The Marriage and Family Therapy Practice Research Network: Current Findings and a Call for Collaboration
This publication is part of the 2025 SPECIAL COMPILATION on “Family Therapy and Family Studies in Supporting Mental Health”.
DOI:
https://doi.org/10.5708/EJMH.20.2025.0036Keywords:
Marriage and Family Therapy, Practice Research Network, Routine Outcome Monitoring, researchAbstract
Introduction: Mental health problems continue to rise throughout the world while access to care remains problematic due to low affordability and limited therapist availability. With the mental health crisis only getting worse, clinicians and researchers must work together to improve client outcomes. The Marriage and Family Therapy Practice Research Network (MFT-PRN) was established to improve client care and foster collaborative research in systemic therapy. This project balances research rigor and clinical flexibility, making it accessible and beneficial for practitioners, clients, and researchers.
Areas covered: This paper will address the above issues by discussing how the MFT-PRN brings researchers and clinicians together, through routine outcome monitoring (ROM) and providing assessments that track client progress across sessions, allowing clinicians to create better treatment plans. We will also discuss how the MFT-PRN facilitates researcher collaboration by sharing data collected across diverse settings.
Expert opinion: Professional experience and research findings suggest that using the MFT-PRN enhances therapy outcomes, reduces treatment length, and improves couple and family relationships. The MFT-PRN has facilitated research that leads to improved client care in areas such as therapeutic alliance, teletherapy efficacy, and the impact of adverse childhood experiences on anxiety.
Conclusion: By bringing practitioners and researchers together, the MFTPRN contributes significantly to advancing marriage and family therapy.
References
Anderson, S. R., Johnson, L. N., Miller, R. B., & Barham, C. C. (2021). The couple relationship scale: A brief measure to facilitate outcome monitoring in couple therapy. Journal of Marital and Family Therapy, 48(2).
https://doi.org/10.1111/jmft.12541
Anderson, S. R., Johnson, L. N., Banford Witting, A., Miller, R. B., Bradford, A. B., Hunt, Q. A., & Bean, R. A. (2024). Validation of the intersession alliance measure: Individual, couple, and family versions. Journal of Marital and Family Therapy, 50(3).
https://doi.org/10.1111/jmft.12702
Anker, M. G., Duncan, B. L., & Sparks, J. A. (2009). Using client feedback to improve couple therapy outcomes: A randomized clinical trial in a naturalistic setting. Journal of Consulting and Clinical Psychology, 77(4), 693–704.
https://doi.org/10.1037/a0016062
Banford Witting, A. B., Anderson, S. R., Johnson, L. N., Barrow, B. H., & Peery, A. (2024). The trajectory of anxiety in therapy: The role of ACEs. Journal of Marital and Family Therapy, 50(3), 744–758.
https://doi.org/10.1111/jmft.12703
Bickman, L., Kelley, S. D., Breda, C., de Andrade, A. R., & Riemer, M. (2011). Effects of routine feedback to clinicians on mental health outcomes of youths: Results of a randomized trial. Psychiatric Services, 62(12), 1423–1429.
https://doi.org/10.1176/appi.ps.002052011
Bradford, A. B., Johnson, L. N., Anderson, S. R., Banford-Witting, A., Hunt, Q. A., Miller, R. B., & Bean, R. A. (2023). Call me maybe? In-person vs teletherapy outcomes among married couples. Psychotherapy Research, 34(5).
https://doi.org/10.1080/10503307.2023.2256465
Bradford, A. B., Banford Witting, A., Anderson, S. R., Johnson, L. N., Hunt, Q. A., Miller, R. B., & Bean, R. A. (2024). Lost in translation: Therapeutic alliance as a mediator in the relationship between teletherapy and marital satisfaction. Family Process, 63(4).
https://doi.org/10.1111/famp.13004
Coombs, N. C., Meriwether, W. E., Caringi, J., & Newcomer, S. R. (2021). Barriers to healthcare access among U.S. adults with mental health challenges: A population-based study. SSM - Population Health, 15, Article 100847.
https://doi.org/10.1016/j.ssmph.2021.100847
Duszynski-Goodman, L. (2024). Mental health statistics and facts. Forbes.
el-Guebaly, N., & Atkinson, M. J. (2004). The practice research network: Benefits and limitations. World Psychiatry, 3(1), 56–59.
