Date of Award


Document Type

Open Access Dissertation




College of Arts and Sciences

First Advisor

Mark D. Weist


The purpose of this research was to conduct a systematic investigation to determine whether the use of client feedback measures enhance the mental health treatment of youth in private practice settings. Participants were randomly assigned to one of two groups, treatment as usual or the Client Feedback condition. Clients who were assigned to the Feedback condition completed the feedback measures routinely at each session. The Pediatric Symptom Checklist (PSC) and/or Pediatric Symptom Checklist – Youth Version (PSC-Y) were completed at intake and at each 3-month progress review summary, and/or closure per normal office standards. Significant findings indicated that all participants regardless of condition improved with treatment participation as demonstrated on the PSC and PSC-Y. However, an interaction effect indicated that participants in the Feedback condition showed more significant improvement on the PSC but not the PSC-Y. A significant amount of variance in treatment outcome was found to be attributed to previous therapy experience and condition, but not for the clinician related variables. Clinician experience was not found to have moderated the relationship between condition and treatment outcome. Retention was not found to differ significantly between groups. Results were found to be consistent with previous research and indicated that the use of routine client feedback helped to improve youth mental health treatment outcomes in a private practice setting just as it has with adults in university and community-based settings.