feedback in therapy

MyOutcomes Management Solutions

Providers join agencies. Providers leave agencies. Sometimes, they return. Likewise, for various reasons, clients will leave service and some of those clients will return. Sometimes they return and need to be accessed by a different administrative branch or have their case transferred to a different provider.

The design of other client management systems often doesn’t fit the messy, real-world experience they are trying to capture.

MyOutcomes has earned its position as the gold standard of psychotherapy outcome tracking and reporting systems through constant user-driven innovation. By soliciting feedback from our users, as well as working closely with leading minds in our field, MyOutcomes has developed the necessary tools for making account management easy.

Deactivation When a client leaves service or a provider leaves an agency, the simplest solution is to deactivate their account. Deactivation ensures that the account and its data are retained. This simplifies the interpretation of current statistics and prevents the creation of long lists of user IDs composed of both active providers and technically inactive providers whose accounts remain in an active state. When you deactivate a provider account, you will also free up that subscription. This will enable you to provision a new provider. Before or after deactivating a provider account, check to make sure that all client cases that should be, have been deactivated. If there are accounts for clients still in therapy, transfer them to another provider account.

Single Deactivation-To deactivate an individual account, right-click the user ID in the tree view. From the drop-down menu, select Deactivate. Clients also can be deactivated on their console via the Deactivate Client link in the upper-left corner of the console. Even as it is possible to delete multiple accounts simultaneously, it is also possible to deactivate more than one account at a time. 

Mass Deactivation- To deactivate en masse, check the Action boxes to the left of user IDs in the user list on the console view. From the Select Action drop-down menu below the list, select Deactivate. All selected user accounts will be deactivated. If using this mass deactivation function with clients, you will need to select the same date and same reason for deactivation for them all. 

Find Inactive/Closed- When an account is deactivated, it will become “invisible.” To see your deactivated accounts, check the Inactive/Closed box at the top of the tree view. All deactivated accounts will appear in italicized, grey font in the tree view.

Reactivation- Deactivated accounts are available for reactivation. To reactivate a provider account, an available provider subscription is needed. After finding the inactive account in the tree view, right-click the user ID and select Reactivate Provider from the drop-down menu. The provider should be prepared to reset their password once the account has been reactivated. Their old history (past client data) will be available as soon as they log into their account.

Client Reactivation- The process for reactivating a client account is like that for the provider. However, when reactivating a client account, it will need to be determined if this reactivation represents a Continuation of the Prior Episode of Care or a New Episode of Care. If the return is a continuation of the prior case, the client’s prior console with their existing CSR will be made available. New ORS/SRS scores will be plotted in the same graph as was seen prior to the client leaving service. This allows the provider and the client to pick up where they left off. If the return represents a new case, the old case will be closed. This case is still readily available to review, however, the only changes that can be made to this prior case is to add or remove tags and to transfer the case to another provider.

After the old case is closed, a new case will be created by the system. The client will continue to be identified by their original user ID, however, an _x, where x represents the number of the case, will be attached to the end of the ID. For example, the client, Big Burt, leaves service. He returns and it is determined that this return should be treated as a new episode of care. The prior Big Burt episode will be closed, and the new case will be Big Burt_2.

Deletion- When manually entering ORS/SRS scores, errors may occur during entry. Most can be corrected with varying degrees of ease. The only score that can’t be altered is the initial ORS. The intake ORS is used as the baseline calculation for the on-track and off-track predictions, so if there was an error when manually entering it, the case will need to be deleted. The Delete function is useful in this situation as it allows the provider to remove the old account.

Although the Delete function can be useful in several other circumstances, it is best to apply its usage with caution. Deletion of an account can be a permanent outcome. In other words, if the wrong account is deleted, it is likely not to be recovered. 

Mass Deletion- While it is possible to delete individual accounts, it is also possible to delete multiple accounts at one time. Just check the Action boxes to the left of user IDs in the user list on the console view. From the Select Action drop-down menu select Delete. All selected user accounts will be deleted.             

