New Features

MyOutcomes Management Solutions

Providers join agencies. Providers leave agencies. Sometimes, they return. Likewise, for various reasons, clients will leave service and some of those clients will return. Sometimes they return and need to be accessed by a different administrative branch or have their case transferred to a different provider.

The design of other client management systems often doesn’t fit the messy, real-world experience they are trying to capture.

MyOutcomes has earned its position as the gold standard of psychotherapy outcome tracking and reporting systems through constant user-driven innovation. By soliciting feedback from our users, as well as working closely with leading minds in our field, MyOutcomes has developed the necessary tools for making account management easy.

Deactivation When a client leaves service or a provider leaves an agency, the simplest solution is to deactivate their account. Deactivation ensures that the account and its data are retained. This simplifies the interpretation of current statistics and prevents the creation of long lists of user IDs composed of both active providers and technically inactive providers whose accounts remain in an active state. When you deactivate a provider account, you will also free up that subscription. This will enable you to provision a new provider. Before or after deactivating a provider account, check to make sure that all client cases that should be, have been deactivated. If there are accounts for clients still in therapy, transfer them to another provider account.

Single Deactivation-To deactivate an individual account, right-click the user ID in the tree view. From the drop-down menu, select Deactivate. Clients also can be deactivated on their console via the Deactivate Client link in the upper-left corner of the console. Even as it is possible to delete multiple accounts simultaneously, it is also possible to deactivate more than one account at a time. 

Mass Deactivation- To deactivate en masse, check the Action boxes to the left of user IDs in the user list on the console view. From the Select Action drop-down menu below the list, select Deactivate. All selected user accounts will be deactivated. If using this mass deactivation function with clients, you will need to select the same date and same reason for deactivation for them all. 

Find Inactive/Closed- When an account is deactivated, it will become “invisible.” To see your deactivated accounts, check the Inactive/Closed box at the top of the tree view. All deactivated accounts will appear in italicized, grey font in the tree view.

Reactivation- Deactivated accounts are available for reactivation. To reactivate a provider account, an available provider subscription is needed. After finding the inactive account in the tree view, right-click the user ID and select Reactivate Provider from the drop-down menu. The provider should be prepared to reset their password once the account has been reactivated. Their old history (past client data) will be available as soon as they log into their account.

Client Reactivation- The process for reactivating a client account is like that for the provider. However, when reactivating a client account, it will need to be determined if this reactivation represents a Continuation of the Prior Episode of Care or a New Episode of Care. If the return is a continuation of the prior case, the client’s prior console with their existing CSR will be made available. New ORS/SRS scores will be plotted in the same graph as was seen prior to the client leaving service. This allows the provider and the client to pick up where they left off. If the return represents a new case, the old case will be closed. This case is still readily available to review, however, the only changes that can be made to this prior case is to add or remove tags and to transfer the case to another provider.

After the old case is closed, a new case will be created by the system. The client will continue to be identified by their original user ID, however, an _x, where x represents the number of the case, will be attached to the end of the ID. For example, the client, Big Burt, leaves service. He returns and it is determined that this return should be treated as a new episode of care. The prior Big Burt episode will be closed, and the new case will be Big Burt_2.

Deletion- When manually entering ORS/SRS scores, errors may occur during entry. Most can be corrected with varying degrees of ease. The only score that can’t be altered is the initial ORS. The intake ORS is used as the baseline calculation for the on-track and off-track predictions, so if there was an error when manually entering it, the case will need to be deleted. The Delete function is useful in this situation as it allows the provider to remove the old account.

Although the Delete function can be useful in several other circumstances, it is best to apply its usage with caution. Deletion of an account can be a permanent outcome. In other words, if the wrong account is deleted, it is likely not to be recovered. 

Mass Deletion- While it is possible to delete individual accounts, it is also possible to delete multiple accounts at one time. Just check the Action boxes to the left of user IDs in the user list on the console view. From the Select Action drop-down menu select Delete. All selected user accounts will be deleted.             

To learn more about MyOutcomes latest psychotherapy outcome management tools, check out the new Telehealth Solutions Guide.

Did you know there are now four new ways to collect outcome and session ratings from clients? Or that we have added a custom message field to personalize the communications your clients receive
from MyOutcomes on your behalf?

