FIT eLearning 2020 Innovations


myoutcomesAs many MyOutcomes users already know, we offer FIT eLearning, either as a standalone product or integrated into their MyOutcomes account. This is a self-paced, 12-lesson training course taught by Dr. Scott Miller. An accredited program with quizzes and exams, it teaches the feedback-informed model of treatment to therapists. Successful completion can contribute 12 CEUs to the student.

Over the course of several years, I have found that agencies that provide FIT eLearning to their providers, have staff that are successfully engaged in integrating MyOutcomes into their sessions with their clients.

In the past, when an account wanted a provider to have access to the FIT training, the account owner or director would need to send an email request to me to turn on access for their staff member. Now, as a result of our never-ending goal to build an increasingly user-friendly program that offers greater autonomy to our users, we have added functionality that enables account owners to manage their FIT subscriptions from their owner’s accounts.

We have published a brief video to illustrate.

If you have FIT eLearning and/or Deliberate Practice, we will make the number of courses you have purchased available in your account on our side. It works in a similar manner as it does with your provider licenses. The main difference is that, although your provider licenses can be used over and over, the educational courses are assigned to specific staff member and cannot be reassigned. However, as long as they have access to their account, they can continue to review the material. They can also download the two manuals written by Scott Miller that come with FIT eLearning.

When you wish to assign the training to one of your providers, log into the owner level account. Navigate to the provider’s home page and, in the upper-left corner of their console, click the Update Provider link. On the page that opens, you will see FIT eLearning with a checkable box. Check this box to turn on access. Below this box, you will select what training to provide the staff member: FIT eLearning (lessons 1-12), Deliberate Practice (lessons 13-14), or FIT eLearning and Deliberate Practice (lessons 1-14). Which of the educational packages your organization has purchased will determine what package you have available to give to your staff members.

If you are creating a new provider account, you can turn on access at that time.

You will receive a notice when you no longer have any available courses to assign. When this happens, you can contact me, or any of our other staff, if you wish to purchase more.

While logged in as the owner, you will see no change in the provider’s account. The provider, on the other hand, will see the FIT eLearning tab at the top of the web page after logging into their account. Clicking on that tab will take them into the learning environment.

At the owner level, you will be able to monitor your staff’s progress through the educational programs.

At the owner home, at the top of the console, you will find a functional link called FIT eLearning Dashboard. On the page that opens after clicking the link, you will see a list of all of your staff that you have given access to the training tools. On this list you will see their user ID, their name, and what training program that you have given them. You will also be able to see what was the most recent lesson they worked on, the date that they worked on it, and their most recent exam/quiz score.

If you are an account that already has had staff given the training, you should be able to see the same information that I just outlined.

As you work with this new feature, please feel free to provide me any feedback that you feel is appropriate.

If you have any questions, please don’t hesitate to contact me @ 877.763.4775 ext. 1If you would like a meeting, please use this link to Book a 15-min Q & A session (free)


Who’s in Lockdown?

Scott Miller is still locked down in Chicago.

Are you sheltering in place? Feeling Locked down? A few weeks ago Scott was asked in a group chat if he could offer some kind of live support, now that his workshop and training events have for now all been postponed or cancelled. Since he can’t come to you, the ICCE has begun offering this chance to connect and meet with colleagues from around the world in a live web event.

Feedback Informed Treatment & Deliberate Practice Meetup THREE is a free discussion/question and answer sessions on Feedback Informed Treatment and FIT Deliberate Practice.
Apr 29, 2020
Time: 12:00 PM in Central Time (US and Canada)

Scott D. Miller, Director and co-Founder of the International Center for Clinical Excellence, will be taking your questions from ICCE Director of Professional Development, and ICCE trainer…since its inception, Cynthia Maeschalck.

As before, no cost. Space is limited for this live event.

Register here: //

With only a 100 seats available the first event was at capacity in less than 2 hours…so good luck!

The Better Results…with Scott D. Miller Training Series also filled up quickly, if you tried to join it and were disappointed to find it full, there is now a waitlist you can sign up for here: //

Looking for a little more structured support?

MyOutcomes offers accredited training in Feedback-Informed Treatment for only $179.00. Whether you’re an individual practitioner or part of a larger organization, FIT eLearning helps you develop a culture of feedback and incorporate the Outcome & Session Rating Scales (ORS&SRS) into your clinical practice.

