ORS & SRS Telehealth Support

| March 27, 2020

myoutcomes evidence based therapy No one could have anticipated how our world circumstances would change, and with it our mode of how we operate in it. In order to protect each other, we need to do things differently, and fast. For most, if not all, distance therapy will need to be the norm for some time.

In a recent blog post, Telehealth Options for Feedback-Informed Practitioners, I shared some tutorials MyOutcomes has made to help ease the transition to online therapy, but soon I was asked, “What about when the client doesn’t have internet access or a data plan on their cell phone, and a line line is the only form of communication?”

Last week, Karl Peuser, PhD, published a video specifically on how to collect ORS and SRS feedback over the phone. Today FIT Trainers, Brooke Mathewes and Stacy Bancroft published guidance for Oral administration of the Outcome Rating Scales and the Session Rating Scale. For your reference  the documented Oral scripts are included below.

In addition to tutorials, thought leaders in our field are also reaching out to help.

Scott D. Miller, PhD has offered to host a free discussion on Feedback Informed Treatment and FIT Deliberate Practice, Mar 31, 2020 12:00 PM Central Time (US and Canada).

Daryl Chow, PhD has offered to make The First Kiss: Undoing The Intake Model and Igniting Engagement From the First Session in Psychotherapy, audiobook available until Sunday, APRIL 12th, 2020, for FREE! Choose audio book and enter promo code: safeapril

Scripting for Oral Version of the Outcome Rating Scale

I’m going to ask some questions about four different areas of your life, including your individual, interpersonal, and social functioning.  Each of these questions is based on a 0 to 10 scale, with 10 being high (or very good) and 0 being low (or very bad). Thinking back over the last week (or since our last conversation), how would you rate: How you have been doing personally? (On the scale from 0 to 10). If the client asks for clarification, you should say “yourself,” “you as an individual,” “your personal functioning.”If the client gives you two numbers, you should ask, “which number would you like me to put?” or, “is it closer to X or Y?”. If the client gives one number for one area of personal functioning and offers another number for another area of functioning, then go with the lowest score.

How have things been going in your relationships? (On the scale from 0 to 10). If the client asks for clarification, you should say “in your family,” “in your close personal relationships.” If the client gives you two numbers, you should ask, “which number would you like me to put?” or, “is it closer to X or Y?” If the client gives one number for one family member or relationship type and offers another number for another family member or relationship type, then go with the lowest score.

How have things been going for you socially? (on the scale from 0 to 10). If the client asks for clarification, you should say, “your life outside the home or in your community,” “work,” “school,” “church.” If the client gives you two numbers, you should ask, “which number would you like me to put?” or, “is it closer to X or Y?”. If the client gives one number for one aspect of his/her social functioning and then offers another number for another aspect, then go with the lowest score.

So, given your answers on these specific areas of your life, how would you rate how things are in your life overall?. The client’s responses to the specific outcome questions should be used to transition into counselling.  For example, the counselor could identify the lowest score given and then use that to inquire about that specific area of client functioning (e.g., if the client rated the items a 7, 7, 2, 5, the counsellor could say, “From our responses, it appears that you’re having some problems in your relationships.  Is that right?)  After that, the counselling proceeds as usual.

Scripting for Oral Administration of Session Rating Scale

 I’m going to ask some questions about our session today, including how well you felt understood, the degree to which we focused on what you wanted to talk about, and whether our work together was a good fit.  Each of these questions is based on a 0 to 10 scale, with 10 being high (or very good) and 0 being low (or very bad). Thinking back over our conversation, how would you rate: On a scale of 0-10, to what degree did you feel heard and understood today, 10 being completely and 0 being not at all? If the client gives you two numbers, you should ask, “which number would you like me to put?” or, “is it closer to X or Y?”. If the client gives one number for heard and another for understood, then go with the lowest score.

On a scale of 0-10, to what degree did we work on the issues that you wanted to work on today, 10 being completely and 0 being not at all? If the client asks for clarification, you should ask, “did we talk about what you wanted to talk about or address?  How well on a scale from 0 – 10?”. If the client gives you two numbers, you should ask, “which number would you like me to put?” or, “is it closer to X or Y?”

On a scale of 0-10, how well did the approach, the way I /we worked, make sense and fit for you? If the client gives you two numbers, you should ask, “which number would you like me to put?” or, “is it closer to X or Y?”. If the client gives one number for make sense and then offers another number for fit, then go with the lowest score.

So, given your answers on these specific areas, how would you rate how things were in today’s session overall, with 10 meaning that the session was right for you and 0 meaning that something important that was missing from the visit? If the client gives you two numbers, you should ask, “which number would you like me to put?” or, “is it closer to X or Y?”

 

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Category: Feedback Informed Treatment, MyOutcomes, ORS / SRS, Outcome Rating Scale, PCOMS, Session Rating Scale, Therapy Outcome Measures, Uncategorized

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