Scott D Miller

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

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: //

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.

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.

Is there Client base for predicting ETR in Child Therapy?

Expected Response Time in Child Therapy

Child Therapy measures in MyOutcomes Version14


Changes in MyOutcomes Version 14 for predicting the Expected Treatment Response in child therapy.

In the earlier version of MyOutcomes, there used to be separate algorithms for child therapy and adult therapy but other than the clinical cut offs, the responses were neither significantly different nor predictive of success. The client base for predicting the ETR of children and young adult is the same, which is a critical change in MyOutcomes Version 14.

Dr Scott D. Miller observes that children come from a different culture compared to the people treating them. The measure uses huge numbers hence these differences of culture are evened out while analyzing outcomes.

Live Consultation Video

Dr Scott D. Miller, elaborates the latest improvements in MyOutcomes Versions 14. View the full video in response to the question “Is there a client base for predicting the ETR of Children and Young Adults?”

Individual Sub Scales-Predictive and Clinical Utility

Predictive Utility and Clinical Utility

Live consultation about Predictive Utility and Clinical Utility.

Dr. Scott D Miller indicates that we only score on the ORS as predictive of the total score. If we are working with an individual who is not progressing, then we look at individual sub-scales to find something clinically useful, but that is not of any predictive utility so we don't use sub scales in the algorithm.

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

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

Advanced FIT Intensive Training 2016 by Scott D Miller

scott sRegister now for the second offering of the Advanced FIT Intensive Training in Chicago, Illinois (USA) from March 17th – March 19th 2016

This three day long intensive training will focus on skill development as participants will receive detailed information on:

• The empirical foundations of FIT (i.e., research supporting the common factors, outcome and alliance measures, and feedback)
• Alliance building skills that cut across different therapeutic orientations and diverse client populations
• How to use outcome management tools (including one or more of the following: ORS, SRS, CORE, and OQ 45) to inform and improve treatment
• How to determine your overall clinical success rates
• How to significantly improve your outcome and retention rate via feedback and deliberate practice
• How to use technology for support and improvement of the services you offer clients and payers

The training will be delivered by Scott D Miller, ICCE (International Center for Clinical Excellence) Director, along with Susanne Bargmann, psychologist and Senior Advisor to the Director of ICCE.

The I.C.C.E. is an international organization of clinicians, researchers, and technologists dedicated to delivering products and services that promote excellence in behavioural health services.

Scott D. Miller, Ph.D. is the founder of the ICCE. Dr. Miller conducts workshops and training in the United States and abroad, helping hundreds of agencies and organizations, both public and private, to achieve superior results. He is one of a handful of “invited faculty” whose work, thinking, and research is featured at the prestigious “Evolution of Psychotherapy Conference.” His humorous and engaging presentation style and command of the research literature consistently inspires practitioners, administrators, and policy makers to make effective changes in service delivery.

Click here to register for the training now

For more information on Feedback-Informed Treatment and MyOutcomes(R), a Web-based tool for online administration and reporting of data from the Partners for Change Outcome Management System (PCOMS), please visit our website