Our mailing address is:
@{Account:CompanyName ,}, @{Account:Street1 ,}, @{Account:Street2 ,}, @{Account:City ,}, @{Account:Zip ,}, @{Account:Country ,}

Ethics and Effectiveness in the Age of Social Distancing

Ethics and Effectiveness in the Age of Social Distancing

At a time when the need for your help is greater than ever, and you are already dealing with all the adjustments in your own life, the demand to switch to a phone or web based therapy setting can feel overwhelming. Dedicated FIT practitioners everywhere are questioning how to safely and responsibly work with clients, now that in-person has been so drastically altered.

Over the past few weeks my colleagues and I have been focused on creating support resources to help Feedback-Informed Practitioners, and their clients, adapt to this new era of social distancing. 

Initial posts focused on instructional videos created specifically to help therapists and clients use the Outcome and Session Rating Scales from home: Telehealth options for Feedback-Informed Practitioners and ORS & SRS Telehealth Support 

Now, that everyone has started ‘zooming’ I see new questions of effectiveness and ethics emerging. If you are new to Telehealth, our colleagues at PESI have created a special package to support you, filled with best practices, case studies, and treatment adaptations for working virtually. Providing the education you need to confidently and competently offer safe, effective Telehealth services to your clients. Not only will you be able to work with clients without leaving your home, you’ll also…

  • Gain access to remote clients, or those practicing social distancing
  • Become a Certified Clinical Telemental Health Provider AND a Certified Clinical Anxiety Treatment Professional
  • Get tools to grow your practice in troubling economic times

Interested? Find out more or register today to take advantage of  today’s deeply discounted registration!

ORS & SRS Telehealth Support

myoutcomes evidence based therapy

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?”


Telehealth options for Feedback-Informed Practitioners


Client Access to ORS & SRS for Free

MyOutcomes has agreed to extend its free trial period from one month to two, and is offering this as free service with no strings attached. When everything gets back to normal, you are free to export your client’s reports and raw data at no charge.

To help prevent the spread of COVID-19, governments and health authorities are implementing social distancing measures. Providing face-to-face psychotherapy is not advisable, and everyone is coping with a sudden need to adjust  to phone or web based communication options.

In an effort to help with this transition, last weekend FIT Trainer and MyOutcomes Executive Director, Cindy Hansen, put together a video tutorial with instructions on how to give clients access to the Outcome and Session Rating Scales at home: //

MyOutcomes has also agreed to extend it’s free trial period from one month to two, and is offering this as free service with no strings attached. When everything gets back to normal, you are free to export your client’s reports and raw data at no charge. //

To help you further, Dr. Scott D. Miller, is offering a free hour of conversation about feedback-informed treatment and deliberate practice. The number of spots is limited and registration is required.  Secure your place!

And our friends at Clearly Clinical have just released two free Coronavirus podcast CE courses: Making Sense of the Pandemic: Psychological Impact on Clients and Communities and Swiftly Transitioning to Online Therapy, Legally, Ethically, and Efficiently.

Additionally, to help your clients adjust, MyOutcomes has produced two brief tutorials for you to share with them on how to complete the ORS and SRS from their phone, tablet or home computer.

Desktop/Laptop: //

Phone/Tablet: //

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.

Does Feedback-Informed Treatment Work?

The truth is, it depends.

First, it depends on what you mean by Feedback-Informed Treatment (FIT). If you think it means faithfully collecting session data your right, but if all you’re doing is collecting data you’re missing the point and your clients are missing the benefits.

Unfortunately just taking the time and resources to implement and routinely collect treatment progress and alliance ratings is so monumental for some that that is a far as it ever goes. And if the primary purpose of implementing FIT was to appease the regulatory and funding gods with outcome reports, then mission accomplished. End of story, except… you’re missing the point and your clients are missing the benefits.

If your goal is to improve outcomes, help clients get better faster and to know how to fail successfully then you and your Team are going to have to invest more time and effort than you planned for. YOU CAN NOT DOUBLE EFFECT SIZE IN A YEAR! If any one says you can, they are lying.

