Routine Outcome Monitoring in Group Therapy can Improve Outcomes and Reduce Costs

Group Therapy


Today, we’re seeing numerous organizations and groups competing for a slice of the finite financial pie that has been designated to address some of the most vital concerns facing us today. Mental health, increasingly seen as one of those concerns, has begun, in the last several years, to get a small slice of that pie. Unfortunately, the increase in worldwide mental health issues is outpacing the resources available. This trend is likely to continue in the coming decades. Those funds dedicated to mental health will need to be spread thinner than they already are. Although one possible solution, increasing available funding is a political issue that will be decided by politicians. As such, we can’t count on seeing any significant solution any time soon.

There is only one practical solution for those working in the trenches and confronting the challenges that poor mental health brings. Those limited funds need to be utilized as efficiently and effectively as possible.

One way to increase the effectiveness and efficiency of mental health resources is through the integration of MyOutcomes into the clinical setting. MyOutcomes pioneered the first valid and reliable digital measures of treatment progress and therapeutic alliance known to:

  1. strengthen client engagement in the clinical setting,
  2. increase the number of successful outcomes and
  3. reduce early drop out.

Integrating Feedback-Informed Treatment best practices into the therapeutic session enables MyOutcomes to assist the clinician and the client to mutually identify the clinical goals and see when goals have been reached. Routine Outcome Monitoring (ROM) is simple and feasible with a standardized Outcome Rating Scale (ORS) that predicts session outcomes and red flags clients, who may superficially appear to be benefiting from treatment, but are, in fact, deteriorating and are at risk for dropping out. The therapist can use the feedback elicited by MyOutcomes each session to identify their struggling clients and adjust therapy to better meet the clients’ therapeutic needs.

Another strategy for increasing effectiveness and efficiency is to use group therapy. There are numerous advantages to group therapy, two of which are:

1) an enhanced use of clinic time

2) a reduction in cost for services.

With the right clients, group therapy can improve the effectiveness and efficiency of services provided.  One of the main downsides, however, is that the client may not form a strong therapeutic relationship. We have known for several decades that a strong therapeutic alliance is predictive of successful outcomes. Without this alliance, the client may not feel engaged with the therapist or the group. At the very least, any strengths that group therapy could provide may be cancelled out. At its worst, the client may be inclined to drop out without reaching their therapeutic goals.

Not only does MyOutcomes’ ORS integrate into group therapy as easily as it does individual therapy, but it also enables the provider to monitor the therapeutic alliance when using the Group Session Rating Scale (GSRS). Integrating a group therapy alliance measure into every group therapy session may not seem feasible but with all the administration and reporting options that MyOutcomes has developed, it is really quite simple.


Read MyOutcomes® Group Therapy Solutions Guide to learn more: https://f2.leadsquaredcdn.com/t/myoutcomes/content/common/documents/



‘I Didn’t See That Coming!’: How a Feedback System Transforms Therapy

myoutcomes evidence based therapy

An article by Margarita Tartakovsky, M.S., details the client feedback experiences of Dr. Jason Seidel, PsyD, founder and director of the Colorado Center for Clinical Excellence. Seidel has been using a client feedback system to inform his method of treatment in private practice since 2004. This, according to him, “involves routinely and most importantly formally soliciting feedback from clients about the process of therapy, working relationship (with the therapist) and overall well-being.”

Continue reading…

Free Resource Reveals the True Path to Better Results


Turns out it’s more than just a common quality of highly effective therapists, humility is actually a prerequisite!

Studies confirm “professional self-doubt” is not only a strong predictor of both alliance and outcome but actually a prerequisite for acquiring therapeutic expertise. Speaking specifically to the field of psychotherapy in, Humility: The paradoxical foundation for psychotherapy expertise, the authors, Hook, Watkins, Davis, and Owen , define humility as “valuing input from the other (or client) … and [a] willingness to engage in self-scrutiny.”

Does this sound like you?

We all profess humility and I know as an ethics bound professional that you already ask for feedback and have likely already encountered some negative feedback from a client. When you have received negative feedback about treatment progress or experienced a rupture in the therapeutic alliance, ask your self how ofter you were able to:

1: Fix the problem?

2: Learn from the feedback and apply it in future encounters?

Did you confidently answer yes, all the time to both questions, because this is the path your colleagues are taking to go from average to excellent. Only you know how far down this journey you have gone, or are willing to go, but what I do know is that both MyOutcomes® and The International Center for Clinical Excellence (ICCE) are dedicated to providing you with the tools and training you need to see noticeable improvements in treatment results.