Friedlander, M. L., Escudero. V., Heatherington, L. & Diamond, G. M. (2011). Alliance in couple and family therapy. Psychotherapy, 48(1), 25–33.
https://doi.org/10.1037/a0022060
Halford, W. K., Hayes, S., Christensen, A., Lambert, M., Baucom, D. H., & Atkins, D. C. (2012). Toward making progress feedback an effective common factor in couple therapy. Behavior Therapy, 43(1), 49–60.
https://doi.org/10.1016/j.beth.2011.03.005
Howard, K. I., Moras, K., Brill, P. L., Martinovich, Z., & Lutz, W. (1996). Evaluation of psychotherapy: Efficacy, effectiveness, and patient progress. American Psychologist, 51(10), 1059–1064.
https://doi.org/10.1037/0003-066X.51.10.1059
Johnson, L. N., Miller, R. B., Bradford, A. B., & Anderson, S. R. (2017). The Marriage and Family Therapy Practice Research Network (MFT-PRN): Creating a more perfect union between practice and research. Journal of Marital and Family Therapy, 43(4), 561–572.
https://doi.org/10.1111/jmft.12238
Krug, E. G., Mercy, J. A., Dahlberg, L. L., & Zwi, A. B. (2002). The World Report on violence and health. The Lancet, 360(9339), 1083–1088.
https://doi.org/10.1016/s0140-6736(02)11133-0
Laurenceau, J.-P., Hayes, A. M., & Feldman, G. C. (2007). Some methodological and statistical issues in the study of change processes in psychotherapy. Clinical Psychology Review, 27(6), 682–695.
https://doi.org/10.1016/j.cpr.2007.01.007
Lopes, L., Kirzinger, A., Sparks, G., Stokes, M., & Brodie, M. (2022, October 5). KFF/CNN Mental Health in America survey. KFF.
https://www.kff.org/report-section/kff-cnn-mental-health-in-america-survey-findings/
Miller, R. B., Nebeker, A. C. A., Anderson, S. R., Bradford, A. B., & Johnson, L. N. (2022). The development of a reliable change index and cutoff score for the SCORE‐15. Journal of Marital and Family Therapy, 49(1), 36–48.
https://doi.org/10.1111/jmft.12600
Orlowski, E. W., Friedlander, M. L., Anderson, S. R., & Johnson, L. N. (2023). To what extent are early alliance perceptions a function of romantic partners’ initial expectations for couple therapy? Journal of Family Therapy, 46(1), 59–69.
https://doi.org/10.1111/1467-6427.12446
Orlowski, E. W., Friedlander, M. L., Johnson, L. N., & Anderson, S. R. (2024). Heterosexual couples’ initial role and outcome expectations as predictors of the therapeutic alliance and relationship satisfaction prior to the fourth session. Journal of Counseling Psychology, 71(4), 268–277.
https://doi.org/10.1037/cou0000720
Ortiz-Ospina, E., & Roser, M. (2020, July). Marriages and divorces. Our World in Data.
https://ourworldindata.org/marriages-and-divorces
Pinsof, W. M., & Wynne, L. C. (2000). Toward progress research: Closing the gap between family therapy practice and research. Journal of Marital and Family Therapy, 26(1), 1–8.
https://doi.org/10.1111/j.1752-0606.2000.tb00270.x
Pinsof, W. M., Zinbarg, R. E., Lebow, J. L., Knobloch-Fedders, L. M., Durbin, E., Chambers, A., Latta, T., Karam, E., Goldsmith J. & Friedman, G. (2009). Laying the foundation for progress research in family, couple, and individual therapy: The development and psychometric features of the initial systemic therapy inventory of change. Psychotherapy Research, 19(2), 143–156.
https://doi.org/10.1080/10503300802669973
Reese, R. J., Toland, M. D., Slone, N. C., & Norsworthy, L. A. (2010). Effect of client feedback on couple psychotherapy outcomes. Psychotherapy: Theory, Research, Practice, Training, 47(4), 616–630.
https://doi.org/10.1037/a0021182
Shimokawa, K., Lambert, M. J., & Smart, D. W. (2010). Enhancing treatment outcome of patients at risk of treatment failure: Meta‐analytic and mega‐analytic review of a psychotherapy quality assurance system. Journal of Consulting and Clinical Psychology, 78(3), 298–311.
