The Use of a Standardized Simulation and Process Tracing for Studying Clinical Problem-Solving Competence

Greater understanding of the clinical judgment and problem-solving processes used by counselors and psychologists could add significantly to a working knowledge of how competent practitioners function. This investigation used a standardized treatment planning simulation and a process tracing strategy to qualitatively examine how 15 mental health clinicians solved a typical client management problem. Purposes of the study included (a) demonstration of an empirical methodology for conducting research into clinical problem solving; (b) preliminary observation about the relationship between cognitive processes of inquiry and subsequent treatment planning; and (c) identification of hypotheses about critical factors involved in mental health problem solving that warrant further research. This report describes how those objectives were met and reviews their implications for training and assessment of mental health professionals.