Feedback Informed Therapy

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)



Free Resource Reveals the True Path to Better Results


Turns out it’s more than just a common quality of highly effective therapists, humility is actually a prerequisite!

Studies confirm “professional self-doubt” is not only a strong predictor of both alliance and outcome but actually a prerequisite for acquiring therapeutic expertise. Speaking specifically to the field of psychotherapy in, Humility: The paradoxical foundation for psychotherapy expertise, the authors, Hook, Watkins, Davis, and Owen , define humility as “valuing input from the other (or client) … and [a] willingness to engage in self-scrutiny.”

Does this sound like you?

We all profess humility and I know as an ethics bound professional that you already ask for feedback and have likely already encountered some negative feedback from a client. When you have received negative feedback about treatment progress or experienced a rupture in the therapeutic alliance, ask your self how ofter you were able to:

1: Fix the problem?

2: Learn from the feedback and apply it in future encounters?

Did you confidently answer yes, all the time to both questions, because this is the path your colleagues are taking to go from average to excellent. Only you know how far down this journey you have gone, or are willing to go, but what I do know is that both MyOutcomes® and The International Center for Clinical Excellence (ICCE) are dedicated to providing you with the tools and training you need to see noticeable improvements in treatment results.

Take the Path to Better Results

On January 15, 2021 MyOutcomes is releasing a new series of Better Results with Scott Miller Interviews. The series is full of stories and free practical advice and resources to help you develop a more feedback informed practice. This four-part Netflix style series can be binge watched in under two hours.

If you have participated in the past, then you know that besides free giveaways, MyOutcomes will also be including a great bonus package. The Get FIT Now bonus package will be available for the first 100 Mental Health Professionals who sign up between January 15th and 31st, 2021.

Without giving to much away, I have to tell you that the first 10 participants to sign up online for MyOutcomes or FIT eLearning will be receiving a free paperback copy of Better Results: Using Deliberate Practice to Improve Therapeutic Effectiveness! This step-by-step guide demonstrates how to collect and use client outcome data to create an individualized professional development plan and measure improvements in the quality of the service you provide.

Sign up now

To make sure you don’t miss out, get on the wait list now: This free Feedback-Informed Treatment Webinar Series will only be available for download from Jan 15-31. More free resources and exclusive content will be revealed on the release date!

Share with your colleagues so they don’t miss out on advanced notice.

Get on the waitlist for premier access, Friday, January 15th

Feedback Informed Treatment in Group Settings

The heart of Feedback-Informed Treatment (FIT) is using information generated though routine monitoring of the therapeutic relationship and progress in treatment to adjust service delivery.

With MyOutcomes® the standard Outcome Rating Scale (ORS) is used to measure progress reported by group members. To monitor the quality of the alliance, the Group Session Rating Scale (GSRS) has been developed and has proven to be a reliable and valid measurement tool, capable of predicting early treatment response (a known determinant of engagement and outcome).

The following cartoon is based on a video excerpt from MyOutcomes FIT eLearning Program. It provides an example of strategies for introducing and administering the GSRS.


When a client’s response to treatment is measured using the GSRS the interpretation of the measures, the meaning and use of the client’s response pattern in general indicates:

• GSRS scores that start and remain low are associated with higher dropout rates and poor or negative treatment outcomes;

• GSRS scores that start and remain high are associated with positive treatment outcomes;

• GSRS scores that start low but improve are associated with lower dropout rates and superior outcomes;

• GSRS scores that start high but decrease are associated with higher dropout rates and poorer treatment outcomes.

The key to using the GSRS effectively in groups is ensuring that the process facilitates open discussion among the members. MyOutcomes not only offers the tools needed to simplify the collection of client outcome and session ratings, we also offer Nationally accredited training in Feedback-Informed Treatment.

To learn more visit:

Does Documentation Improve Treatment Outcomes?

“I know we can help you successfully collect outcome data, the trick is learning to use that data to inform and improve care”, a phrase I often repeat during implementation consultations.

