By the end of this chapter, the reader should be able to:
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Implement a three-tier monitoring framework that captures relevant data at every session, monthly, and at periodic reviews
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Interpret changes in the strength-duration curve over time and explain what they mean for protocol progression
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Conduct a structured periodic review that synthesises session data, clinical measures, and patient experience into evidence-based treatment decisions
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Recognise red flags that require clinical escalation and distinguish them from normal treatment variation
Chapter 7 introduced the control engineering principle that if you want to control something well, you must measure what matters. That chapter described the available outcome measures. Chapter 9 applied them to baseline assessment. This chapter answers the question that follows naturally: now that treatment is underway, how do you know whether it is working?