Therapy effectiveness

I’m interested in the DCT!

Difficult Conversations in Therapy

Difficult Conversations in Therapy (DCT).

A Final Call- This is an opportunity for you to participate in a randomised clinical trial (RCT), focused on developing cutting-edge research training programs for practicing therapists.


This study builds on the findings from a paper, Beyond Measures and Monitoring, by Scott D. Miller, Mark A. Hubble, Daryl Chow and Jason Seidel, that shone a spotlight on current trends in Routine Outcomes Management (ROM) and why instead of using ROM to merely monitor and measure, the true potential really lies in using feedback to foster professional development.

This randomised clinical trial (RCT), will be testing to see if therapists benefit from a targeted learning form, using real-life challenging scenarios that most therapists experience.

Deadline to participate is Friday, March 9th at 5pm.

There is no cost to participate, only a warning that you may learn something!

Study Details

The training period will last a total of three weeks. Total time commitment is six hours.

It will take place on Mondays, Wednesdays, and Fridays.

Each participant will be presented with a total of EIGHT trials. This comprises of 2 challenging scenarios. You’d be required to respond to each of them, with the best of your ability. All responses are to be typed. Respond at your own time.

You’d be randomly allocated to work through 2 of the scenarios only. Each attempt would require about 30mins of your time.

T𝗵𝗲𝗿𝗲 𝗮 𝗰𝗼𝗻𝘀𝗲𝗻𝘁 𝗳𝗼𝗿𝗺 𝗮𝗻𝗱 𝗲𝘁𝗵𝗶𝗰𝘀 𝗰𝗹𝗲𝗮𝗿𝗮𝗻𝗰𝗲 𝗳𝗼𝗿 𝘁𝗵𝗶𝘀 𝗰𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝘁𝗿𝗶𝗮𝗹
The  DSRB clearance reference number is 2016/00497-AMD0001.
Once you’ve signed up, we will present you the informed consent form.

Email Daryl Chow at 𝗱𝗮𝗿𝘆𝗹@𝗱𝗮𝗿𝘆𝗹𝗰𝗵𝗼𝘄.𝗰𝗼𝗺 with the Header “I’m interested in the DCT!


How do I Engage in Psychotherapy Online?

Therapeutic Practice

Living in this constantly evolving world requires adaptation in digital technology for efficiency.

Using paper and pencil are long gone- they take enormous amount of time as opposed to working on a computer, tablet, or mobile phone. Keeping and utilizing piles of paper are now unnecessary and inefficient, as technology allows you to keep all your data and information in digital form. Essentially, as therapists, you can now review, search, and organize notes on therapeutic sessions electronically.

Paper and pencil allow you to keep track of an individual client case, but could only be efficient when used on one on one therapeutic session, whereas with digital form, you are able to track multiple client records and documentations online.

As therapists, consider the convenience of being able to access client cases digitally at any time, anywhere.

MyOutcomes is a highly effective tool to conveniently utilize in Psychotherapy online as it provides both clients and therapists the advantage of accessing electronic records through digital management system for feedback informed treatment and to track therapeutic progress.

Below are practical recommendations as to engaging in therapeutic practice online through MyOutcomes:


MyOutcomes system is a secure outcome management system that contains some of the same functions and security as an electronic health record. There are safety measures and protection built on the MyOutcomes system. Only clients or providers can login to the MyOutcomes App by providing identification and verification requirements to all the MyOutcomes system users. Clients can login by contacting their therapist/counselor for User ID and Password. Clinicians and Therapists without a MyOutcomes account can contact MyOutcomes to receive 2 months free access. To redeem the offer, please visit


MyOutcomes provides clients and therapists the privilege and opportunity to participate in online psychotherapy by accessing materials through MyOutcomes® Mobile available on a smartphone or tablet. MyOutcomes Mobile is available for free download on iTunes and Google Play. MyOutcomes Mobile has offline administration available, meaning the Outcome Rating Scale (ORS) and the Session Rating Scale (SRS) can be completed on a smartphone or tablet offline and users can see still the raw sub scale and total scores for immediate integration into the session.


