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Solution-Focused Brief Therapy Outcome Research

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Abstract

This chapter reviews the development of SFBT outcome research chronologically, beginning with the first compilation of outcome studies by the European Brief Therapy Association (EBTA) described by Macdonald. It then discusses the first systematic review of controlled SFBT outcome studies published by Gingerich and Eisengart, followed by the meta-analytic reviews of Stams et al. and Kim. Finally, it reviews several important studies that have appeared since the meta-analyses and concludes with a summary of SFBT outcome research to date.
Reviews of Solution Focused Brief Therapy Outcome Research
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1994 Compilation of Eight Reports
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   
$%0,-.A 1 9.
%038
9B".9@# ,, 
",-.A#0C
   9A@
,/::  !
$%1;9@ 
"' %($)*&+$,-./#0
,--,  9B9-".:@#
 D
08,.
./@/;@  0
<0/ 
0
)=",--:#1  
/9'E"//@#
0",--B#
   F0
()  
0CB< 9/";;@#  0
0(  
 0
) ,--,-;
 9A@08
;,@ 07
 /BA",-#
  05B.@  
 0 
 0
$",--B# 
   
60"1
 #,;0C
9B";;@#  0
   
 $6,--<0
 B0;0
9-";:@#
 0! "G 
 #0 
H0
78  
1 ;.0 
7800000%0

 10C
9/ ,-0?
9.::
1/:@HB4A 0
2000 Qualitative Review of 15 Studies
H
)79:::0 
 
? 
7 ,---0
I
1 

0
 I",# "9#
"B#H"<#H"A#1 "/#
%";# %0
 
",--;#",--.#023
  
%
  !$%&0
 ,---0
 E
 0)7
1 
8>8"%>
+>>,--A#
!5",--.#0
1 0
 <: 
 
0
 
",--B# %
"JK$*&,--/#
  "!%*!%,--;#
   "'*$
",--;#?",--;#08
  0 
 %+ E>
%   E
   ?
!C>7>8=  
/.@ %;
 <@  0
?B:A:@
  0
)7 2 
 3" 0<-A#08
   
D0

2 32 30)7
  2 
32D30
2006 Meta-analytic Review of 21 Studies
8++%+L
9::/ H
D0
 
2?3
 
0$
1  " 
  #"1
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>1 ?4G%0
7?N09:N0A:N0.:
?"!,-..# 0<<<
1=G",--A#"9,PAQ,:#
?0> 1 23
=G4%0
 "9:#N/B0.;O0::,0
8(CL8G
??0
? ,0
  ? 
N0A;O0:,?
?N0,/00"NA0,<O0:A#0!
4%
1 4  23M
? )
7G9:::"N0.;# "N09-#
"NA0;,O0:A#08(CL8
"N0/,#"N09B#"NA0:AO0:A#0!
H  
"N0/:#
R "N0<:#"N09,#"N/0:/O0:A#0?
 1 "
N0/,#  "N0AA#
"N0<-#1 "N099#"N.0.-O0:A#0) 
 "N0A-# 
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) M
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 ,, -
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  0
&! ) 42 
323M8    

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?08
 0$
08
HT".,9#N,-.0/9O0::,N0B.U1 
/A@??0
?"N0B/O0::,#0?

"N0B/O0::,#0?1
"C++8+5+H# 
 "1 #1 "N0,;
O0:A#0?
"N0/,O0::,#0
5 M05 
 !GM+
?
M0
 ?
>  "R 
#  " 1
 #"#
HD00"9::/#
?
  ?
G0
 0
&
?  M+  
 M
2008 Meta-analytic Review of 22 Studies
 9::.
 1?
 ?0
G1? ? 
I1  
  0
1 
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,0  %2H3E
90 H%E
B0  %%E
<0 8%  
%%0
8 
0
&   ?
    
 "$*+9::9#05G",-.9#
 
1  0 
 ?
">,--;# 
  ?0
 "+,--;E+,--;#
? 0
?
 ?0
5
?0
 
 I"#1
 "# "#
  0"59::,E$9::,E%
$*5 9::.E,--;E9::9#
1
0
1 "9#-
?0<B0;<0=
??0,B
?"!,-..#0&
? " #
?".#N,0:.N0B,
?? 
  0
K    
M  
0& % 
?   0
90719::.
  
