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University of North Carolina at Chapel Hill School of Social Work Clinical Lecture Series  

Postponed due to coronavirus pandemic

Continuing Education:
2 Hours (details)

Fees: $35.00

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


Our field has grown exponentially in the past few decades, yet our rate of effectiveness is stagnate. We all have sessions that feel really effective and others where doubts arise. Yet, oftentimes what clinicians think or feel in session does not accurately reflect the clients’ experience. When it comes down to it, how do we evaluate what is and is not working from the point of view of the client? Are we in a position to accurately assess the therapeutic alliance, the likelihood of client dropout and deterioration, treatment outcomes, and our overall effectiveness as clinicians?

Competency is a value included within the code of ethics for all of our disciplines. One of the most effective means of improving our competency is through systematic feedback processes. This presentation looks at the deficits in our field and explores an ethical mandate to ramp up our methods of providing and receiving feedback to ensure positive treatment outcomes.



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.


  1. Brattland, H., Koksvik, J. M., Burkeland, O., Klöckner, C. A., LaraCabrera, M. L., Miller, S. D., . . . Iversen, V. C. (2019). Does the working alliance mediate the effect of routine outcome monitoring (ROM) and alliance feedback on psychotherapy outcomes? A secondary analysis from a randomized clinical trial.Journal of Counseling Psychology, 66(2), 234-246. doi:10.1037/cou0000320
  2. Dyason, K. M., Shanley, D. C., O’Donovan, A., & Low-Choy, S. (2019). Does feedback improve psychotherapy outcomes compared to treatment-as-usual for adults and youth?Psychotherapy Research : Journal of the Society for Psychotherapy Research, , 1.
  3. 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
  4. 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
  5. 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
  6. 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