To learn more about MyOutcomes latest psychotherapy outcome management tools, check out the new Telehealth Solutions Guide.

Did you know there are now four new ways to collect outcome and session ratings from clients? Or that we have added a custom message field to personalize the communications your clients receive
from MyOutcomes on your behalf?

Download the Guide


If you have been exploring ways to strengthen client engagement, increase successful outcomes, shorten wait lists and reduce dropouts, please take advantage of our expertise, and book a free 30-minute consultation with a Certified Trainer from the International Center for Clinical Excellence to explore how MyOutcomes can help your Team help more clients, more often.

Learn more about MyOutcomes


Feedback-Informed Treatment, explained by Scott D. Miller in under five minutes

FIT eLeaning

Did you know that clinicians who routinely obtain feedback on the progress and the status of the relationship with their individual clients have outcomes that are much better, and dropout rates that are much less, that Treatment As Usual (TAU)? In fact, numerous studies actually confirm this. In the research literature that process is known as Feedback-Informed Treatment (FIT). Scott D. Miller, PhD, is one of the pioneering scientists behind the FIT movement. He and I recently worked together to create this brief video to explain what FIT is and how developing a culture of feedback and incorporating the Outcome and Session Rating Scales (ORS & SRS) into your clinical practice can improve your treatment outcomes.

Feedback-Informed Treatment, explained by Scott D. Miller in under five minutes.


Interested in learning Feedback-Informed Treatment Best Practices from Scott D. Miller?

Whether you’re an individual practitioner or part of a larger organization, FIT eLearning is designed to help you develop a culture of feedback and incorporates the Outcome and Session Rating Scales (ORS & SRS) into your clinical practice.

FIT eLearning is based on the most up-to-date research in talk therapy and behavioural health sciences.

FIT eLeaning

MyOutcomes® FIT eLearning program is centered on the four core competencies developed by Dr. Scott D. Miller and colleagues at the International Center for Clinical Excellence (ICCE)



Struggling to administer the ORS and SRS in remote sessions?

I do not know of any other time in modern history where the need for access to mental health care in the world has been greater and, with the constraints of mitigation, harder to access. It’s no wonder this year’s World Mental Health Day campaign is Move for mental health: let’s invest.

In the announcement, Dr Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization said, “We are already seeing the consequences of the COVID-19 pandemic on people’s mental well-being, and this is just the beginning. Unless we make serious commitments to scale up investment in mental health right now, the health, social and economic consequences will be far-reaching.”

For myself and the Team at MyOutcomes, the early months were very busy helping agencies and private practice therapists adjust to Social Distancing and Telehealth service delivery models.  We are all still adjusting and many Feedback-Informed Practitioners are still trying to use paper and pencil to receive client Outcome and Session Ratings.  Yes, it saves money, but it’s awkward and unfortunately many are reporting giving up on this important client engagement and quality improvement initiative. We understand that an annual subscription of $228.00 may not feel like a worthwhile investment, but if Therapists could only try out MyOutcomes with some of their clients they would find it is money well spent.

Plus, to help overcome the cost barrier that stops some professionals offering their clients access to the gold standard Outcome and Session Rating tool, I am pleased to announce that we are reducing the price of our online subscription from $228.00 to $199.00. That’s less than $20.00 a month, well worth it if it helps more clients help, more often.

I challenge all Behavioural and Mental Health professions to try it out for free for 2 months, no hidden fees, no strings. This is my Move for Mental Health: Let’s Invest Challenge! 

If you accept this challenge, we will also give you a one-on-one consult with Dr Karl Peuser on how to best utilize MyOutcomes 120 PCOMS assessment options and hundreds (lost count) of outcome and session reporting features.  Plus, a coaching session with a seasoned Feedback-Informed Treatment trainer (that’s me) for FREE. That’s our investment in you!

