Group Session Rating Scale

Routine Outcome Monitoring in Group Therapy can Improve Outcomes and Reduce Costs

Group Therapy


Today, we’re seeing numerous organizations and groups competing for a slice of the finite financial pie that has been designated to address some of the most vital concerns facing us today. Mental health, increasingly seen as one of those concerns, has begun, in the last several years, to get a small slice of that pie. Unfortunately, the increase in worldwide mental health issues is outpacing the resources available. This trend is likely to continue in the coming decades. Those funds dedicated to mental health will need to be spread thinner than they already are. Although one possible solution, increasing available funding is a political issue that will be decided by politicians. As such, we can’t count on seeing any significant solution any time soon.

There is only one practical solution for those working in the trenches and confronting the challenges that poor mental health brings. Those limited funds need to be utilized as efficiently and effectively as possible.

One way to increase the effectiveness and efficiency of mental health resources is through the integration of MyOutcomes into the clinical setting. MyOutcomes pioneered the first valid and reliable digital measures of treatment progress and therapeutic alliance known to:

  1. strengthen client engagement in the clinical setting,
  2. increase the number of successful outcomes and
  3. reduce early drop out.

Integrating Feedback-Informed Treatment best practices into the therapeutic session enables MyOutcomes to assist the clinician and the client to mutually identify the clinical goals and see when goals have been reached. Routine Outcome Monitoring (ROM) is simple and feasible with a standardized Outcome Rating Scale (ORS) that predicts session outcomes and red flags clients, who may superficially appear to be benefiting from treatment, but are, in fact, deteriorating and are at risk for dropping out. The therapist can use the feedback elicited by MyOutcomes each session to identify their struggling clients and adjust therapy to better meet the clients’ therapeutic needs.

Another strategy for increasing effectiveness and efficiency is to use group therapy. There are numerous advantages to group therapy, two of which are:

1) an enhanced use of clinic time

2) a reduction in cost for services.

With the right clients, group therapy can improve the effectiveness and efficiency of services provided.  One of the main downsides, however, is that the client may not form a strong therapeutic relationship. We have known for several decades that a strong therapeutic alliance is predictive of successful outcomes. Without this alliance, the client may not feel engaged with the therapist or the group. At the very least, any strengths that group therapy could provide may be cancelled out. At its worst, the client may be inclined to drop out without reaching their therapeutic goals.

Not only does MyOutcomes’ ORS integrate into group therapy as easily as it does individual therapy, but it also enables the provider to monitor the therapeutic alliance when using the Group Session Rating Scale (GSRS). Integrating a group therapy alliance measure into every group therapy session may not seem feasible but with all the administration and reporting options that MyOutcomes has developed, it is really quite simple.


Read MyOutcomes® Group Therapy Solutions Guide to learn more:



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.

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