Using Client Self-Anchored Scales to Measure Outcomes in Solution-Focused Therapy

This paper illustrates the clinical utility of using client self-anchored scales and single case designs for conducting outcome evaluations on Solution-Focused Therapy. Client self-anchored scales are compatible with the scaling technique, and provide a flexible method for collecting outcome data that is consistent with constructivist ideas concerning the client's constructed reality. A client's own language, meanings, and experiences are used to construct individual anchors on the scales. Three single-case AB designs are reported that use the client self-anchored scales to track the progress of adolescents and families receiving Solution-Focused Therapy in a youth agency. The authors also report the use of standardized family change measures for one single case study to illustrate how these measures may compliment the use of the self-anchored scales. Statistical analysis is conducted using Fischer's Exact Probability Test. Both advantages and disadvantages of using client self-anchored scales to measure outcomes in Solution-Focused Therapy are discussed.