What is FIT Deliberate Practice and Why Should You Apply it to Your Therapeutic Practice?

FIT Deliberate Practice Dr. K. Anders Ericsson (1993) described Deliberate Practice as “activities that have been found most effective in improving performance.”

According to Dr. Scott Miller, Founder and Director of the International Center for Clinical Excellence (ICCE), FIT Deliberate Practice is the key to improving effectiveness as a psychotherapist. The factor that separates the best from the rest is not just the amount of time spent practicing, and not just any kind of practice, Deliberate Practice.

FIT Deliberate Practice is a planned, conscious effort aimed at making small, continuous, and measurable improvement in one's level of therapeutic performance. The MyOutcomes role in Deliberate Practice is to simplify and augment the monitoring of performance and the outcomes of therapeutic practice.

MyOutcomes helps establish a baseline of performance and monitoring MyOutcomes data regularly provides immediate feedback on the impact of FIT Deliberate Practice as well.

Why should you employ FIT Deliberate Practice in your therapeutic practice to improve your performance?

  • FIT Deliberate Practice applies the science of expertise to the field of mental health.

It is derived from up-to date research and publication and contains cutting edge information concerning outcomes in talk therapy and behavioral health services.

  • FIT Deliberate Practice provides a roadmap for addressing a fundamental issue in mental health “How to improve” by helping you develop an individualized plan to raise effectiveness and improve client engagement and retention.

How does FIT Deliberate Practice eLearning help you accomplish your therapeutic goals?

  • FIT Deliberate Practice eLearning is flexible as it allows you to complete each one-hour lesson when you want at anytime, whenever is convenient for you to develop excellence in your practice.
  • Each session takes about an hour, allowing you to complete the sessions during your workday for easy access.
  • FIT Deliberate Practice eLearning includes courses, demonstrations, exercises, and quizzes to develop your therapeutic goals and to develop your overall performance as a therapist.

For more information on incorporating FIT Deliberate Practice into your professional development please check out https://www.myoutcomes.com/fit-deliberate-practice-e-learning

Which is More Expensive Cloud or On-Premise Purchased CRM

MyOutcomes: HIPAA compliant feedback system

MyOutcomes: cloud-based HIPAA compliant feedback system

….another reason why you should go with MyOutcomes.

Are you sold on the benefits of evidence-based treatment but are not sure whether to go with the conventional pen and paper forms or with the new generation online tools? And in case you are going for an online version, then which tool should you go with? Are you debating on whether to design your tool in-house or go with a SaaS (Software as a Service) provider?

Here is an attempt to quell all your doubts.

First things first, here are some of the main advantages an online evidence-based tool provides:

  • automation of the Partners for Change Outcomes Management System
  • simplified administration and scoring, eliminating papers and rulers
  • detailed reports and instant analysis of client's responses
  • at a glance identification of at risk cases

The answer to the second one is much easier as there is not much choice there. There are only two tools that have been placed on SAMHSA's National Registry of Evidence-based Practices and Programs (NREPP) and they are MyOutcomes and the OQ Analyst.  OQ Analyst is much lengthier ( 45 times) and is administered at the beginning of the therapeutic session whereas MyOutcomes consists of two ultra-brief measures comprising of four items each that are administered at the beginning and the end of each therapeutic session. In the time it takes for the average person to inhale and exhale twelve times, the therapist can administer either the ORS or SRS and have their client's score plotted on a graph for immediate integration into the therapeutic session.

Then there is this third option as well of designing your own online feedback tool in-house. Businesses think that it is better to have their own software, especially the ones used for housing client's data. They do it for multiple reasons among which the top ones are cost and security. But it has been substantiated in a study done by Yankee Group TCO that on-premise systems were shown to be more expensive to operate annually than their cloud-based counterparts, with the overall cost 60% higher on an annual basis.

Moreover, expertise wise as well, it is often better to go with someone who specializes in just creating the software so that you can focus on the core specialty of your business!

And with all the legislation and rules applicable for companies handling the client data, a cloud-based system is actually more secure than any server-based or paper system. In addition, these cloud-based systems comply with the Health Insurance Portability and Accountability Act (HIPAA) and its sophisticated encryption requirements.

A cloud-based system also allows you to function efficiently from any device that has an internet connection, anywhere in the world. This feature is of much use for mental health practitioners as they need to use Personal Health Information to track and improve treatment outcomes and to compare client outcomes to normative standards.

So if you are ready to go the evidence-based way, then MyOutcomes is the cloud-based HIPAA compliant feedback system for you.

For more information, please visit www.myoutcomes.com or call us on toll-free 1-877-763-4775.

MyOutcomes Help Desk

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!


To Seek or Not to Seek: Confronting Mental Health with a Mental Health Provider

Confronting mental health providerPeople, who could use support confronting their mental health needs, are often challenged in seeking that support. Two significant reasons why folks don't seek support for mental health issues are:

1) They believe they don't need help;

2) They tell themselves that they are who they are, and nothing can change that.

