Evidence Based Psychotherapy

Feedback-Informed Treatment, explained by Scott D. Miller in under five minutes

FIT eLeaning

Did you know that clinicians who routinely obtain feedback on the progress and the status of the relationship with their individual clients have outcomes that are much better, and dropout rates that are much less, that Treatment As Usual (TAU)? In fact, numerous studies actually confirm this. In the research literature that process is known as Feedback-Informed Treatment (FIT). Scott D. Miller, PhD, is one of the pioneering scientists behind the FIT movement. He and I recently worked together to create this brief video to explain what FIT is and how developing a culture of feedback and incorporating the Outcome and Session Rating Scales (ORS & SRS) into your clinical practice can improve your treatment outcomes.

Feedback-Informed Treatment, explained by Scott D. Miller in under five minutes.

 

Interested in learning Feedback-Informed Treatment Best Practices from Scott D. Miller?

Whether you’re an individual practitioner or part of a larger organization, FIT eLearning is designed to help you develop a culture of feedback and incorporates the Outcome and Session Rating Scales (ORS & SRS) into your clinical practice.

FIT eLearning is based on the most up-to-date research in talk therapy and behavioural health sciences.

FIT eLeaning

MyOutcomes® FIT eLearning program is centered on the four core competencies developed by Dr. Scott D. Miller and colleagues at the International Center for Clinical Excellence (ICCE) 

 

 

https://www.myoutcomes.com/fit-elearning

 

 

Get Better Results at Evo’20!

The Evolution of Psychotherapy 2020 promises to be the “Can’t miss Virtual Experience of the Year!”

Not all virtual events are created equal. This 5-day, multi-faceted event has attracted worldwide attention as the most respected gathering of master practitioners in the field. The Evolution of Psychotherapy Virtual Experience will deliver.

We hope you enjoy the MyOutcomes virtual booth experience. MyOutcomes Team will be hosting live events and giveaways in a virtual booth experience that includes:

– Daily draws for paperback copies of Better Results through Deliberate Practice!

A live portal where visitors are invited to join us by video or phone, Special Guests have promised to stop by!

– A series of unscripted skits from the MyOutcomes Team simulating the live event experience!

– Plus, exclusive deals on MyOutcomes only for Evo’20 participants!

MyOutcomes Evo’20 Portal brings MyOutcomes Team and special guests live on camera to you. MyOutcomes Portal will be open during all breaks and for 30 minutes before, and 30 minutes after all of Scott Miller’s appearances.

Evolution of Psychotherapy 2020

Schedule of Appearances by SCOTT D. MILLER, PhD

Dec 10th, 2:30-4.00PM Pacific A Bolder Model: How should we be training the next generation of therapists? – with William R Miller – University of New Mexico

Dec 12th, 2:45-3:45PM Pacific Better Results: using Deliberate Practice to Improve Therapeutic Effectiveness

Dec 12th, 2020 4:15-5:15PM Pacific The initial interview – with Ellyn Bader, PhD – The Couples Institute and Otto F. Kernberg, MD, FAPA – Weill Cornell Medical College

Dec 13th, 2020 10:30-11:30AM Pacific Topical Panel – Training Psychotherapists– with Stephen Gilligan, PH.D. and Cloé Madanes, LIC, HDL – Madanes Institute

Watch this just published clip from MyOutcomes Evo’20 Virtual Booth Experience

Can’t attend the event? You can still join us in the Evo’20 Portal!

Join from your computer, tablet or smartphone with this link:
https://www.gotomeet.me/CindyHansen/myoutcomes-evo20-live-portal
Access Code: 259-958-101

Hope to see you there!

 

Managing Utilization in a Virtual World

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Providing Your Clinical Staff with the Support They Need

When you purchase MyOutcomes for your agency it is usually because the evidence has convinced you that by integrating the feedback-informed treatment (FIT) model into their practices, your clinical staff will be more effective with their clients. The success of your staff and clients, in turn, will mean that your agency will enhance its reputation in being effective in helping those coming to you for help.

Despite the fact that you and other decision-makers are convinced that implementing MyOutcomes is a wise choice, the transition to an evidence-based model like FIT may not be equally smooth for all of your staff. Sometimes, staff struggling to integrate MyOutcomes into their responsibilities may need a little more support.

The question is, though, how do you know who needs that support without some objective feedback that will help you identify those individuals?

Luckily, MyOutcomes has been built with mechanisms for presenting evidence that enable managers and directors to identify staff who may be struggling with their implementation of MyOutcomes. Which strategy you use depends upon whether you are looking for a brief summary of staff utilization or if you wish to see the larger picture.