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?0</,0,.0=
??0
9/?"!,-..#
I",,#N90A,N0:B0
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P!N-A@!
71  "<#
?0A/,09B0=
??0
9/0&? 
I";#N,0;:N0,B0
<0 9::.
  
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P!N-A@!
G"9::.;# 
 ? 0
5?
pO0:A
? ? 0
 ? 
 1  
?1  
  0
=G ?
01 
? 0C
1 ?
 ",-.:
!*&,-.<#0C 
",,.# 
?"0A/#
?",0,.#?
?0H? ",,#
<?B?<
?0K 9-4,.
,, 0>0??
 1 ?
?
?0
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H 
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2
3" 0;A:#0C 
 
?H1  
?01 
 0C/
 0
  
 
 9: 
.%08 9:
??0 
 9<?
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?0 9:
 
 
 0& 
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D
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G 08M+
 1  
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 H%0%
 
0G%H
%0>%G%0
=% 
0

0
1 "9#-
?0<B0;<0=
??0,B
?"!,-..#0&
? " #
?".#N,0:.N0B,
?? 
  0
Recent Studies
  
0% &$!=>"9::.# 
1  1% 
5B., 0F
   
 0C%
+ "+#CV<A09"CV<A#0
  
?0/<+0/,CV<A +
05   
0 
   
  ? 
0 CV<A09
  0
8 %'
 ? "#
  ">>#  
"'>>#%  
1"%*'9::<E%'5W%W
9::.E%''%9::.#0
+$L1E
 
E  
0C<A- B9/
  0
C -0.  ;0A
E>> ,.0A A0;
'>> 9B9 B,0B0 
-1  E>> 
9A1 '>> ,.0

  0
>B 
%0%+ 5+ =
 !%'81581=
 08
 B 
 0>> H%
"00#'>>?
0'>>  
1 
0
>%&%81&%
8F>>
  %%
0&% B E
>> , 
 9B'>> 0
>>?0?
 B  %
%0
%'2
  H% 
    
  3"%'5W%W9::.#0
?>> '>>,
B '>> 9
1>>B0
% 08>>0
Summary
)KX
  H
 0&G 
H

9H
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0"9::/#?
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?"1
  # ?
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0H
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</H07
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 0)
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0 1 )
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  

? %
 0
%H
 %
 0
  F
 H 
 "M#0
  H
0
References
8%0K0*5$0K0"9::B#08 
H   0!
>=9B,BB0
8K00>0>0*KK080",--,#07?
 G2%3 
 0I9;;9-:0
+=0'0",--;#00&0K0
%%"70#$  "(+8
= (0,;: 09B<9A9#0
 !"
#$"%&''()"*  **
  *") 9.A,/0
)0"9::,#0? I
80+660
00",--<#0I8 0(S%I
&0&0(0
00*+K>0",--/#0I!
 0;;"/#B;/B-,0
00*$0+0",--9#0&%88IC
0 !"#"/#BA/B/B0
!080*F0",---#0 
 ? 0$
%$ "#&9;;B,B0
$0",--.#0'%( ")"!*
 "+,0>+ IRR00R0 
"=+<9::-#0
#*" +*,""-! ."%&''')"
C  0
! " -./,,/,9.0
$0=+0*!K0"9:::#0! $8I
8  T! U0
7(KI0
0(0",---#00"" 1" "2 
" " 3 $  06 
(C (
C'80
$&0",--B#78 
%F >1"7
  #04
5I,,9,0
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6,;9/0
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!"'"5,,9/0
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 07 7"8 "99I;,.0
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5(KI70
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 I(N, 0
8" &:.#/B/,B;<0
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 "  06 +C6
8C0
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  I  0 
!"5.6/</.<;<0
!70K0*0"9::B#0?
    
I0( ""
:9;-,:B0
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:69:;9990
$0",--,#>+?&%0(I(S%0
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&0(0
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 0-,9,,9<0
$00' %70(70$80)&0
*&+$0",-./# I 0
$2&(&'3+&&&"
"4""-# *2""%&''&)"Ouderparticipatie in de
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0EK0
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  I8 
0Journal of Family Therapy, 1906(+0(7"
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$?/9/<49/;0
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! " 9I9</9/A0
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%>0*'C0"9::<#08?=" 
 " $D  "
;;#05%I0
%>0'C05W%W0LW%%$0L70'%$080
$$0 $0=!0*5%> 
) 0"9::.#0=?
    