To overcome these two barriers, individuals need to recognize three things:

1) They've a psychological, emotional, or behavioral problem negatively impacting their life;

2) The problem is not permanent but can be changed;

3) What they're doing on their own isn't working and they need support. It is with this latter point that the psychotherapist enters the individual's life.

Psychotherapists aren't mechanics that fix things like broken bones. Instead, they're experts in change, whose core responsibility is guiding their client on their path to change. To understand what therapists do, we need to consider why individuals seek the support of therapists. Individuals, entering a clinical setting, want to become someone different. They want to become someone whose behavior, psychological state, or emotional state doesn't prevent them from experiencing what they believe should be a full and satisfying life. The therapist's role is not to determine what that life should look like. Instead, they're more like highly-trained guides, whose role is helping folk navigate successfully achieving their goals.

Although therapists are trained in graduate school to separate what they think is right from what is right for their patient, they are still human beings, filled with all the foibles that go with that. It isn't always easy to keep what you want separate, from what your patient wants. Often times, the clinician's effectiveness can benefit from a more objective viewpoint that can inform the therapist on how well they are identifying their clients' goals and their clients' progress. MyOutcomes, with its Outcome Rating Scale (ORS) and Session Rating Scale (SRS), is an evidence-based tool that has proven effectiveness in helping the clinician help their clients in achieving their therapeutic goals. Therapists, who are seeking to become more effective, are known to seek objective evidence into how well they and their client are progressing toward their client's goals. There is no more powerful tool for providing this evidence than MyOutcomes.

When an individual decides to seek a mental health provider, there are two things they should ask. First, is the therapist right for them? Deciding that a therapist isn't right isn't so much a rejection of the therapist as much as it is a recognition that they're a unique individual with specific needs. Second, does the therapist have an evidence-based practice or do they instead try to wing it, flying by the seat of their gut? If the therapist uses evidence to help their client achieve their therapeutic goals, that therapist will be using MyOutcomes.

What's New in MyOutcomes® Web Services Version 17.5?

MyOutcomes® Web Services Version 17.5

MyOutcomes® is excited to share great news on the new features available on the Web Services Version 17.5 accessible to MyOutcomes® clients and participating agencies and organizations.

If you are a current subscriber of MyOutcomes®, you are qualified to use the MyOutcomes® Integration Services designed to facilitate specific management areas in large agencies and organizations. For further development and efficiency of MyOutcomes® services, we are providing the following four services (Client Integration, Client Data Integration, User Integration, and Single Sign-On) which can easily be incorporated into existing Electronic Health Records (EHR) and other similar platforms that clients, agencies, and organizations utilize.

With the MyOutcomes® subscription, you can take advantage of the following four new features:

The first feature is Client Integration which is ideal for agencies with large amounts of clients being added and removed from their system.

This service simplified entering and updating client information in the user's EHR and in MyOutcomes® for maximum efficiency. Entering clients' information one by one will take providers an enormous amount of time but with the Client Integration service, personal client data entered into the organization's EHR can be easily transferred into the providers MyOutcomes® account with just one click of a button- saving time.  Client Integration service allows the provider to shift focus on administering sessions rather than entering personal client data one by one.

The second feature that agencies can use is the Client Data Integration which avails agencies to view client data and client reports in one place: their EHR and/or keep a copy of client data on their own server. Essentially, through this feature, there is an easier access and increased security on client data and reports. It can be customized to transfer data for individual clients as needed or to create bulk transfers at a preset time and date.

There is no need to log information in one by one on client data and report in order to be transferred among providers and organizations. With the Client Data Integration feature, transferring and sharing documents could not be any more easier. As a MyOutcomes® subscriber, you are able to take advantage of this feature!

The third feature that subscribers of MyOutcomes® are entitled to use is the User Integration feature which is ideal for agencies and organizations that have a large number of providers to manage and work with. When User Integration feature is combined with the Client Integration service, time investment of supervisors and administrators in their client and provider management is gradually reduced for overall efficiency and performance.

The fourth new feature of MyOutcomes® Web Services Version 17.5 is the Single Sign-On feature which gives agencies and organizations' users the feeling that they are working solely on one system. After logging into their EHR account, the users can access their MyOutcomes® account with just a single click and no more additional login steps. The Single Sign-On service can be used separately or combined with other services.

The Client Integration, Client Data Integration, User Integration, and Single Sign-On are the four new features that MyOutcomes® Web Services Version 17.5 added for clients, agencies, and organizations to conveniently access.

Please visit the MyOutcomes® website in collaboration with Streamline at http://streamlineyourbusiness.ca/myoutcomes-web-services/ for inquiries and further information on access or subscription to these new features and services. By filling out the form on the provided link, you are a step closer to accessing these new and efficient services!

