CORE-A End of Therapy (EoT) information

Created for original site 1/1/2015, last updated 11/8/19, author CE, licence: Attribution 4.0 International (CC BY 4.0) .

From the outset we realised that scores on outcome measures, self-report or rated, must be considered in context and that this makes it vital to have some common core of contextual information.

The CORE-A was the first part of this CORE contextual information framework. It comprises four sides of A4 completed by the practitioner divided into the Therapy Asessment Form (TAF) and the End of Therapy (EoT) form described here, which is completed … as you might guess … at the end of therapy!

The EoT covers the practicalities of the therapy (duration, frequency, modality, format & missed sessions), ending of therapy is coded carefully, the problems are reviewed under the same headings as on the TAF and with the same severity rating scale and are ticked to reflect whether or not the practitioner feels they were focused on in the therapy, risk is re-rated as on the TAF and a section covers coding of benefits of therapy, changes in medication can be recorded and whether or not there will be follow up.

Referencing the CORE-A

As the CORE-A is mainly a context information gathering form completed by practitioners, not a self-report psychometric measure, and as most of the items will have great face validity and inter-rater reliability, there is no conventional psychometric exploration of the instrument and no clear first publication that describes it in great detail.  Probably the first fairly detailed use of information from the CORE-A was in:

Evans, C., Connell, J., Barkham, M., Marshall, C., & Mellor-Clark, J. (2003). Practice-Based Evidence: benchmarking NHS primary care counselling services at national and local levels. Clinical Psychology & Psychotherapy10, 374–388http://doi.org/10.1002/cpp.384.

Translation/localisation of the CORE-A

Translation of either part of the CORE-A is not the challenge of translating the self-report measures so our translation standards don’t apply to the CORE-A but the legalities do: you must contact me (CE) and discuss things if you want to translate the CORE-A. We do require that you translate both parts and all the blocks of each, even if we are going to agree that you don’t want to use some blocks locally. The main challenge is really of localisation as a number of variables, mainly on the CORE-EoT, have to be adapted to the locality. Typically the breakdown of ethnicity and of previous service use need careful thought to make sure they are meaningful locally.

Development/future of the CORE-A/EoT

Unlike the TAF, the data of the EoT is probably not much affected by cultural and service changes since CORE started, and the items are also largely stable across cultures and countries. However, if you believe that changes are needed for your locality then do contact me (CE).

Downloads

Download the English language PDF of the TAF using link below, for other languages, go to the translations page.

Broken: coming shortly. Meanwhile contact me (CE) for a copy.

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