Outcome measures
One minute a session tells you who is getting better.
Clinicians are poor at predicting which clients will get worse. In a 2005 study by Hannan, Lambert and colleagues, therapists foresaw one deteriorating client out of forty. Asking the client every session catches what prediction misses.
Every session
What you see on the session page
The Outcome Rating Scale and Session Rating Scale take about a minute each. The client fills them in on their phone before and after the session. You see the trend on the session page, and you see when it flattens.
- ORS trend for the client across every session, with the expected-change line
- SRS for today, so a weak alliance is a conversation this week, not a no-show next month
- A flag when a client is not on track, and a note template for talking about it
- Practice-wide view on Team plans; caseload risk analytics with Insight Engine
Feedback of this kind roughly doubled improvement rates for clients who were not on track in a 2018 meta-analysis of 24 studies.
Outcome measures
Where the measures come from
The Outcome Rating Scale and Session Rating Scale are the PCOMS measures developed by Barry Duncan and Scott Miller from the Heart and Soul of Change research. PCOMS was listed on SAMHSA's National Registry of Evidence-based Programs and Practices in 2013. Mindspirit uses the measures under license from Better Outcomes Now, Dr. Duncan's measurement system, and scores them against its normative data.
Where you see standard screeners such as the PHQ-9 and GAD-7, they are the public-domain instruments, scored as published.
Ready when you are
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