SAMHSA approved Client Feedback tools: OQ Analyst & MyOutcomes

SAMHSA approved client feedback tools, MyOutcomes, OQ Analyst

SAMHSA approved client feedback tools that help behavioural healthcare professionals achieve therapy effectiveness

Moving on towards nearly a quarter century now, there has been a growing realization in the behavioural, emotional and mental health profession that eliciting and measuring client feedback about the therapeutic alliance and perception of change can have a positive impact upon achieving therapeutic goals. This is especially true for those clients who are at higher risk of dropping out or deteriorating. Given this, it is surprising that so little has actually been accomplished in developing tools that are effective in measuring the client's perceptions of the therapeutic process and their being a part of that process.  Luckily for those mental healthcare providers, whose own goal is helping their clients achieve their goals, the two tools that have been placed on SAMHSA's National Registry of Evidence-based Practices and Programs (NREPP), i.e. tools that are SAMHSA approved client feedback tools, more than compensate for the limited work.

One of those tools is OQ Analyst. At the beginning of each therapy session, the OQ-45, a 45-item questionnaire, is administered via software that has been installed on the therapist's computer. The computer program then generates a report based upon the client's responses on the questionnaire that provides information about the therapeutic alliance as well as the client's current social adjustment and negative life events. The individual therapist can have all of this for $250 for a year.

The other SAMSHA NREPP feedback-informed treatment tool is MyOutcomes. Unlike the much lengthier OQ-45 that is administered at the beginning of the therapeutic session, MyOutcomes consists of two ultra-brief measures comprising of four scales each. The Outcome Rating Scale (ORS) is administered at the beginning of the session and within a minute can provide the therapist information about the client's perceptions about their family and social relationships as well as their sense of well-being since the last session. Towards the end of the session when this information would be most current, the Session Rating Scale (SRS) is administered and within a minute can provide the therapist with information about the client's perception of various aspects of the therapeutic alliance. Before the session is over, the therapist has the opportunity, if it is needed, to take steps to strengthen that relationship. Not only do the ORS and SRS rapidly provide feedback that the therapist can immediately use in the current session, but, since MyOutcomes is a web-based version of the Partners for Change Outcome Management System (PCOMS), it enables the therapist to compare their client's scores to normative measures; normative measures, it should be added, are based on well over a half million administrations of MyOutcomes. All of this and much more are available to individual therapists for only $204 per year.

OQ Analyst is good clinical tool that has the potential of helping the therapist's efficacy. For a fairly low yearly fee, the therapist can have all of the power of OQ Analyst.  For the discerning therapist, however, who is eager to claim the mantle of clinical effectiveness, there is nothing that can compare to MyOutcomes.  For a low fee that can easily fit anybody's budget, the clinically effective therapist can license MyOutcomes and have access to top technical support, customer support, practical knowledge (based on the latest theory and research findings) and much, much more.

book an online demo

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 https://www.myoutcomes.com/free-trial-for-creating-an-evaluation-account/.


MyOutcomes provides clients and therapists the privilege and opportunity to participate in online psychotherapy by accessing materials through MyOutcomes® Mobile https://www.myoutcomes.com/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 https://www.myoutcomes.com/contact-myoutcomes/.

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- www.MyOutcomes.com 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. MyOutcomes.com 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 MyOutcomes.com 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

MyOutcomes® Version 17 – Spring 2017 Release Announced

Use ipad MyOutcomesThe Spring release of MyOutcomes Version 17 is fast approaching! We are excited to be able to offer many new enhancements to our current reporting features, developed in collaboration with our international circle of customers and advisers. We appreciate everyone’s feedback – it’s your innovations that drive our product excellence.

With this new release, you will be able to track additional demographics and also see the transfer history of clients. Another new feature in Version 17, which we received multiple requests for, is side-by-side comparison graphs for clients who have completed multiple episodes of care. EOC Graph Comparision

We have added Relative Effect Size to the Key Performance Indicator’s report as many of you have asked to be able to take advantage of the dashboard reporting parameters (age, time frame, active, inactive, timeframe, etc)  for this important KPI. The Relative Effect Size provides a measure of the effect of treatment compared with the grand mean (mean of the mean) of the effect of treatment for other clients in MyOutcomes' extensive database with identical intake ORS scores. A positive relative effect size means an effect above average, a negative relative effect size means an effect below average. A relative effect size of 0 means the effect is average compared to the norm. A zero reflects the average performance of those individuals who started with the same ORS intact score.

For those of you who have embraced tagging, you will be excited to learn that you will now be able to tag inactive clients without having to re-open them. Additionally, you will be able to run aggregate stats and dashboard reports and apply and/or logic when selecting multiple tags. Mass back end uploading of client tags will also be available for a fee.

MyOutcomes Version 17 will be published June 10th. We will be providing a sneak peek soon for those who are curious.