Clients can also receive an individual login to MyOutcomes® to enter their ORS and SRS feedback results directly into MyOutcomes. Therapists can administer the ORS and SRS and see results in real time for easy integration into the therapeutic session. Through the Provider Dashboard Therapists, they can also track client cases, and analyze clients' scores to determine whether clients are on or off-track in meeting their therapeutic goals. Therapists can also add notes from the therapeutic sessions to the client status report graph to add context to session scores.

Through MyOutcomes, engaging in Psychotherapy online becomes feasible and achievable.

If any questions/comments arise, please contact us at

We look forward to serving you!

How to Track Your Progress in Therapeutic Practice?

Progress in Therapeutic Practice

Progress in Therapeutic Practice

Overwhelmed? Running out of time?

Throughout your entire lifetime, there are numerous goals that might seem too far-fetched for you to achieve but in reality, once you break these goals by assigning responsibilities and tasks down in smaller portions, you could essentially be on your way to attain your various goals. Similarly, there are a couple of ways to advance in your participation and progress in the matter of therapeutic practice. MyOutcomes supports clients and therapists to enhance the outcome both parties are seeking to achieve. One of the many excellent aspects of MyOutcomes is the ability to track your therapeutic progress through building and creating a record of each therapeutic session. Essentially, you can check your progress through client and therapist fit (aka therapeutic alliance). The following practical steps are helpful advice to prepare and usher you onto attaining your therapeutic goals:

  1. Utilize an electronic pad (i.e., word/software) to jot down notes of what you would like to achieve as you participate in therapeutic practice.
  2. Share your (i.e., client) desires and intentions for therapeutic progress with your therapist and determine simple and practical steps to take to accomplish them. Ensure that there is an “agreement on means and methods.” Through such an opening and mutual understanding, therapists have a way to coordinate and cooperate with clients on meeting their goals.
  3. Establish a connection with your therapist and determine whether or not it is the right fit. After all, it would be more beneficial if you have built trust and are transparent with your therapist and that you both are on the same boat as to reaching your goals.
  4. Work on getting to know each other and decide whether or not to commence or maintain therapeutic sessions with the same therapist (or to accommodate changes). Client and therapist fit are necessary in order for growth and advancement to be expressed. Recognizing fit with client and therapist can determine outcome improvement.
  5. Review and track your therapeutic progress online- has created a dashboard feature where you can check if you are advancing, maintaining, or falling behind (i.e., at risk) on schedule concerning therapeutic goals.
  6. Practice and provide feedback informed treatment for efficiency. Consult with your therapist on how to improve therapeutic sessions. Reach out if you have questions/concerns for clarification- therapists are trained to work with clients to meet their individual needs.

Opening up your feelings and showing emotions to other people could be uncomfortable, overwhelming, and overall tough. However, once trust is gained, sharing your heart's desires, personal and professional pursuit, and relationship matters to others could be a release and a relief. offers clients and therapists the ability to review past therapeutic sessions and receive “reminders” to keep both parties accountable and on track with attaining therapeutic goals. Tune in and keep an eye out for more topics on mental health and counseling through website. We look forward to your comments and feedback!

Therapist Marketing Tip #11: Word of Mouth and Your Practice

Therapist Marketing Tip

Studies have shown that around 90 percent of word of mouth is off-line, rather than on-line. This is surprising because all the hype right now is around the explosion of social media.

This means a therapist should be focused on gaining positive off-line word of mouth. If properly harnessed off-line word of mouth is an extremely effective way to draw in clients. In a special report by the Keller Fay Group, the average person is reported to have 114 word of mouth conversations in a week, about 79 different brands. In this survey, conversations about health care fell right in the middle of lists most popular topics.

With this in mind let's take a quick look at two areas that can generate positive, and if you ignore them, negative word of mouth. There are several areas of initial contact for most therapists which are creating an impression with every potential client who interacts with them.

Here are a couple of the contact points and some questions to help you examine the impression you are giving out:

Answering the phone

For many people this is their first direct contact point, often after coming across your website. Do your clients talk to a real person that can offer them answers to their questions? If they get a machine, do they receive a return call in a timely manner? Remember the frustration you experience when you have to keep pushing buttons to try to leave a message. Try to avoid making your potential clients navigate through voice mail purgatory. Return calls within 24 hours.

