Given the growing pressure far therapist accountability and validation
of effectiveness of individual therapists, groups of therapists, and
treatment packages, individual practitioners or groups that develop da
tabase management systems to measure their effectiveness are likely to
hold a competitive edge over those that do not. The concurrent monito
ring of treatment integrity and the documentation of professional serv
ices rendered has potential for improving quality of care. Diagnosis,
treatment plan preparation, treatment setting, agent of change, goals,
interventions, duration of treatment, criteria for termination, compl
iance with the treatment plan, outcome of treatment, quality of record
s, satisfaction of patients, satisfaction of referring professionals,
absence of ethical complaints or litigation,and time consumed in admin
istrating a private practice are important targets of evaluation. The
present article presents a model for routine evaluation.