Curious? here are two new brief videos we just published. They can be sent to new clients to explain how to login to one of our secure web applications (US, CAN, INT) or download MyOutcomes App from Google Play or the App Store . The app offers a user interface in 8 different languages. MyOutcomes is used in 27 countries around the world to routinely monitor and improve therapy outcomes and treatment effectiveness.  It is normed for all ages, and with 20 language translations it works with diverse populations resulting in more meaningful reporting of treatment efficacy.

Are you ready to take me up on my Move for Mental Health: Lets Invest Challenge?

Visit and request a Free Trial or if you want to take up this challenge for your Team you may want to Request a Quote first to find out about addition cost savings and implementation support available during your pilot.

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 ,}

Collecting Client Feedback from Your Phone

MyOutcomes MobileTry our new MyOutcomes Mobile App, the perfect clinical tool to help you manage and support patient outcomes conveniently, securely.

MyOutcomes Mobile brings a truly native experience to your mobile device, supporting both Android and Apple iOS.

Every day, all over the world, providers of talk therapy services use MyOutcomes to measure session by session outcomes and easily identify when clients are not on track.

MyOutcomes Mobile is a powerful partner in the therapeutic process, allowing psychotherapists and their clients to complete and review standardized assessments anywhere, anytime.

What New?

– Add Client function has been linked to the provider dashboard.
Session Rating Scale can now be accessed from the Outcome Rating Scale results page.
– Interactive graph legend for custom views.
– No need to log in and out with 4 hour auto timeout feature.

Options to administer surveys:

-Offline mode.
-Children, teen and adult scales.
-Individual, couple and group therapy settings.
-7 languages: English, French, Spanish, Norwegian, Swedish, German, Danish and Dutch.

Tracking client progress and treatment effect size has never been easier, more secure or more convenient.

Free Download

Don’t have a MyOutcomes Login? Contact to receive free access for one month.

Learn more about affordable monthly subscription options:

I'm Walking, Yes Indeed. I'm Talking, ‘Bout MyOutcomes and Me

therapy feedback system, outcome measures, feeback informed treatment, therapy feedback for successful outcomes

The importance of therapy feedback for successful outcomes

Walking from one end of a room to some specific point on the opposite side of the room would be a simple task for most individuals. Even adding a couple of obstacles to step over or around wouldn't make the task that much more difficult. But what strikes us as a seemingly simple task is, in reality, a very difficult and complex task.

Basic walking involves muscles specializing in flexion, extension, abduction, and adduction. We might use rotator muscles for stepping around objects or we might use elevator and depressor muscles for stepping over objects. If that wasn't complicated enough, we have to keep our torso from significantly wobbling to either side, thereby causing us to change our trajectory to the left or the right or, even worse, falling down.

The perfect timing for the contraction and relaxation of all of these muscle groups is maintained by signals sent from our brain to the neuromuscular junctions. And once the initial command to move to the other side of the room is given, what controls everything is…feedback. To maintain our balance, we use feedback from our equilibrioceptors. The beginning and end of muscle contraction and relaxation is influenced by feedback from our proprioceptors. Keeping on target and knowing when we approach obstacles if provided by visual feedback. Other important feedback about our environment may be provided by our tactile senses.

Without this continuous feedback, we would find it very difficult to successfully walk to a target point across the room. Feedback is critical to so many parts of our lives.

That inner voice for many of us is important because it acts as a moral compass that alerts us if we are wandering off our path of doing what's right. When our behaviors are socially inappropriate, others in our social group will provide feedback with various mechanisms such as frowning, comments and ostracization.  When we learn a musical instrument, a martial art, mathematics or golf, we get feedback to tell us how we are doing and give us an opportunity to improve. This feedback may come by soliciting it from those more skilled than our selves or we may simply look at how our behaviour impacts other factors in our environment and compare our actual performance to our ideal performance. One thing we aren't good at is providing ourselves with feedback. We need measurements that don't depend upon our own personal impressions.