Aggregate Stats

Besides providing you insight into change in your client population, the Aggregate Stats also provide some basic descriptive statistics that help paint a picture of how your MyOutcomes account is being utilized. On each Aggregate Stats page, you can find the total number of cases, data about the number of sessions, duration of treatment, and the number of skipped sessions. Together, this information can inform you regarding utilization.

Each level of access provides the Aggregate Stats for all of the data beneath it. Depending upon how you have your account structured, these different reports can provide important information regarding subsets of your data.

If you generate a report at the owner level, it will reflect information for the entire account. If you generate reports at the administrator or supervisor levels, they will provide you with information about the supervisors and providers or the providers-only below those respective levels of access. If, on the other hand, an aggregate stats report is created for an individual provider, the picture that emerges will be for that provider solely.

Dashboard Utilization Report

A limitation of the Aggregate Stats is that it generates a cumulative report up to the date that you create it.

If you want to have more control over the time period of the report and if you are fine with a more brief summary of utilization for a staff member, treatment site or treatment program, you can generate a utilization report in the Dashboard. As with any data in MyOutcomes, the owner level has access to the entire agency as well as specific levels of access. Administrator level accounts can review the supervisor and provider accounts below them, while supervisors can review their providers.

After logging in and navigating to the Dashboard page, select Utilization. Depending upon your level of access, you will be able to select your search criteria accordingly. If your account has more than one administrator and/or supervisor, you will need to select the specific administrator or supervisor level, when logged in as the owner, before reviewing the utilization by a specific provider.

If you are interested in looking at utilization of MyOutcomes with current clients only, you can change Status to ‘Active.’ You can also select a specific time period for your search. There are a number of pre-set time periods that you can select from. If you wish to customize the range of time for your enquiry, select ‘between’ to enter your search period.

After you have selected your search criteria, click Apply. The system will generate a report that provides you with the Client Count, Cases, and Session Count for that specific set of criteria.

Implementing change, whether in our lives, our professions, or our businesses, is always a challenge…one that can hit a number of speed bumps on the road to success. Your staff may at different times experience a challenge that slows or stops their implementation of MyOutcomes. The Aggregate Stats and the Dashboard Utilization Report are two mechanisms that can help you identify these individuals, so that you can more readily reach out and provide the support that they may need.

If you have any questions, please don’t hesitate to contact us.

The Era of Average is Over!

outcomes system softwareAn RCT reporting reliable and clinically significant change instills a high degree of confidence in the results. So why does strictly adhering to a manualized EBP, with multiple published RCT’s in top tier journals, often fail to translate into even noticeable improvements in clinical settings? Experience suggests that the real world is more heterogeneous than the world imagined by RCTs and it can be confusing and disappointing when individuals you are trying to help fail to benefit.

MyOutcomes® is a response to these findings, offering a way to identify when treatment is and is not working with an individual person. Back in 2007, when MyOutcomes first began offering the convenience of digital administration and reporting treatment outcomes, we used a set of mathematic equations that plotted the expected treatment response or ETR of a client based on their Outcome Rating Scale (ORS) score. At the time is was cutting edge, few people were even measuring outcomes let alone trying to provide benchmarks for guiding clinical practice. For the first time therapists and clients had a simple and feasible way to compare outcomes from session to session to the ETR benchmark.

Originally, the ETR plotted the average progress of all clients, since then we have upgraded several times, today offering equations that provide benchmarks for comparing individual progress to both successful and unsuccessful treatment episodes. In MyOutcomes modeling system, predictions are made at the individual level, versus feedback delivered in the form of an Average ETR, providing a far more accurate assessment of reliable and clinically significant change at the individual client level. If your clients are all average than by all means use a Reliable Change Index, if they are not and your EBP has let you down too many times, consider adding a patient-centred measure of treatment effectiveness like MyOutcomes. If you have already been using MyOutcomes and are ready to raise your effectiveness to the next level; Improve your ability to engage, retain, and help a more diverse clientele then consider joining me this March in Chicago for the Advanced FIT Intensive. It will help you develop and sustain a lifelong, professional development plan.

FIT eLearning – An Introduction to Feedback-Informed Treatment

FIT eLearning - MyOutcomes

FIT eLearning: An online solution designed to help practitioners take their practice to the next level

The era of average is over! To succeed you have to be a cut over the rest… even in behavioral health services.This demands you be on top of technology as well as all the latest development in your field.

FIT eLearning is based on the most up to date research about outcomes in talk therapy and behavioral health services. The course is designed to allow you to work at your own pace, each session takes about 45 minutes to complete. The course is organized around a set of 4 core competencies developed by Scott D. Miller and colleagues at the International Center for Clinical Excellence (ICCE). These core competences encompass the necessary basics for clinicians seeking to improve their outcomes and achieve excellence in their practice using PCOMS.