Download the Guide


If you have been exploring ways to strengthen client engagement, increase successful outcomes, shorten wait lists and reduce dropouts, please take advantage of our expertise, and book a free 30-minute consultation with a Certified Trainer from the International Center for Clinical Excellence to explore how MyOutcomes can help your Team help more clients, more often.

Learn more about MyOutcomes


Add Another Layer of Security to Thwart the Bad Guys Two-Factor Authentication


As if we didn’t have enough to contend with these days, cyber experts are reporting that the bad players…hackers, purveyors of viruses, e.g. as ransomware, and so forth…have upped their game. Whether it is state-sponsored theft of personal information or individual attempts to wreak havoc, the core motivation is the same…to cause harm. Regardless of the reasons behind this increased activity, it is necessary to do what we have always had to do to increase security where we can.

Just as it is impossible to completely protect your home from thieves and scoundrels, it is an equal challenge to keep electronic thieves out of your computer. The best that you can do is to decrease the cost of any break-in attempts, as well as increase the chance of detection.

As MyOutcomes customers already know, we engage in security strategies at levels much higher than most companies of comparable or even larger size. We expend the money and energy because we believe that protecting your clients’ data is one of our core responsibilities.

That is why we have recently added an additional security feature: Two-Factor Authentication. 


Two-Factor Authentication adds an extra layer of security

It requires you to register the device and browser that you are using. This registration uses a system-generated security code that is sent via a text message to the phone number associated with your account. Once you enter the code, your device will be registered. You shouldn’t need to re-register unless some major upgrade of your operating system or browser occurs.

For MyOutcomes Standalone Mobile, this feature will be turned on for all such accounts. Registration will be required during your first login attempt after Two-Factor has been turned on.

For MyOutcomes Pro accounts, this security function is optional. Turning it on requires logging in at the owner level and clicking the Options link. On the page that opens, check the box next to Enable Two Factor Authentication.

To require your staff to use the Two-Factor Authentication when logging in, you will need to enter a phone number for their account. For existing staff accounts, you can use the update function for administrators, supervisors and providers. If you are creating a new user account, you can enter a phone number at that time.

When the staff member logs into their account on a device that has been registered, they should be able to log in as usual. If the staff member has yet to register their device or browser, they will be requested to do so at the time of login. As already mentioned, they will receive a text message containing a security code that they will need to enter in order to register their device.

Both the web app and the mobile app will each need to be registered separately.

If you are using a telehealth model with your MyOutcomes Pro account, you have the option of providing your clients with Two-Factor Authentication as well. To do so, log in as the owner and click the Options link at the top of the console. On the page that opens, check the box next to Demographics. If you have existing clients that you wish to provide Two-Factor to, navigate to their Update Client page. Enter their phone number on the page that opens. Likewise, when creating a new client account, you will be able to enter their phone number at that time.

When they log in with the system-generated user ID and password that you have supplied them, they will need to enter a security code sent them via text message in order to register. As with your staff, your clients’ registrations will be device and software specific.

As I mentioned, we at MyOutcomes take security and privacy seriously. We work diligently to comply with HIPAA, PIPEDA and GDPR regulations. We invest heavily in security protocols because security is the first line of defence in protecting yours and your clients’ privacy.

If you have any questions or comments on any of this functionality, please don’t hesitate to contact us.


Better Results…with Scott D. Miller


Recently, therapist and researcher, Scott D. Miller, PhD sat down and shared his personal journey to attain better treatment results. At one point stating “…I wanted to help people. Throughout my training and now 30 plus years as a clinician, I’ve struggled with the deep sense of responsibility that accompanies that objective.” Can you relate? I know I can.

This interview was so informative and engaging, it is now being turned into an exclusive training event.

The Better Results series containing cutting edge research and practical, step by step instructions to help you:

  • have clients stay in therapy, rather than drop out
  • see outcomes improve, rather than having clients stay the same or worse, get worse
  • reduce complaints and provide supporting evidence of treatment effectiveness

For the next few days, the have made the entire series available for free. Watch the first video now and register to have the rest of the series delivered to your inbox. Each week, we will send you another video interview of Scott’s story, as he shares what he has learned about how to achieve better results. We will also be looking for your feedback and comments and offering some cool resources and perks along the way.

