ABSTRACT

Evaluation is used throughout the counseling process to measure various outcomes such as symptoms, counseling goals, irrational beliefs, and overall psychosocial functioning. Evaluation helps counselors better understand the challenges and strengths that each client possesses. Similar terms include assessment and appraisal. This chapter starts by highlighting research supporting the efficacy of CBT among various psychological and medical conditions. CBT has been noted for being one of the most evidenced forms of psychotherapy in the world, and also the most-utilized counseling approach. In the era of evidence-based practice and now with the “pay-for-performance” paradigm approaching, CBT is well positioned as a treatment of choice accepted by most insurance companies and third-party payers. Next, monitoring treatment outcomes and a discussion of several outcomes measures will be reviewed. Finally, culturally competent CBT assessment and CBT supervision will be covered. Over 500 outcome studies have supported the efficacy of Cognitive Behavior Therapy among various psychological and medical problems, making it the gold standard of talk therapy approaches. Studies have demonstrated the efficacy of CBT in community settings (Shadish, Matt, Navarro, & Philips, 2000) and even computer-assisted therapy (Khanna & Kendall, 2010; Wright et al., 2002). Ample evidence supports that CBT is an effective treatment for a wide range of psychological conditions (see Hollon & Beck, 1994).