 B 08 """
#5/.-;:B0
%>0'C0'%$080==05>0KW%%80
*5%> ) 0"9::.#07?
  % 
48 10
(="$+  B-A,:/0
)'=0$0*)(070",--/#0 I
0!"  C<4:.:/,9.,<B0
)'$0K0C%K0!08070*K'0+0",--.#0C
I  08 
8 "* "8"":-/B;:0
'$0S0",--;#08 IC
0(":6./B,;0
'$0700"9::<#0="  1" " "
$3  06 +1
8*$6! !! !10
'>0>0$0*+=+00+0"9::B#0 
$  0
)''0*$+0",--;#0  0
7-./.-,:B0
' $0&0*&+00"9:::#08""1  0'I0
)'K0$0$K080*L$0",--A#0
07 +$#
<A,<A.0
'% !00*'70K0"9::<#0 
 ?0)
""  "".$;;/!C5IC 
=!0
'%'00*'%",-;A#0! 
 I2
3M("$ C8 "#:--A,::.0
$$80K0",--<#0  0
,/I<,A<9/0
$80K0",--;#0  40
-9,B99,0
$80K0"9::;#0!1" * "
8""I'0
$0!0"9::,#0? 0
6 +6(S%??
(S%0
$+0K0)%K0>0*+$00"9:::#0= 
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8 "" ,:A,9A0
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780
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=&00)0K0K0$07%80*+L(0"9::/#0J 
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==0",--A#0&08 ""%55
,.B,-90
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= 06 +S%6C
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"9::.#0  ,0
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7( "!"<4.9/<B,<<90
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?**  
* * "Tijdschrift voor
Orthopedagogiek, 44 (2), (0+(1"
@"."."""-#="-8<"%&''A)
  **+
%B>>>*!+
)"Tijdschrift voor gedragstherapie, 3970+16"
="2"."48"-!"%&''0)"
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 0! " :B.:/9<<:0
)>0",--;#0%0
-,A-,;90
)0$0",--B#0!1   " *; 
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+680
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5 *=0
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  
I= 07"8 " &5IB9B0
0&0"9::;#   
%I 0
8 ",."B#I,,9<0
)(0"9::9#0!1"  *(3"
 $$06 +
6C!0
LK080"9::9#0F " $ 1"" 
" "" "" 1' 1,"
G "  ' 11 4 111 H' 1 11
"1 06 +6
)0
& 070"9::,#0 "* 
, $(KI70
& 070*)00"9::A#07
 I8
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8   I
7 2 038 ""%::9:B9,A0
&%>0K050*K%+0+0",-;<#0De pragmatische
aspecten van de menselijke communicatie"/C!:
#*D8< *"
5:2"5."/"-$*"%0136)Change: Principles of
Problem Formation and Problem Resolution"(S%I(0
&00"9::9#0!1" 34"
"*("$  06 +
6'0
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  I8 0! "
 6,99A0
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   I8 0-
,9A,<<0
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... Konseling singkat berfokus solusi merupakan model konseling yang cenderung dilaksanakan secara singkat, namun mampu memberikan dampak yang efektif dalam mengatasi berbagai permasalahan psikologis (W. J. Gingerich, Kim, Stams, & Macdonald, 2011;Gupta, 2019;Kelly, Kelly, Kim, & Franklin, 2008;Kim, 2010;Miller, 2010). Beberapa studi sebelumnya telah mencatat bahwa model konseling singkat berfokus solusi ini dapat dilakukan secara jarak jauh melalui jaringan internet, seperti berbasis web, serta bentuk media online lainnya (Chen, 2020;Hawkins, 2020;Ifdil et al., 2020) Penggunaan teknologi informasi dan komunikasi (ICT) merupakan metode yang baru dalam konseling (Mateo R. Borbon & Borbon, 2013;Kadek Suranata, Rangka, & Permana, 2020) mampu memberikan keuntungan yaitu dari segi waktu yang lebih efisien (Hedman et al., 2011). ...
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The global Covid-19 pandemic has affected changes in various dimensions of life. In Indonesia, schools have adopted a policy of replacing face-to-face learning in schools with distance learning activities. The effect that occurs with learning activities at home is a decrease in healthy living behavior among students. This study aims to examine the effect of solution-focused brief counseling implemented through LMS Schoology to improve students’ healthy living behavior. This experimental study used a one-group pretest-posttest design. Of the 60 students who took part in the initial screening with the criteria for experiencing a healthy lifestyle disorder, only 15 students met the criteria. The Indonesian version of the Inventory Health-Promoting Lifestyle Profile [HPLP II] was used to measure students’ health behavior before and after participating in the intervention. The scale of acceptability, accessibility, feasibility (AAF) measured student responses to the acceptability and usefulness of the program. Analysis of research data related to the effect of an intervention on students’ healthy living behavior using a one-sample t-test. Student response data on the acceptability and usefulness of the program through descriptive analysis. The results showed that after participating in the program for an average of 8 weeks (an average of 16 LMS accesses), participants achieved a significant improvement in their average lifestyle and health (HPLP). The effect size of Cohen’s high d value shows a large effect size for this counseling program. AAF data also supports this result, with an average of 95% of students understanding the program and being able to implement it well, is accessible, and provides benefits for them. This research has theoretical and practical implications for guidance and counseling