In the following free FIT implementation support resources created in 2016, Dr Scott Miller and I talk about a 5-7 year commitment, more recently based on the groundbreaking work of psychologist Heidi Brattland and her Team, the timeline has been reduced to 3 years and I am hopeful we can bring that down even more with adequate resources and careful planning. If you and your Team are thinking about implementing FIT or have tried and realize it is time to hit the restart button you will find this On Track Phase 1: Exploration video and workbook invaluable resources.

MyOutcomes also provides free 30 minute consultations with certified FIT practitioners. BOOK NOW

There is also an exceptional training opportunity coming up this summer, consider sending your Team to Chicago. These workshops are as transformative and challenging as they are fun and engaging. They sell out fast, so now is the time.


Simple Elegance, Not Simple-mindedness

myoutcomes feedback informed, success in therapy, therapy effectiveness

How MyOutcomes’ simple web-based tool helps therapists achieve greater efficacy and success in therapy

I always enjoyed introducing my students to the concept of a good scientific theory, because it was an opportunity to introduce Ockham’s razor. I have always felt an affinity with William of Ockham and his argument that the best explanation was the one that held the least amount of assumptions. My affinity is probably due largely to my contraire nature and the tendency of so many around me to gravitate towards extremely convoluted explanations. Sometimes it gets so that I feel as if I am a simple scientist adrift in a sea of lawyers.

The discussion with my students was also an opportunity to point out that elegance is found in simplicity. For example, I would say, consider Carmen Miranda with her fruit basket hats and then consider a woman in a black, strapless evening gown with only a pearl necklace draped around her neck. Which of the two women would be considered more elegant, Carmen Miranda in her complex outfits or the woman who was simply dressed? Clearly, only a guy, who enjoys wearing purple zoot suits, would consider Carmen to be more elegant. However, simple elegance shouldn’t be viewed as lacking complexity. Both Carmen Miranda and the other woman equally encompass the complexity found in any human female. It’s just that the woman in the evening gown is presented more simply and, therefore, more elegantly.

Like the woman in the evening gown, the most elegant theories are also those that are more simply dressed. And, like with the woman in the evening gown, one shouldn’t confuse simple elegance with simple-mindedness. A case in point would be Einstein’s Theory of Relativity; so elegant in its mathematical simplicity, yet so powerful in its predictive ability.

There are many things in our world where we can see the application of Ockham’s razor. Take for example, Partners for Change Outcome Management System (PCOMS). PCOMS, with its conceptually simple Outcome Rating Scale (ORS) and Session Rating Scale (SRS), brings elegant power into the therapeutic setting. Its simplicity of presentation belies its powerful predictive ability. The ORS and SRS are simply-wrapped tools that, with effective training, can help therapists take their practice to the top.

MyOutcomes, the web-based tool for administering PCOMS, is the natural ally of psychotherapists helping their clients achieve their therapeutic goals. MyOutcomes has repeatedly demonstrated its innovativeness in its goal of helping psychotherapists improve their success.

To understand how to use the ORS and SRS to improve the effectiveness of the treatment you provide check out these training opportunities coming up this summer in Chicago:




Measuring the Therapeutic Alliance just got easier

English, Spanish, French, Norwegian, Swedish & Danish versions of the appWith the release of  V19, MyOutcomes has vastly increased the capacity of the PCOMS Measures to serve as a helpful cross-cutting outcome and alliance measure in settings with people with lots of different problems or who are seeing lots of different professionals.

First, we have made it possible to edit, “The Therapist”s Approach is/is not a good fit for me” scale of the SRS, allowing it to be adapted to reflect a term more suited to your service setting. This feature is accessible under Options at the Owner level.

Second, is the new translations, 20 languages to choose from on the web app and now 10 on the mobile app! Allowing for administration of the ORS/CORS/SRS/CSRS & GSRS in English, Spanish, French, Norwegian, Swedish, Danish, Dutch, German, Italian and Chinese.

Plus, in MyOutcomes Mobile v6 we have moved beyond simply offering multiple translations of the PCOMS Measures, now Providers and Clients will be able to choose from English, Spanish, French, Norwegian, Swedish & Danish versions of the app. To change the language from the default English, in the upper-right corner on the app login screen is a cog icon that will open the list of languages to select from.

If you haven’t tried MyOutcomes v6, now is the time.

Use with up to five clients for free

ORS & SRS app

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?