Take the Path to Better Results

On January 15, 2021 MyOutcomes is releasing a new series of Better Results with Scott Miller Interviews. The series is full of stories and free practical advice and resources to help you develop a more feedback informed practice. This four-part Netflix style series can be binge watched in under two hours.

If you have participated in the past, then you know that besides free giveaways, MyOutcomes will also be including a great bonus package. The Get FIT Now bonus package will be available for the first 100 Mental Health Professionals who sign up between January 15th and 31st, 2021.

Without giving to much away, I have to tell you that the first 10 participants to sign up online for MyOutcomes or FIT eLearning will be receiving a free paperback copy of Better Results: Using Deliberate Practice to Improve Therapeutic Effectiveness! This step-by-step guide demonstrates how to collect and use client outcome data to create an individualized professional development plan and measure improvements in the quality of the service you provide.

Sign up now

To make sure you don’t miss out, get on the wait list now: https://www.myoutcomes.com/better-results-with-scott-d-miller. This free Feedback-Informed Treatment Webinar Series will only be available for download from Jan 15-31. More free resources and exclusive content will be revealed on the release date!

Share with your colleagues so they don’t miss out on advanced notice.

Get on the waitlist for premier access, Friday, January 15th

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: //www.myoutcomes.com/guides

Check Options in MyOutcomes Pro

MyOutcomes Owner Options

Want to try out MyOutcomes Mobile for free?



Beyond The Cloud: The Unsung Player in Data Security

Data SecurityAnyone unaware of the importance of securing personal data in the high-tech world of the 21st century has either been studying with some yogi in a cave in the Himalayas, living in a shack in the Canadian wilderness or has been lost in the Australian Outback since…well, since, at least, the turn of the century. Sometimes it seems that a week doesn't go by without a new revelation about the Russian government, Chinese gangsters or some hacker without a cause breaking in and stealing personal information stored on various corporate servers.

In the 1990s, we started learning about viruses, Trojan horses, and worms that could corrupt our computer's system or destroy our data. With the turn of the century we began to learn that any electronic device, with programs that could access the internet, was at risk for invasion and that there were those who were willing to crack open any computer or cell phone to get the data contained therein. Today, we have botnets to worry about along with everything else. And the list is only going to continue to grow.

Being concerned and responsible, people bought software to protect their personal computers. If people were part of a large enough entity that invested in networks, they needed more powerful software to protect their system. If they were a very large entity, they hired departments of security professionals to keep the stored data safe and sound.

In the last few years, we began to hear about something called The Cloud. The Cloud promised to transform the very concept of computing. It would do so by increasing computing power and increasing data storage. By and large, it has lived up to that promise. Of course, any place that data and programs are stored is fertile ground for hacker attacks. For many, the issue of Cloud security is resolved by contracting services with those capable of dedicating resources to fend off the attacks. For those who purchase their own “Cloud,” they find it necessary to also factor in the cost of paying for additional security.

The struggle between security and those trying to bypass security is an ongoing war that is likely to extend far into the future. Although the hackers, particularly those with vast resources available, occasionally are successful, by and large, security generally emerges as the victor. And, for the most part, people feel secure. But is this sense of security justified?

Not really. As it happens, there is a third element in this modern age of data sharing that is often overlooked. Data transmitted between a Cloud-based solution and the network or computer where work is being done needs to be secured as well. Those who want to steal or do mischief know perfectly well that it is during transmission that data is at its most vulnerable. Any program that includes transmitting data between two or more points should be held accountable for insuring safe and secure transmission. It is only by using advanced encryption protocols that an individual or business has any hope of foiling those determined to cause harm.

From its inception, MyOutcomes has been keenly aware of the need to secure data where it is stored, where it is used and, once again demonstrating forward-thinking solutions, during transmission. Patient data is not only de-identified during transmission, but it is encrypted. And these security protocols are engaged whichever direction the data is traveling, as well as for whatever device the user is using.

MyOutcomes, the web-based application of PCOMS, is a leader for developing secure applications for psychotherapy. MyOutcomes enables the therapist to administer the ORS (Outcome Rating Scale) and the SRS (Session Rating Scale), secure in the knowledge that their client's data is safe. The ORS and SRS easily brings the client's voice into the therapeutic session, allowing the client to share their perception of their own functioning and the therapeutic relationship. And this can be accomplished with the therapist and client being assured that their data is being given the best protection available.