As your first added bonus, just for registering, you will have a 1-100 chance to win a copy of the much anticipated and soon to be released book: Better Results: Using Deliberate Practice to Improve Therapeutic Effectiveness.

MyOutcomes Bells and Whistles

MyOutcomes Mobile $95 on App Store or Google Play,When people decide not to subscribe to MyOutcomes, often it’s because it’s too expensive or they don’t need all the bells and whistle‘s. 

We have created a solution. A standalone app you download from the App Store or Google Play. A simple step towards collecting client outcome and session rating results and using the realtime feedback, based on advanced behavioural algorithms, to inform and improve client care.

If you are one of the dedicated Professionals around the globe using paper and pencil to collect ORS and SRS results, and scoring with a ruler, and graphing, please put down your ruler and pick up this app. It will be so much easier and the results will predict and report treatment outcomes with a greater accuracy than a Reliable Change Index can provide. MyOutcomes Mobile has no bells and whistles, just good technology and proven science.

You can use with up to five clients for free.

The in app purchase is only $95/year.

The reason it is so much less than any other comparable tool available is because we have stripped it down to just the basics you really need to make this process simpler and more effective. With the in app purchase you won’t be able to login to the web based application, to use any of the Case Alert or Key Perform Indicators, but you will be able to report individual client outcomes. The good news is if you ever decide you feel too limited and want to aggregate data, give clients their own login credentials so they can use the app on their own device, or any of the other bells and whistles we have created, you can always upgrade to MyOutcomes Essentials, currently a monthly payment of $29.95, without worrying about losing your data or paying a transfer fee.

Most MyOutcomes subscribers opt for MyOutcomes Pro, as it includes all the functions available in MyOutcomes Essentials, plus, …bells and whistle‘s. One is the more valued is the ability at the Owner level to customize the appearance and reporting capabilities of the system. Among the new options in our latest release, is the ability to alter the Term “therapist” – We expect this to be a welcome option and are grateful that a rational to allow for customization to this term has been accepted. Now if therapist is not the professional designation you use, you can enter the term that is preferred, hit save, it will replace ‘therapist’ on the SRS script.

If you’re curious and love bells and whistles read our Guide to learn more: //

Check Options in MyOutcomes Pro

MyOutcomes Owner Options

Want to try out MyOutcomes Mobile for free?



The new accuracy of Client Status Report; no averages!

myoutcomes client status report

Why Average Raw Change, Average Session Change and Average Service Change have been removed?

Initially there were a few assumptions and experiments made with the client status report. Scott quotes: “Actually, an average doesn't really tell us anything and it does not inform the individual case.” He says that because earlier on there were not enough cases available, so they had to use average change to interpret the outcomes, but with the huge database available now, it is possible to more accurately determine whether the client will complete the treatment successfully or not.

Live Consultation with Dr. Scott D Miller on the new accuracy of Client Status Report

Before and After the ORS and SRS – A new reporting feature

Before and After the ORS and SRS

Overview on ORS and SRS – A new reporting feature

Scott explains why we have gotten rid of the feedback messages we used to have in earlier versions, and why the signals have been changed from hands to simple dots. The earlier algorithm was an initial attempt made a decade ago to help therapists understand the notations and the metrics, whereas now with more and more people having the experience of using the measures, it makes more sense to switch to a much cleaner version which is easy to interpret. Simple alert systems help therapists with their client’s status, and enables them to bring in the required change in therapy.

Live consultation about ORS and SRS

Introduction to the new features in MyOutcomes Version 14 therapy assessment tool

outcomes system software

In the clip below from a recent live client consultation with Dr.Scott D. Miller, MyOutcomes VP, Cindy Hansen familiarizes us with the new reporting features available in Version 14 of MyOutcomes® therapy assessment tool.

Changes in the therapy assessment tool Include:

A Scatter Plot where the clinicians can see their client's status on a single graph.

The new Client Status Report page which replaces the Expected Treatment Response page.

Skip a Session now accessible from the provider home page.

Aggregate stats changes include new average intake SRS, Relative Effect Size and % of Clients Reaching Service Target.

To learn more visit: click here


MyOutcomes: A clinician's best friend

myoutcomes evidence based therapy

How does MyOutcomes model the true clinical population?