services in schools related to various dynamics that occur, including the condition of the Covid-19 Pandemic. Abstrak. Pandemi Covid-19 yang terjadi secara global memberikan dampak terhadap perubahan berbagai dimensi kehidupan. Di Indonesia, sekolah mengambil kebijakan dengan mengganti pembelajaran tatap muka di sekolah dengan kegiatan pembelajaran jarak jauh. Salah satu dampak yang terjadi dengan aktivitas pembelajaran di rumah adalah penurunan perilaku hidup sehat di kalangan siswa. Penelitian ini bertujuan untuk menguji pengaruh konseling singkat berfokus solusi yang dilaksanakan melalui LMS Schoology untuk meningkatkan perilaku hidup sehat siswa. Penelitian eksperimen ini menggunakan rancangan one group pretest-posttest. Dari 60 siswa yang mengikuti screening awal dengan kriteria dialaminya gangguan perilaku hidup sehat, hanya 15 siswa yang memenuhi kriteria. Inventory Health- Promoting Lifestyle Profile [HPLP II] versi Bahasa Indonesia digunakan untuk mengukur perilaku hidup sehat siswa sebelum dan setelah mengikuti intervensi. Respon siswa terhadap keberterimaan dan kebermanfaatan program diukur dengan skala acceptability, accessibility, feasibility (AAF). Analisis data penelitian terkait pengaruh intervensi terhadap perilaku hidup sehat siswa menggunakan one sample t-test. Data respon siswa terhadap keberterimaan dan kebermanfaatan program melalui analisis deskriptif. Hasil penelitian menunjukkan setelah mengikuti program selama rata-rata 8 minggu (rata-rata 16 kali akses LMS), partisipan mencapai peningkatan rata-rata gaya hidup dan kesehatan (HPLP) yang signifikan. Effect size dari nilai d oleh Cohen yang tinggi menunjukkan ukuran pengaruh yang besar dari program konseling ini. Data AAF juga mendukung hasil ini yaitu rata-rata 95% partisipan menyatakan bahwa program dapat dipahami dan dilaksanakan dengan baik, mudah diakses, serta memberikan bermanfaat bagi mereka. Penelitian ini berimplikasi secara teoritis dan praktis terhadap inovasi pelayanan bimbingan dan konseling di sekolah terkait dengan berbagai dinamika yang terjadi, termasuk kondisi Pandemic Covid-19
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In this study, the researchers conducted a Solution-Focused program based on the Solution-Focused Brief Therapy for 128 junior high school students (67 males and 61 females) in their first and second grades. The purpose of this study is to reveal the transition of the function of school refusal behavior scores after the implementation of the program and to examine the relationship between the effects of the “Solution-Focused program” in the first and second grades as well as the function of school refusal behavior in the third grade. A decrease in the function of school refusal behavior was found in a certain number of students after undergoing the Solution-Focused program in the first and second grades. Students who showed a decrease in the function of school refusal behavior throughout the two years exhibited a lower school refusal behavior in third grade than others. Thus, the researchers found that the implementation of the Solution-Focused program using worksheets based on Solution-Focused Brief Therapy is effective in preventing school refusal among junior high school students.
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The present study examines the impact of change processes on outcomes in a solution-based thinking and goal-setting intervention for grandparents raising their grandchildren. We found that across the 6 program sessions there was stability and/or increases in the salience of hypothesized change processes, i.e., hopefulness about the future, solution-based thinking, positive thoughts about one's grandchild, multiple indicators of decisional personal goal-setting regarding one's own well-being and grandchild relationship quality. Indicators of change processes were for the most part, related to both post-program outcomes as well as to pre-post program outcome difference scores. Regression analyses suggested that change processes in many cases partially mediated pre-post primary program outcome scores. These data suggest that how grandmother caregivers think about themselves and their grandchildren and their approach to setting personal goals are key change processes explaining the impact of a solution-based, goal-setting intervention on them.