Feedback in Child and Adolescent Mental Health Services

myoutcomes, Better outcomes in mental health services

The use of the ORS and SRS to facilitate better outcomes in mental health services

Parents and family members are usually the first to notice if a child has problems with emotions or behaviour. Some children are not fortunate enough and have to deal with a childhood that is filled with displeasure, aversion, distrust, and constant negativity. Coping with their emotions can be a big challenge. It is a difficult job for any person, let alone a child, to overcome such adversity. But it can definitely be achieved, with the support of the family members and a systematic therapeutical approach.

Once the problem is understood, setting clear and focused goals and getting the right kind of treatment towards achieving these goals are the key points.

This is not all though; keeping a constant track of their progress in terms of symptom change by getting regular feedback from children, young people and families working with them can significantly impact the outcomes of treatment to bring in a positive change.

But how do the therapists achieve that quality of alliance?

This is when the use of the ORS and SRS can facilitate better outcomes if used together to enhance engagement and participation in the care provided as the measures are discussed with young people and caregivers.

Why only ORS and SRS??

The ORS and SRS fit very well with family work. The degree to which they can be explained, completed, and interpreted is really high.They are quick and easy to use for different age groups including small children and, allow all members of the family an important feedback voice into the therapeutic system. They give young people and carers a voice in treatment as it allows them to provide immediate feedback on what is working and what is not.

The Child ORS (CORS) is a simple modification of the ORS and was developed to facilitate the child's understanding when completing the scales for children age 6-12 and for the young teens aged 13-17. It has the same format as the ORS but with more child-friendly language. Depending on the clinical judgment, either of the versions could be used to engage the young person.

  • Do you deal with the behavioural health of young people?
  • Are you a therapist looking to improve your client outcomes with children or adolescents?
  • At times, do you find it difficult to predict accurately how well you are working together with the younger users??
  • Do you ever wonder- “Maybe things are going well but the goals are taking too long to complete?”

Then what are you waiting for?

The CORS of MyOutcomes is the measuring tool you need!

Click here to schedule an implementation consultation.

For more information call us on 1-877-763-4775 (Toll-free)



Therapists need their clients’ help just as clients need theirs

client feedback, therapy effectiveness

Advancing Outcome Informed Therapy Video Series

Video #5 of 6 (2:14 min.)

Therapists need client feedback in order to increase therapy effectiveness

Research has proven that systematic formal client feedback can improve results dramatically – sometimes doubling treatment effectiveness. Did you know that a major study on client feedback led to the national adoption of standards for outcome rating and session rating scales? For more on this check out the following video.

To Grow, Or Not To Grow

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“It is the most effective and successful therapists who have incorporated CDOI approach into their therapeutic sessions so that they can continue the process of “becoming.””

Life is a process, not a goal. As a psychotherapist, you would know the truth of this. You know that just as sharks need to keep constantly on the move in order to live; human beings need to continuously grow. Goals are only temporary way stations on the road to somewhere else.

Psychotherapy is a challenging dynamic situation where individuals with different goals come temporarily together in order to achieve those goals. Ultimately, the solution to achieving their personal goals is to become involved, to varying degrees, and help achieve the goals of the other. The goal of a psychotherapist is to provide effective therapy. By so doing, the client achieves their therapeutic goal, which, in turn is critical for the psychotherapist attaining their goal of clinical efficacy.

One of the things that make an effective and successful therapists, effective and successful is that they know that their effectiveness is only as good as their clients' last successful outcome. In other words, demonstrations of therapeutic efficacy are only way stations on the path of becoming an effective therapist. The most effective psychotherapists know that their effectiveness is a continual process of “becoming,” rather than a goal that is achieved and then replaced by some other transitional goal. It is something that needs continual nurturing so that the therapist can continue to grow. In short, it is the most effective and successful therapists who have incorporated the client-directed, outcome-informed (CDOI) approach into their therapeutic sessions so that they can continue the process of “becoming.”

This is also why effective therapists and behavioural health practitioners use MyOutcomes, the most powerful therapy outcome measure available. By offering the Outcome Rating Scale (ORS), a tool that provides the therapist with reliable and valid measures of their client's progress, and the Session Rating Scale (SRS), a tool that gives the therapist insight into the therapeutic alliance, MyOutcomes is the partner whose only goal is to help therapists to continue to grow their clinical effectiveness.

So the choice is up to you, the psychotherapist. Do you see yourself as an effective therapist, fully grown and ready to move on to some other challenge? Or do you see yourself as an effective, successful therapist striving to continually grow? If you see growth in your future, then MyOutcomes is the partner that you have been looking for.