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The impact of Feedback Informed Treatment in floating support service

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SFI is to conduct a randomized control to examine the effect of Feedback Informed Treatment (FIT) in floating support in the municipality of Copenhagen. The study is one of the first to focus on FIT in Denmark – and to examine the impact on FIT in a social-work setting.

A new project from SFI will study the effect of using Feedback Informed Treatment (FIT) in social work with floating support in the City of Copenhagen.

Floating Support is a service that provides housing-related support to vulnerable citizens to enable them to maintain their independence in their own home. The duration of the support can vary from a few months to several years. The aim of floating support is to improve the citizen's mental, physical and social well-being, thereby making it more likely that the citizen can live independently at home.

FIT in various settings

Feedback Informed Treatment (FIT) is a systematic feedback approach to evaluate and improve the effectiveness of therapeutic treatment. FIT is based on two simple questionnaires, which measure the treatment outcome for the client and the therapeutic alliance between client and therapist.

Treatment outcomes are assessed with the Outcome Rating Scale (ORS); a four-item self-report instrument measuring client functioning in the area of quality of life. Therapeutic alliance is assessed using the four-item Session Rating Scale (SRS). In FIT, the feedback from the client is actively used to continuously adjust and improve therapy.

FIT has been used internationally in the areas of individual psychotherapy, supervision of psychotherapists in training, couples receiving therapy, telephone psychological counselling and telephone counselling for weight watchers.

In Denmark, a number of organisations in municipalities have started to implement FIT in areas such as rehabilitation, drug treatment, family counselling, etc. However, little research has been conducted on FIT in Denmark and there is also limited international research on the use of FIT within social work. The aim of the present project is to study the impact of FIT within social work.

The study

The study is a randomized controlled trial in which half of the caseworkers are allocated to be trained in the use of FIT, while the other half serves as a control group and will continue to work as usual. A total of 64 caseworkers have been included for the study and it is expected that approximately 1000 citizens will be enrolled in the study during the 12-month study period. The physical and mental well-being of the citizens will be measured at baseline, after six months and after 12 months.

The project will use the WHO-5 well-being scale to measure the citizens’ mental well-being. It will measure general health with a global single and supplement this with the physical health scale from the WHO-BREEF questionnaire. Social relations will be measured on the basis of selected items from the social relation scale in the WHO-100 questionnaire.

The hypothesis of the project is that FIT may have an impact on the floating support service such that the physical and mental health of the citizens is improves. Thus, the study will investigate whether FIT can improve the floating support service, whether FIT can prevent citizens dropping out of the support service, and whether the citizens in the treatment group are more likely to stay in their own homes than the citizens in the control group.

The project started in early 2015 and will close in 2017.

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