Welcoming environment

Do you have potential clients calling and dropping in but then they don't contact you again. The problem is most likely in regards to the initial impression you are creating. Their first impression of you will come from the way your office looks. Also your regular clients experience your office every time they come to see you. Is it clean and inviting? Do you have décor that creates the right atmosphere for your clients? Do you have business cards and brochures available? Is there a place you can promote your speaking engagements and other events? Are the magazines up to date?

Your website

There is a lot to examine when it comes to evaluating the first impressions your website is making with your clients. We'll take a closer look at this next week.

These points really just scratch the surface of what I believe is a crucial factor in the success of any business. I am always interested to hear if you have insight. Feel free to contact me at 1-877-763-4779

Can a wheel draw in more clients? – Therapist Marketing Tip #1

Marketing hubDrew McLellan wrote an excellent article called “Build your digital footprint in a hub and spoke model”. He suggests that every business needs a hub that all their online and offline content point back to. He explains how using a hub/spoke model will increase your visibility on the web. Studies show over 70% of people check out a health care practitioner online before booking an appointment.  Therefore, having a website easily found by clients and search engines is now central to a therapist drawing in clients.

Your website is where you most effectively present your skills, training, unique offerings, contact information and valuable content (articles or blog posts). The logic of have everything you do point back to your website is pretty straightforward as Drew explains: Continue reading…

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


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


Polaris-MH and MyOutcomes

therapy feedback system, outcome measures

The Polaris-MH is a NIH funded web tool that addresses the needs of the outcome-based paradigmatic shift in psychotherapeutic goals. The Polaris-MH is a questionnaire that measures three domains: Subjective Well-Being, Symptoms and Functional Disability. Functional Disability is comprised of three subscales: social, vocation and personal. Symptoms measures seven areas: depression, anxiety, somatization, phobias, PTSD, OCD and panic disorder. Aside from scores for each domain and their subscales, a composite score, the Behavioural Health Status, is also provided. Other areas of assessment such as alcohol and drug use, resilience and health problems are available as well.

MyOutcomes’ Outcome Rating Scale (ORS) and Session Rating Scale (SRS) are also tools that address the changing needs in psychotherapy. The ORS is comprised of four sliding scales that measure overall subjective well-being, social functioning, vocational functioning and personal functioning since the last session. Because it takes no longer than two minutes, the client is asked to complete the ORS at the beginning of each session so that the results can be immediately integrated into the current meeting and any adjustments to the therapeutic strategy can be made in order to optimize achieving the client’s goals. On the other hand, because the Polaris-MH can take more than 14 minutes to complete, clients are asked to complete it sometime prior to meeting with their therapist or sometime after so that it doesn’t cut into the session time. This makes it difficult to immediately integrate the results into the current session, though it does provide a good picture of any progress being made. Furthermore, the client needs a computer and internet access in order to complete the Polaris-MH. If the client is unable to afford a computer or internet, then the therapist will need to have the resources to set up a kiosk for the clients. Although the ORS is also web-based, because of the ease of its completion, any computer in the therapist’s office can be used briefly without any disruption.

Continue reading…

International Trends – Measurable Outcomes

Measurable outcomes, MyOutcomes, ORS, SRS

One of the most persistent and pervasive of recent developments in the world of work has been the trend toward implementing meaningful measurements.  Organizations are asking “how do we know we're being effective?  Measuring and reporting is now the norm in virtually all sectors; business, politics and health sciences, especially those that receive public funds.

In our field, therapists need to know how effective they are and agency administrators need to have an accurate picture of therapy outcomes.

How can you answer these questions without some measurement?  A measurement system should be designed to collect, organize and analyze feedback to reveal information about performance and overall effectiveness.

Continue reading…

Outcome, Evidence, Effectiveness and Accountability are the watch words of the day

outcome and effectiveness

“Outcome and Effectiveness; Evidence and Accountability are the watchwords of the day”

In a recent presentation on transforming behavioral health care, Dr. Scott Miller shared some of the most common challenges he hears about from health-care professionals around the world in the changing environment in which they practice.  Again and again, he’s told, they’ve been asked to put up or shut up in regards to research evidence. Outcome and Effectiveness; Evidence and Accountability are the watchwords of the day.

Continue reading…