The Death of Treatment as Usual: An Excellent First Step on a Long Road
Article first published online: 11 MAY 2006
Clinical Psychology: Science and Practice
Volume 9, Issue 2, pages 195–199, June 2002
How to Cite
Bickman, L. (2002), The Death of Treatment as Usual: An Excellent First Step on a Long Road. Clinical Psychology: Science and Practice, 9: 195–199. doi: 10.1093/clipsy.9.2.195
- Issue published online: 11 MAY 2006
- Article first published online: 11 MAY 2006
- Received July 26, 2001; revised September 4, 2001; accepted Septembers, 2001.
- evidence-based treatments;
- therapeutic alliance;
The failure of system reforms to affect child and family outcomes and the lack of positive findings concerning treatment as usual has led to pressure to reform treatment in the community through the adoption of evidence-based treatments. While this is generally a positive direction for the future, reformers should also consider the quality of evidence supporting these treatments and the dependence on traditional diagnostic approaches as limitations to this approach. Moreover, reformers should recognize the importance of learning from clinicians and consumers, the inclusion of a common factors approach and the critical role of measurement in the reform process.