That being said, just being able to successfully collect outcome data seems to have become the unofficially minimum standard. Believe me, I get it, just having everyone routinely collect patent self-report measures is difficult enough.

Particularly, if the Team is just following standards and requirements they must meet in order to practice and get paid. Helping your Team embrace the logic behind routinely measuring session feedback from clients is no small feat and for many it is understandable that this is the first and only step they ever take towards a feedback-informed approach. Creating a culture of feedback is hard.

If you have tried to adopt a feedback informed approach, did you find it awkward to make it fit into the accepted documentation requirements of your practice? Would you take a moment now and consider your current practices and related documentation requirements.

Do your current documentation practices and requirements improve outcomes?

Will you share your response on this simple four-item scale? You can answer anonymously and it takes less than a minute to complete.

If you question the value of your current requirements or have found that they seem to stand in the way of improving outcomes and being able to fully use the Measures to inform and improve care, you will appreciate this brief cartoon video clip (2:36).

The following video with Scott D. Miller illustrates the fundamental shift that is required to create a culture of feedback and provides some helpful documentation resources to support your service delivery transformation.

This video and the survey questions above are both pulled from Module 10  –  FIT Skills: Documentation. This is a sample of the FIT eLearning Program we have developed to walk you through the process of using FIT in your clinical setting. Each model has a series of videos, interspersed with awareness profile questions. Awareness profile questions (like the survey question above) are designed to help you further engage with the lesson content. Plus, there is a quiz at the end of each module, to make sure you master each section before you move on.

If you have tried, or are thinking of trying to move beyond just collecting outcome data have a look at our training program. This ICCE accredited, basic training in Feedback-Informed Treatment program includes 12 documented online training hours on psychotherapy (2 hours), outcome measurement (8 hours), performance improvement (2 hours).

To Learn more: //

Feedback Informed Treatment in Practice

outcomes system software, implementation of feedback informed treatment

From Scott Miller's Top Performance Blog

Implementation of Feedback Informed Treatment

Though feedback is imperative to improvement, it is not an end in itself. The idea of feedback is to give direction to a therapist to develop a plan of action for deciding their future professional development and to keep monitoring it to see if it yields results. MyOutcomes®, provides all the features that help therapist do just that and much more. With its ultra brief Outcome and Session Rating Scales (ORS and SRS), and the interactive graphs and reporting functions, the therapist can chart the course of treatment and discover how to be more effective, with more clients, more often

In this recent video, published in Scott Miller's Top Performance Blog, Dr Miller interviews MyOutcomes® VP, Cindy Hansen, accompanied by ICCE Community Manager, Cynthia Maeschalck. Learn what they have to say about how MyOutcomes aids in the development of a feedback informed practice.

To get a detailed overview of what this tool can do for you, book a 30 minutes free implementation consultation by following the link

For any further queries contact MyOutcomes toll free at 1-877-763-4775

Creating Psychotherapists for the 21st Century, Part I

outcomes system software

Enhance the therapist's effectiveness by bringing the client's voice into therapy

To paraphrase William Gibson, the future has arrived, but it has yet to reveal itself. Relative to the beginning of the 20th century, our current century sees us with a much clearer idea of what mental health is, what it can be, and what it should be. Although the germ of modern psychotherapy can be easily traced back through the prior two centuries, it was in the 20th century that psychology and the medical model approach to illness gave birth to what we today call and understand to be “psychotherapy.” Ever since, psychotherapy has made remarkable progress in its growth and evolution.

Research has played a key role in this evolution. Focused on developing effective therapy, research has asked such questions as: Does psychotherapy work? What models of psychotherapy work best? What are the critical elements of psychotherapy? In attempting to answer these questions, research has developed numerous tools. In one form or another, many of these tools have found their way into therapy. Assisting in better diagnostics, evaluating client characteristics, and measuring client progress, these tools have played a major role in bringing about improved outcomes.