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Purpose We previously presented findings from pretherapy solution-focused interviews regarding the therapeutic best hopes of older children who stutter (CWS) and their parents. The current follow-up study explored the same clients' solution-focused reflections 1 year later with respect to their perspectives of what changes had occurred over the course of therapy. Method Seven CWS (11–14 years old) and 12 of their parents, who were interviewed in the original Berquez et al. (2015) study, were interviewed again 1 year after they started therapy. These clients responded to open-ended, solution-focused brief therapy (SFBT)–style questions and rating scales. Their responses were qualitatively and quantitatively analyzed to identify what clients noticed had changed over the course of therapy. Result CWS and their parents reported changes spanning social communication abilities, cognitive-emotional skills, and speech management strategies. While these were consistent with their pretherapy best hopes, CWS and their parents identified additional, unexpected gains beyond the scope of what they originally hoped for at the beginning of therapy, including improvements in adaptive coping, academic experience, parent–child interactions, thoughts and feelings about stuttering, and personal growth. Conclusion SFBT can provide speech-language pathologists a framework for facilitating client reflections on positive signs of change that occur over the therapeutic process.
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This study evaluated the effectiveness of a solution-focused, alternative school in preventing students from dropping out of high school. A quasi-experimental, pretest-posttest group design was used with 85 students to examine differences in credits earned, attendance, and graduation rates. Follow-up data on students in the experimental group were also obtained to track their postsecondary education decisions. Results showed students in the experimental group earned significantly more credits over time than students from the comparison group. More than half of the experimental group had entered a postgraduate education program after graduating from the solution-focused alternative school (SFAS). Conversely, students in the comparison group had higher attendance and graduation rates, but this outcome was found to be related to the differences in the two programs' attendance and graduation policies.The SFAS appears to show promise as an intervention for reducing dropout rates for at-risk adolescents and enabling them to earn high school credits and graduate from high school over time.
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Orthopedic rehabilitation programs utilizing a multidisciplinary approach invite a greater appreciation for the factors which influence the recovery process. This study evaluated variables associated with the psychosocial adjustment of work hardening program participants when exposed to Solution-Focused psychotherapy. Orthopedic patients receiving workers' compensation were engaged in a work hardening program in which they received either Solution-Focused therapy or the standard rehabilitation protocol. Patients and spouses completed questionnaires designed to evaluate psychosocial coping and adjustment to a medical condition. Patients across all investigated orthopedic categories demonstrated enhanced adjustment to their condition when treatment groups were compared with control groups. It is proposed that Solution-Focused therapy, in conjunction with work hardening protocols, is effective for patients when developing effective coping responses to the stressors associated with orthopedic rehabilitation.
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Solution-focused therapy has been used with individuals, couples, and groups of individuals, but a search of the relevant literature revealed no information on its use with couples' groups—clinical or nonclinical. The purpose of this study was to develop a solution-focused program for a couples' group and to test its effectiveness. A single-case research design was used with a multiple baseline assessment strategy across subjects. Participants' improvement on measures of marital satisfaction and specific goal achievement was considered in evaluating effectiveness. Investigators inspected the data visually in order to detect individual differences and variation as well as trends and overall patterns of scores over time. Five couples completed the program. Marital satisfaction was measured using the Revised Dyadic Adjustment Scale (RDAS; Busby, Christensen, Crane, & Larson, 1995) and the Kansas Marital Satisfaction Scale (KMS; Schumm, Jurich, & Bollman, 1990). On both measures, seven of the ten participants showed improvement between baseline and intervention scores. Two participants showed little change in scores and one participant recorded a decline in score. A Self-Report Goal Sheet utilizing a 0 to 10 scale was used to record progress toward individual and couple goals. Eight participants reported progress, one reported no change, and one reported a decline on both types of goals. The results of this study lend support to the supposition of positive outcomes from solution-focused couples' group work as well as the value of visual inspection of data from small sample research.
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This article presents solution-focused groups as a promising approach based on the results of a comprehensive study. Included is an overview of the approach with group session descriptions and case illustration.