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. 2009 Nov 10;37(3):230–244. doi: 10.1007/s10488-009-0251-x

Table 5.

Percentage of sessions in which child-focused goals were pursued according to therapist and observer ratings and correspondence between rating sources

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