Watch this short video introduction to FIT eLearning by Dr Scott D. Miller and see how you can gain from this interactive experience and help your clients achieve positive outcomes in therapy.

It is followed by a short video tutorial by Cynthia Maeschalck, the ICCE community manager on how to make the most of your e-learning experience.

For any further queries contact MyOutcomes toll free at 1-877-763-4775 or click here to REGISTER NOW!!!

The Relative Effect Size in MyOutcomes Version 14

The Relative Effect size

An overview of the effects of why the Corrected Effect Size has changed to Relative Effect Size

As all of the statistics depend on the sample that you are compared to, earlier adjustments to case mix had to be made when they were compared to the median client progress, and so corrected effect size was used. Now, due to the huge representative database available to compare to, in which the therapists have been using their feedback, the corrected effect size has been changed to relative effect size.

Live Consultation with Dr. Scott Miller

My Intuition Says That PCOMS EBP (Evidence-Based Practice) is The Best

therapy feedback system, outcome measures, PCOMS EBP

Why using PCOMS EBP is the best way forward in psychotherapy!

Most people are familiar with the thalidomide disaster of the early 1960s. Thalidomide, a drug developed in Germany and marketed as a treatment for morning sickness, had been distributed in numerous countries. It was scheduled to be released in the United States as soon as it received FDA approval, a near certainty. That is, until the responsibility for approving the drug was given to Frances Kelsey. Thalidomide had undergone what was considered to be sufficient research and testing protocols in those days and had passed with flying colors. Kelsey, who had spent her earlier career as a research scientist, noted elements of the data that reminded her of her own research and thereby raised red flags. She dragged her feet on the approval, insisting that more research was warranted. Her stance on looking at the evidence didn't earn her any popularity contests. After all, experience showed that the drug was perfectly fine. Then, the “thalidomide babies” began to appear in all of the countries where thalidomide had been approved for use. Kelsey is credited with averting a major disaster in the United States.

The thalidomide disaster resulted in the Kefauver Amendments to the Food, Drug and Cosmetic Act of 1938. By requiring more evidence, the amendments enabled the FDA to make changes to the research protocols that lead to drugs being approved for clinical use. The amendments also required drug manufacturers to provided evidence of drug efficacy.

The entire thalidomide story is a story of using evidence to make decisions. Not experience. Not gut feelings; But real, hard evidence. In so many aspects of our lives, we think nothing of expecting others to base their decisions on evidence.

When you take your car into the shop, do you want your mechanic making decisions on how to repair your automobile based upon his gut feelings? Or do you want your stock broker making decisions about your financial investments based upon her gut feelings? Most people want such decisions to be evidence-based.

For psychotherapy, this means using the best research findings to make therapeutic decisions. Using intuition to determine the progress a client is making defeats the purpose of having an evidence-based practice. Using objective forms of ongoing assessment allows the clinician to monitor client progress and make credible evaluations of the efficacy of the treatment protocol, as well determine whether changes are needed or if the therapeutic goals have been achieved. Put another way, the systematic measurement of outcomes makes any therapeutic intervention evidence-based.

There are currently two outcome measurement tools listed in SAMHSA's National Registry of Evidence-Based Programs and Practices.The Partners for Change Outcome Management System (PCOMS) and its web-based version MyOutcomes®are listed because a large body of research has demonstrated a doubling in the effectiveness of treatment while simultaneously reporting reduced dropout, deterioration rates and reduced service delivery costs. PCOMS Tran-theoretical approach has been successfully implemented in a wide variety of service settings, with diverse clinical populations, all over the world.

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Measuring Evidence Based Outcomes: What’s in it for Therapists? (Part 2)

Our last blog highlighted two reasons why therapists benefit when they get ahead of the evidence-based outcomes measurement curve. In an incisive and insightful article from 2011, Tony Rousmaniere, PsyD, suggested that measuring outcomes increases awareness, maximizes feedback, and helps make therapists better at what they do. He also noted that by embracing outcomes measurement, therapists end up having a stronger hand in designing the process, thus reducing the risk of having a flawed or faulty system foisted upon them.

Continue reading…

Measuring Evidence Based Outcomes: What’s in it for Therapists? (Part 1)

The overwhelming consensus among industry leaders is that tracking, measuring, and reporting psychotherapy outcomes will be the norm, and even standardized, in the future. The health and wellness industry is all about results. Medical patients now routinely ask about the track records and success rates of those treating them and, over time, the clients of those seeking therapy will undoubtedly ask the the same of their prospective therapists too.

