Client Engagement Related to Their Satisfaction with Treatment Outcomes

  • Huma A Bashir Wright State University
  • Josephine F Wilson Wright State University
  • Greta H Meyer Mental Health and Recovery Board
Keywords: Feedback Informed Treatment, Outcome Rating Scales, Session Rating Scales, Counselor, Mental Health


Feedback-Informed Treatment (FIT) is an evidence-based method for appraising and improving the effectiveness of mental health service delivery.  It is a client-driven, outcome-based approach designed to produce better client commitment and to enhance treatment outcomes.  This study examined the role of client perception of treatment outcome and therapeutic alliance on client retention in treatment.   Data from 11 participating agencies, 2,297 clients, and 55 counselors were collected and analyzed. Results demonstrated that a client’s satisfaction with treatment outcome was significantly associated with engagement in treatment, as measured by the number of treatment sessions that the client completed.  However, the client’s perceived alliance with the counselor was not associated with engagement in treatment.  The agencies that contributed data to this study only collected FIT data without using the data in counselor supervision.  Future research should examine the use of FIT data to improve clinical skills and client outcomes.

Author Biographies

Huma A Bashir, Wright State University

Assistant Professor, Clinical Mental Health Counseling Program

College of Education and Human Services

Josephine F Wilson, Wright State University

Professor, Department of Population and Public Health Sciences

Boonshoft School of Medicine



Greta H Meyer, Mental Health and Recovery Board
CEO, Mental Health and Recovery Board