Table 5.
Goal/strategy | Intensity threshold | |||||
---|---|---|---|---|---|---|
Therapist | Observer | |||||
2+ (%) | 3+ (%) | 1+ (%) | 2+ (%) | 3+ (%) | Kappa | |
Information gathering | 90 | 73 | 94 | 78 | 57 | .02 |
-MH status, behavior, functioning | ||||||
-Family structure | ||||||
Information gathering | 73 | 45 | 41 | 16 | 2 | .36* |
-Psychosocial stressors | ||||||
Review progress | 60 | 32 | 18 | 0 | 0 | .01 |
Establish treatment/session goals | 50 | 24 | 32 | 8 | 0 | −.08 |
Social/communication/assertiveness skills | 43 | 31 | 20 | 8 | 4 | .39** |
Experience/express affect | 41 | 31 | 6 | 6 | 0 | .12 |
Family member perspective | 41 | 24 | 14 | 0 | 0 | −.08 |
Identifying signs/cues for emotions | 33 | 24 | 14 | 6 | 0 | .55** |
Information gathering | 28 | 18 | 8 | 2 | 0 | .40** |
-High risk issues | ||||||
Child roles | 26 | 18 | 2 | 0 | 0 | .17* |
Problem solving skills | 24 | 14 | 33 | 18 | 8 | −.14 |
Stress reduction skills | 24 | 12 | 0 | 0 | 0 | – |
Understand/differentiate emotions | 22 | 14 | 8 | 2 | 0 | .29* |
Relaxation skills | 22 | 12 | 6 | 0 | 0 | .40** |
Cognitive distortions | 20 | 14 | 8 | 0 | 0 | −.11 |
Develop safety or crisis plan | 8 | 8 | 2 | 0 | 0 | |
Appropriate medications | 6 | 4 | 12 | 2 | 2 | .47** |
Formal supports | 6 | 2 | 8 | 2 | 2 | −.03 |
Informal supports | 0 | 0 | 0 | 0 | 0 | – |
Note Percentages of sessions in which each goal / strategy was identified as present are reported for sessions rated by therapists (N = 51) and coded by observers (N = 63). Kappa coefficients were calculated dichotomizing the presence/absence of a goal / strategy using intensity cutpoints of 3 for therapists and 1 for observers due to differences in rates of report of goal/strategy presence
* P < .05, ** P < .01