Continue reading…

Fear is only HIPAA Deep

outcomes system software

MyOutcomes Partners with Compliance Helper

In an age of alarming events that seem to occur with unnerving regularity, I have done my best to avoid being an alarmist. On the other hand, I have no qualms about being a realist. Being a realist is not the same as being an alarmist. A realist is someone who identifies problems and seeks to take reasonable and effective steps to negate those problems. An alarmist is someone who exaggerates the dangers of the world in order to panic the proverbial herd into making risky and costly choices that oftentimes benefits the alarmist or pushes the alarmist's agenda.

 

In every age, new threats arise that challenge our security. These threats are typically associated with what we consider to be technological, socio-political, and/or economic advances. History is replete with examples of new discoveries, inventions, or other advancements turning out to be double-edged swords: one edge improves life as we know it, while the other edge opens the door to new risks. When the age of pharmacology was first born in the 19th century, the possibility of treating, if not outright curing, so many disorders and diseases became a real possibility. At the same time, the magnitude for substance-abuse and its associated problems grew to a level never seen before. Nothing is without a cost.

In our age, technological advances hold the promise to yield better healthcare that can be delivered more easily to more people. Computers and their attendant software possibilities, the internet, and mobile telecommunications, in unison, have the potential to bring state-of-the-art advances in psychotherapy to therapists and their clients anytime and anyplace. There are few people who would consider advancements that can better the lives of so many as being the equivalent of letting the genie out of the bottle. Nonetheless, taking advantage of these advances requires the creation of electronic records that oftentimes contain personal and sensitive information. And as everyone knows, there are people who want access to that information, whether it be for personal gain, part of a cyberwar stratagem, or it stems from nihilistic tendencies. Luckily, the U.S. Department of Health and Human Services identified the problem and developed a document that outlines what are reasonable and effective steps to address this threat to our privacy and security. This document is the Health Insurance Portability and Accountability Act, or, as it is more commonly referred to, HIPAA.

This age has seen numerous companies moving to take advantage of these advances, such as healthcare funders (either government or private), multi-site agencies, and companies bringing therapeutic tools to the therapist. MyOutcomes, the web-based application of Partners for Change Outcome Management System (PCOMS), is one of a handful of companies attempting to bring electronic tools to those therapists who are ready to modernize their approach to psychotherapy by building an evidence-based, feedback-informed practice. Given the very real threats to our privacy and security, one of the top ten questions any therapist, or even any potential client, should ask is: Is the company they are considering doing business with HIPAA compliant? If not, then this should be considered a strong indication that the company doesn't concern itself with your privacy and security. I give you fair warning; approach such with care.

As in any age when a threat has been identified and a solution has been posed, one can be certain to find the alarmist wolves howling at the gates. The wolves, in this case, are those who are warning of the dire consequences if people fail to become HIPAA certified. In light of these scary warnings, what's a therapist to do except to seek out something that doesn't exist? Not only does it not exist, but it can cost a lot (up to $40k) to purchase the nonexistent. Of course, the alarmist wolves are quite willing to negotiate a price that fits the pocketbook of any mental healthcare provider or agency. But then again, why wouldn't they? They're getting something for nothing and that's a sweet deal that any wolf could sink its teeth in.

Like all ages, we have a world filled with problems, solutions, alarmists, and realists. Realists can see the problem and understands the steps needed to calmly obtain the solution to the problem. The steps needed to protect the privacy and security of your clients has been detailed in HIPAA. Nowhere in the document does it say that certification is a satisfactory or necessary step in becoming HIPAA compliant. What HIPAA does say is that ensuring the privacy and security of your clients is an ongoing process. In other words, HIPAA compliance is not a one-time event, but instead, a process that requires continual monitoring. What is needed for HIPAA compliance is knowledge, expertise, and an ongoing mechanism to monitor the state of HIPAA compliance.

MyOutcomes is a company for the ages. Not only is it the pacesetter for companies offering technologically sophisticated tools and support to therapists who have evidence-based, feedback-informed therapies, but MyOutcomes is at the forefront of those companies that are HIPAA compliant. Providing knowledge and expertise needed to become and remain HIPAA compliant, MyOutcomes' Director of Security is a Certified HIPAA Professional (CHP). To continually monitor the state of compliance, MyOutcomes is licensing Compliance Helper. Compliance Helper is a powerful tool that helps a company keep its policies, procedures, and other documents up-to-date. To provide real evidence to customers that MyOutcomes is HIPAA compliant, Compliance Helper provides four meters to be placed on the MyOutcomes website. These meters will allow customers to see at a glance how compliant MyOutcomes is with its procedures, policies, forms, and regularly scheduled tasks.

In an age filled with so much uncertainty, MyOutcomes' existing customers and potential customers can be certain of two things that set MyOutcomes apart from many other companies. First, the security and privacy of your clients' personal information is as important to us as it is to you. Second, MyOutcomes will do everything that is needed to ensure that the security and privacy of that personal information remains secure and private.

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