As demand increased for mental health services, especially in university counseling centers, providers have seen increasing numbers of clients. The effect of this increase on therapist caseloads is explored, with a recognition that past research on therapist caseloads lacks direct and fluctuating measures of caseload that reflect practice in naturalistic settings. Using a large dataset from a counseling center (N = 18,322), therapist caseload was conceptualized dynamically over rolling 30-day periods, using within-therapist counts of therapy sessions, unique clients seen, and the proportion of unique clients to sessions. Analysis of variance was used first to test for differences in caseload between months, years, then to test for differences between therapists (n = 173). Hierarchical linear models were constructed to examine the relationship between changes in therapist caseload across time and client outcome. Logistic and ordinal regression approaches were used to further examine this relationship for clinically significant change. Results included finding a small, but significant, effect of therapist caseload on outcome, with this finding discussed in the context of the effect sizes in the literature on therapist effects. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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忙碌的治疗师：检查案件量作为结果的潜在因素。

随着对心理健康服务需求的增加，尤其是在大学咨询中心，提供者的客户数量也在增加。探讨了这种增加对治疗师案例量的影响，并认识到过去对治疗师案例量的研究缺乏反映自然环境中实践的直接和波动的案例量指标。使用来自咨询中心的大型数据集 (N = 18,322)，使用治疗师内部的治疗次数、所见的独特客户以及独特客户在治疗中的比例，在滚动的 30 天期间内动态地概念化治疗师案例。方差分析首先用于检验月、年之间病例​​量的差异，然后检验治疗师之间的差异（n = 173）。构建了分层线性模型来检查治疗师案例量随时间变化与客户结果之间的关系。Logistic 和序数回归方法用于进一步检查这种关系的临床显着变化。结果包括发现治疗师案例量对结果的影响很小但很重要，这一发现在有关治疗师效果的文献中的影响大小的背景下进行了讨论。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。在有关治疗师效果的文献中的效果大小的背景下讨论了这一发现。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。在有关治疗师效果的文献中的效果大小的背景下讨论了这一发现。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。