School-based counseling using systematic feedback: a cohort study evaluating outcomes and predictors of change

Mick Cooper, Dave Stewart, Jacqueline Sparks, Lisa Bunting

Research output: Contribution to journalArticlepeer-review


The outcomes of school-based counseling incorporating the Partners for Change Outcome Monitoring System (PCOMS) were evaluated using a cohort design, with multilevel modeling to identify predictors of change. Participants were 288 7-11 year olds experiencing social, emotional or behavioral difficulties. The intervention was associated with significant reductions in psychological distress, with a pre-post effect size (d) of 1.49 on the primary outcome measure and 88.7% clinical improvement. Greater improvements were found for disabled children, older children, and where CBT methods were used. The findings provide support for the use of systematic feedback in therapy with children.

Original languageEnglish
Pages (from-to)474-88
Number of pages15
JournalPsychotherapy Research
Issue number4
Publication statusPublished - 2013


  • school counseling, systematic feedback, change outcomes, change predictors, Partners for Change Outcome Monitoring System, 2013, Educational Program Evaluation, Feedback, Monitoring, Readiness to Change, School Counseling, School Based Intervention, Treatment Outcomes, 2013

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