Technically, those teaching evaluations that college and university students fill out at the end of each semester are supposed to provide feedback to the professors. In an ideal world, the feedback is supposed to help the professor develop their courses and their teaching of the material. The majority of the time, however, these evaluations are seen as and used as nothing more than “customer satisfaction” surveys. The university administration only looks at them to insure that instruction is being provided, while professors hope to read comments like “A brilliant teacher” or “The best class I've ever had” rather than comments like “The professor dressed poorly” or “The professor looked stoned.”

Two other pseudo-feedback measures used by businesses are exit surveys and suggestion boxes. Although not all businesses provide such opportunities to their customers, those that do neither actively nor consistently attempt to get their customers to provide information about their experiences. The truth is that the exit surveys and suggestion boxes are nothing more than customer satisfaction measures that allow customers to vent their frustrations or express their happiness. Customer satisfaction measures aren't designed to help individuals improve or achieve their goals.

Even those who are the best at what they do, need to continually work to maintain and improve their skills. Olympic skiers continually practice and seek feedback before any competition. Musicians continually practice and get feedback before a performance. Put another way, those that excel never rest on their laurels, but they continue doing those things that helped them to excel in the first place.

As part of their training, all students, who aspire to become psychotherapists, receive feedback on their skills from various sources. Those psychotherapists, who strive for excellence, continue seeking feedback throughout their careers to help them achieve their goal. After completing their training program, their internship and their residencies, obtaining feedback, however, becomes difficult.

The one person who is ideally situated to provide the therapist with feedback is the person that the therapist works with. In other words, the therapist's client is the ideal source for feedback. This is so obvious that it is mindboggling that it has only recently begun to be realized. It seems strange that other therapists, e.g. physiotherapists, solicit feedback about their clients' progress and physical pain, but psychotherapists, who work hard at developing equally important but significantly more subtle skill sets, don't. But that has begun to change. The leader in this change is the Partners for Change Outcomes Management System (PCOMS). PCOMS is not a customer satisfaction measure. Instead, if used correctly, it is a powerful feedback tool that consistently measures the client's progress and the management of their psychological pain.

MyOutcomes, which is the web-based application for PCOMS, is the ideal system for administering the Outcome Rating Scale (ORS) and the Session Rating Scale (SRS), thereby bringing the client's voice into therapy. For those psychotherapists, who want to successfully cross the room or develop Olympic-level skills, MyOutcomes is the best partner for soliciting that necessary feedback that they will be able to use to achieve those goals.


Feedback in Therapy and Technology

improve outcomes software, measurable outcomes, feedback in therapy

With the advent of new technology and web-enabled devices like smart phones, iPads, tablets etc. the way we do things and store data has drastically changed. Healthcare in general and behavioral healthcare per se is also keeping up with this trend with more and more practitioners preferring electronic records over paper. The benefits are galore with the biggest one being stated as the improvement in quality of healthcare provided due to the ready availability of information wherever and whenever. Some of the other benefits of maintaining electronic records are:

–          Increase in patient participation

–          Quick and easy retrieval of information

–          Better coordination between various healthcare providers

–          Increase in efficiency

–          Reduction in storage space requirement

–          Cost savings in the long run

As part of its partnership with practitioners and with the aim of improving outcomes, MyOutcomes, a web-based tool for measuring feedback in therapy, provides an ease of access for its users that is unparalleled. The staff at MyOutcomes takes this partnership seriously and is, therefore, committed to keeping at the forefront of technology. The newly launched version 11 is browser-friendly and multi-platform compatible. It has been optimized for iPad and android tablets and supports Internet explorer 9 and 10, Firefox, Google Chrome and Safari's latest versions. Not only practitioners, but even patients love completing the Outcome Rating Scale (ORS) and Session Rating Scale (SRS) on the electronic device.

MyOutcomes' Vice-President, Cindy Hansen, introduces the many new platforms that are compatible with MyOutcomes

For more information contact MyOutcomes on (250) 763-4775 or 1 877 763-4775 (international toll-free)