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Tuesday, Feb 19, 2021, from 12-2 pm


Continuing Education:
2 Hours (details)

Fees: $35.00

**Current UNC-SSW students, staff, faculty, field instructors, and task supervisors** Fee Waived


During the pandemic, much of mental healthcare is taking place via telehealth. This workshop focuses on the question of how therapists can evaluate what is and is not working from the point of view of the client. Understanding client experience is crucial for effective, genuine therapeutic work. However, even when therapy takes in the same room, client and therapist perceptions about effectiveness may not match. Yet many therapists do not seek out or receive genuine feedback. In this workshop, Mike Maguire will share strategies to incorporate systematic feedback processes into therapy, including special considerations for technologically-mediated sessions and power imbalances. The ability of therapists to receive feedback can be impacted by dynamics, such as when clients do not feel sufficiently safe or feel they need to please the therapist, or when counter-transference leads therapists to faulty assumptions. In this workshop, Mike approaches the need to receive genuine feedback as an ethical mandate so that therapists can assess the therapeutic alliance, client experience, likelihood of client dropout and deterioration, treatment outcomes, and our overall effectiveness as clinicians.


Michael McGuire, LCSW, LCAS, LMFT, CCS, MINT is employed by the University of North Carolina at Chapel Hill School of Social Work as both a Clinical Assistant Professor and the Director of the Substance Use and Addiction Specialty program and provides private training and consultation. He is a licensed Clinical Social Worker, Marriage and Family Therapist, and Clinical Addictions Specialist, and is a credentialed supervisor. His areas of expertise include: adolescent and family development, problematic substance use, experiential learning, military families, Motivational Interviewing, Feedback Informed Treatment, clinical supervision and leadership, implementation science, ethics, and workforce development. He was recently voted the most interesting and humble man in the world.

Learning Objectives

At the completion of this program, participants will be able to:

  1. Identify at least 2 current shortcomings in the field of counseling, including the domains of alliance and outcomes.
  2. Explore how routine outcomes measurements can help to mitigate these shortcomings, and the subsequent ethical mandate to pursue this feedback.
  3. Apply these to at least 2 challenges of telehealth and at least 1 inherent power imbalance in psychotherapeutic practice.



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  • Janse, P. D., De Jong, K., Van Dijk, M. K., Hutschemaekers, G. J. M., & Verbraak, Marc J. P. M. (2017). Improving the efficiency of cognitive-behavioural therapy by using formal client feedback.Psychotherapy Research, 27(5), 525-538. doi:10.1080/10503307.2016.1152408
  • Kruse, C. S., Krowski, N., Rodriguez, B., Tran, L., Vela, J., & Brooks, M. (2017). Telehealth and patient satisfaction: A systematic review and narrative analysis. BMJ Open, 7(8), e016242. doi:10.1136/bmjopen-2017-016242
  • Lappan, S., Shamoon, Z., & Blow, A. (2018). The importance of adoption of formal client feedback in therapy: A narrative review.Journal of Family Therapy, 40(4), 466-488. doi:10.1111/1467-6427.12183
  • Lutz, W., De Jong, K., & Rubel, J. (2015). Patient-focused and feedback research in psychotherapy: Where are we and where do we want to go?Psychotherapy Research, 25(6), 625-632. doi:10.1080/10503307.2015.1079661
  • MacDonald, J., & Mellor‐Clark, J. (2015). Correcting psychotherapists’ blindsidedness: Formal feedback as a means of overcoming the natural limitations of therapists.Clinical Psychology & Psychotherapy, 22(3), 249-257. doi:10.1002/cpp.1887