In the last two decades or so, there has been a major shift in how clients are viewed in therapy. Instead of simply being the element in therapy that is to be changed, clients are now becoming to be seen as major players in not only bringing about change, but determining what change is needed. Feedback Informed Treatment (F.I.T.) and Client-Directed, Outcome-Informed Treatment (CDOI) are therapeutic approach that redirect the focus of treatment from what the therapist thinks needs to be done to what the client expects, wants and needs. Contrary to some views, this shift does not reduce the importance of the therapist in therapy. Instead, it elevates the importance of having highly talented and skilled therapists with a broad knowledge of the field.

In order to facilitate this shift, individuals, such as Barry Duncan and Scott D. Miller, have been leading the way in the development of tools that enhance the therapist's effectiveness by bringing the client's voice into therapy. A growing number of therapists have been finding that the use of tools such as the Partners for Change Outcome Management System (PCOMS) or the OQ-45 provide improved outcomes in their practice.

To know more about MyOutcomes and how it can help you enhance therapy effectiveness, call us toll free on 1-877-763-4775 or visit our website


FIT and fitting the approach to the client

improve outcomes software

“Fitting the approach to client involves responding to each individual client’s experience. Getting feedback is at the core of this approach”

I am a long standing fan of Scott Miller and his work. We share an appreciation of the enormous contribution that Milton Erickson made during his long and productive lifetime and of the heritage he left after his death.

Erickson said that to think that there could be one theory that would adequately explain every problem, with all people of all ages, both genders, all ethnic backgrounds in all situations was ridiculous.

He emphasised the importance of respecting the uniqueness of each individual client, and the benefit of focusing our attention on the client and their experience rather than on us and our agenda based on our theoretical frame.

He said that the three most important things for us to learn are to observe, to observe, and to observe – again inviting us to attend to the clients response so we can then adjust what we do as a response to the client’s experience from moment to moment and put aside any particular theory of therapy.

I have developed my own approach based on what I learnt from the time I spent with him towards the end of his life. I like to begin a session by asking a client what they like. This shifts the focus from the problem to a wide perspective as well as creating a mood of normality and resourcefulness.

Once we have explore their likes, we can than explore, together, just what the client wants, what is missing for them that if they could have access to it, they would be able to get on with their life.

Rather than a routine hypnotic “induction”, I prefer to offer an opportunity for each client to become focused and absorbed in the experience that they like, and by encouraging a more textured connection with their experience, they can then find and connect with the part of their experience that they identified as being mission and has the situation be problematic.

During the session I have found it to be so useful to ask about the client’s experience, so we can be coordinated, on the same track. One of my teachers said that if we’re on the wrong train, every station is the wrong station. Asking for feedback throughout the session helps us both to be on the right train.

This almost inevitably leads to a simple, easy and respectful resolution of their problem, but rather than assume that, after they come out of hypnosis, I have found it useful to as about what is different now compared with how we began.

After my learning with Erickson, I am increasingly impressed with the importance of responding to each individual client’s experience – as we begin, throughout the hypnosis, and after. Getting feedback is at the core of this approach.

My personal preference is to ask for feedback in a conversational, moment to moment way, which can lead to a lively interactive dance from beginning to end. I do not use SRS or ORS in my approach, but many of my students do, with palpable benefits, and I actively encourage them.

That’s why I continue to be a fan of Scott’s and his encouraging people to use his FIT tools, even though I don’t use them!

Dr. Robert McNeilly founded the CET in l988 to introduce Ericksonian Hypnosis and the Solution Oriented Approach to hypnosis, counselling and coaching in Australia. To know more about Rob McNeilly, click here

Using Your Own Personal Device to Track – Psychotherapy Feedback Systems

Psychotherapy feedback systems, MyOutcomes

Advantages of MyOutcomes over other psychotherapy feedback systems

According to the Aberdeen Group, a Boston-based technology research firm, more than 70 percent of U.S. small businesses allow employees to use their smartphones for work. The problem is, allowing employees to use many different types of devices for business can turn into an IT nightmare for tech support, securing sensitive data and communications, and fixing compatibility issues.

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