Clinical Outcomes in Routine Evaluation (CORE) of Counselling and Psychotherapy: A Mixed Methods Evaluation of the Client Experience

Clinical Outcomes in Routine Evaluation (CORE) of Counselling and
Psychotherapy: A Mixed Methods Evaluation of the Client Experience.
The degree of success experienced from counselling interventions to restore
employee productivity and improve functioning and well-being raises significant
questions from employers and stakeholders. This field study employed a mixed
methods design to identify which features of the counselling process mediated
the effectiveness of employee assistance programmes and counselling
interventions. A total of 449 voluntary participants completed the Clinical
Outcomes in Routine Evaluation (CORE) instrument, with additional qualitative
data gathered from 7 semi-structured interviews. Data from both studies was
combined using a mixed methods approach where progress measured by CORE
was linked to client statements of improvement and clients' accounts of therapy
were connected with the phased model of progress measured by CORE. The
findings suggest structured counselling was effective in enhancing well-being and
functioning, and in reducing symptoms/problem severity. The therapeutic
relationship was found to be a significant factor in determining success of the
process. The results provide organisational stakeholders with evidence to
support phased intervention programmes as a viable employee assistance
protocol aimed at restoring the functional productivity of valued staff and support
for CORE as a measurement tool.

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