When trying to identify and measure any latent variable, two critical factors will play a major role. The first is sample size. The larger the sample size, the greater the variance and, therefore, the greater the likelihood of extracting the variable. An additional benefit of having a large sample size is that the sample has a higher probability of approximating the true population. The second key factor is the statistical model to be used. The ideal statistical model should be able to detect the variable, as well as be able to model and make predictions about the variable as it truly exists in the population of interest. MyOutcomes can easily meet these two critical factors. As a result, MyOutcomes has the power to predict change.

MyOutcomes' database consists of a sample with well over half a million measurements. This sample can be considered to be fairly representative as the measurements come from a broad range of countries and clinical settings. We are confident that MyOutcomes easily meets the following four sampling conditions necessary for predictive statistical modeling:

–          Randomized sampling from a defined population

–          Independence of sampling

–          Normal distribution

–          Population variances being equal

MyOutcomes' statistical modeling uses algorithms that have passed extensive cross-validation analyses. The PCOMS (Partners for Change Outcome Management System) development team was led by Dr. Barry Duncan and included Professor Michael Toland, a statistician at the University of Kentucky. A MyOutcomes' independent analysis was also completed and was led by statistician Douglas L. Steinley at the University of Missouri. The teams used their considerable years of clinical experience to develop and validate the model.

Initially, the development team eliminated extreme outliers from the database. These outliers are viewed as errors resulting from the use of MyOutcomes by inexperienced clinicians. These errors, which disappear as a function of increased use and experience with PCOMS, could impact the algorithms' ability to make accurate and practical predictions.

Based upon clinical experience, theory and research in the clinical field, the development team's a priori assumption was that therapeutic progress and outcomes should be described by a curve following a non-linear growth function. Analyses of models conditional on intake score demonstrated that a cubic model, rather than a quadratic model, provided the best fit for the data.

Considerable in-depth testing was conducted on the statistical model. Using descriptive statistics analyses, the development team evaluated the model's ability to predict trajectories for each intake score, as well as the means across all sessions in the database. Individual scores were plotted and compared to the expected treatment response predicted by the algorithms. The algorithms passed this very extensive testing process.

To evaluate whether the model predicted too much change, the development team used the data sets from published randomized clinical trials (RCT) of PCOMS (Anker, Duncan, & Sparks, 2009; Reese, Norsworthy, & Rowland, 2009; Reese, Toland, Slone, and Norsworthy, 2010) to examine how much change occurred in the feedback conditions. The algorithms used by MyOutcomes were found to be effective in accurately predicting change. The average amount of change across the feedback conditions in all three RCTs was 10.1 points. This value includes all the clients, those who changed and those who did not. Algorithms predicting far less change, not only wouldn't match the feedback RCTs, but would also inflate outcomes. This would ultimately affect the clinician's sense of how effective they really are, which is exactly what PCOMS is designed to prevent.

In practical terms, the increased sensitivity of the PCOMS algorithms to detect change and do a better job of predicting what change to expect translates into providers feeling even more confident that MyOutcomes helps them to provide their clients with the best quality service.

Based on this information, we are confident that the statistical model currently used by MyOutcomes v.12, represents a true clinical population. MyOutcomes has proven to be an effective clinical tool, providing vital information on the status of treatment outcomes. Together with their own theory and knowledge, MyOutcomes helps the therapist identify those clients who are not responding to clinical treatment. MyOutcomes enables the clinician to address a lack of progress in a positive, proactive way that keeps clients engaged while therapists collaboratively seek new directions.

To know more about how MyOutcomes can help you and your clients, call us toll free on 1-877-763-4775


Is your Agency secure against Digital Threats?

Internet Security

A growing number of agencies are utilizing the Internet to seek and store health and medical information. Electronic health records are becoming standard for their ease of use, speed of access, and lower costs.

But with the systematic collection of a patient’s medical history, personal stats, and billing information, it’s no wonder patients are feeling apprehensive about where their information is being stored. Because as the Internet evolves and becomes more expansive, hacking schemes are becoming increasingly sophisticated as well.

Each year brings a host of new digital threats and malicious attacks that compromise agencies and individuals alike. For an agency to use a digital format such as an EHR, which contains valuable medical information, accounts, and passwords, an attack can have major implications. That’s why being conscious about Internet security and taking all possible precautionary measures to avoid being susceptible to attacks should be an integral part of your agency’s operation.

So how can your agency protect itself from digital threats?

Continue reading…