https://doi.org/10.1037/a0019247
Simon, J., Boyer, P., Caldas-de-Almeida, J. M., Knapp, M., McCrone, P., Gorwood, P., Oertel, W., Arango, C., Treasure, J., Young, A. H., Destrebecq, F., & Quoidbach, V. (2023). Viewpoint: Assessing the value of mental health treatments in Europe. European Psychiatry, 66(1), e59.
https://doi.org/10.1192/j.eurpsy.2023.2419
Statista Research Department. (2024). Mental health in Europe- Statistics and facts. Statista.
https://www.statista.com/topics/7916/mental-health-in-europe/#topicOverview
Stratton, P., Bland, J., Janes, E., & Lask, J. (2010). Developing an indicator of family function and a practicable outcome measure for systemic family and couple therapy: The SCORE. Journal of Family Therapy, 32(3), 232–258.
https://doi.org/10.1111/j.1467-6427.2010.00507.x
Terlizzi, E. P., & Schiller, J. S. (2022). Mental health treatment among adults aged 18–44: United States, 2019–2021 (NCHS Data Briefs Series). National Center for Health Statistics.
https://doi.org/10.15620/cdc:120293
United Nations Women. (2023). Facts and figures: Ending violence against women.
https://www.unwomen.org/en/what-we-do/ending-violence-against-women/facts-and-figures
Vankar, P. (2024). Mental health treatment or therapy among U.S. adults 2022. Statista.
https://www.statista.com/statistics/794027/mental-health-treatment-counseling-past-year-us-adults/
Vitry, G., Duriez, N., Lartilleux-Suberville, S., Pakrosnis, R., Beau, A., Garcia-Rivera, T., Brosseau, O., Vargas Avalos, P., Bardot, E., & Ray, W. A. (2020). Introducing SYPRENE: An international practice research network for strategic and systemic therapists and researchers. Family Process, 59(4), 1946–1957.
https://doi.org/10.1111/famp.12520
Wainberg, M. L., Scorza, P., Shultz, J. M., Helpman, L., Mootz, J. J., Johnson, K. A., Neria, Y., Bradford, J. E., Oquendo, M. A., & Arbuckle, M. R. (2017). Challenges and opportunities in global mental health: A research-to-practice perspective. Current Psychiatry Reports, 19(5), Article 28.
https://doi.org/10.1007/s11920-017-0780-z
Wang, W. (2020, November 10). The U.S. divorce rate has hit a 50-year low. Institute for Family Studies.
https://ifstudies.org/blog/the-us-divorce-rate-has-hit-a-50-year-low
World Health Organization. (2022). Mental disorders.
https://www.who.int/news-room/fact-sheets/detail/mental-disorders
Wu, Q., McWey, L. M., & Ledermann, T. (2020a). Clients’ attributions of the presenting problem and the therapeutic alliance in couple therapy: Systemic versus intrapersonal perspectives. Journal of Marital and Family Therapy, 46(4), 661–673.
https://doi.org/10.1111/jmft.12432
Wu, Q., McWey, L. M., & Ledermann, T. (2023). Which therapist perceptions best predict client outcomes? A naturalistic examination. Journal of Marital and Family Therapy, 49(1), 151–158.
https://doi.org/10.1111/jmft.12611
Wu, Q., Parker, M. L., McWey, L. M., & Ledermann, T. (2020b). Couple satisfaction, depressive symptoms, and the therapeutic alliance: A systemic perspective. Family Process, 60(2), 393–408.
https://doi.org/10.1111/famp.12594
Wu, Q., Su, T., McWey, L. M., & Ledermann, T. (2021). Individual’s pretreatment psychological symptoms and progress in couples therapy: A person‐centered analysis. Family Process, 61(2), 591–608.
https://doi.org/10.1111/famp.12713
Xu, M., Johnson, L. N., Anderson, S. R., Hunt, Q., Bradford, A. B., Banford Witting, A., Bean, R., & Miller, R. B. (2022). Emotion dysregulation and couple relationship satisfaction of clinical couples: An actor‐partner interdependence model. Family Process, 62(4), 1555–1573.
https://doi.org/10.1111/famp.12828