential value in supervision and their suggestions for improving training in it. Design/Setting/Participants/ Outcomes A purposive sample of convenience was used with therapists in a primary care counselling setting (PCC) who are the longest users of CORE-Net in the UK and an employee counselling service (OH) in the NHS just beginning to use CORE-Net and ARM-5 with their clients. Data were collected using focus groups, interviews and diaries. All data were analysed using a general inductive approach except the therapist diaries which were analysed using conventional content analysis. Results/Conclusions The study identified six overarching themes: 1) therapists were initially anxious and resistant; 2) therapists adapt 'creatively'; 3) outcome measures help the client/therapist relationship; 4) clients perceive visual measures as helpful; 5) CORE scores inform supervision; and 6) proper and ongoing training/support of therapists is necessary. The implementation of routine outcome measurement for session tracking is a challenge but can be made easier with proper training , and supervision of therapists. Clients appear happier than their therapists when routine outcome measurement is used. Key words Agnew Relationship Measure, CORE-Net, practice based evidence, qualitative study, routine outcome measurement.