Scott Miller

Free Resource Reveals the True Path to Better Results

Humility!

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

Feedback-Informed Treatment in the Time of Corona

The Better Results with Scott D. Miller Live Meet Up was held yesterday.

Feedback-Informed Practitioners, from around the world, joined in to listen and participate in a discussion about Feedback-Informed Treatment and FIT Deliberate Practice. FIT Trainer and MyOutcomes Executive Director, Cindy Hansen was the host and moderator for this event.

Scott D. Miller is the co-founder of the Center for Clinical Excellence, an international consortium of clinicians, researchers, and educators dedicated to promoting excellence in behavior health. He is the author of numerous articles and co-author of the soon to be released, Better Results: Using Deliberate Practice to Improve Therapeutic Effectiveness (APA, 2020).

This opportunities to interact, one-on-one in a live training session, with Scott was part of the Better Results…with Scott D. Miller Training Series. This training is complete but a waitlist is available, for the next session this summer. you can sign up here:

//www.myoutcomes.com/better-results-with-scott-d-miller

This video clip covers the first question that came from Daniel Rosen, who asked, “So, we have a worldwide, real world dramatic change that we speculate has increased distress overall. Question: do we have an numbers on ORS scores changing historic patterns? Question 2: We have a real world mass movement to telehealth and remote video therapy: What is happening with SRS scores as well. I hope the number crunchers have something here!”

Do you want to know Scott’s answer? I know I did.

Listen and see if you agree. Love to hear your comments.

May 15, 2020 by Cindy Hansen Feedback Informed Treatment MyOutcomes ORS / SRS Outcome Rating Scale Session Rating Scale Therapy effectiveness Therapy Outcome Measures Uncategorized

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.

March 8, 2020 by Cindy Hansen Agencies Feedback Informed Treatment Uncategorized

What is feedback, and why do we need it in therapy?

What is feedback and Why do we need feedback in therapy?

Being associated with an organization that focuses so much on evidence based therapy I naturally got inquisitive about how did all this start? I mean who coined the term feedback, why and how was it used initially, how much is it being used in our day to day lives etc.?

And as with everything else, in order to satiate my thirst for knowledge I began my information gathering expedition and turned to my good old erudite friend Google for answers.

The first phrase typed was: What is feedback?

According to Wikipedia, feedback is a process in which information about the past or the present influences the same phenomenon in the present or future.

Hang on; did I just read past, present and future in the same sentence!? This definition not only explains what feedback means but also spells out the importance of feedback as this is something that can influence the present and also the future. It thereby obliterates the need to delve into the second logical question, why feedback? (Why is it important to get feedback?)

But I now had another second question and that was how did the term feedback originate? Being a student of science I had a strong hunch that just like me, feedback must also have some relation with science. And boy, wasn't I right! Though the phrase â€œto feed backâ€ was in use as early as 1860s in US, the term â€œfeed-backâ€ was coined in 1909 by Nobel laureate Karl Ferdinand Braun to refer to coupling between components of an electronic circuit. (http://en.wikipedia.org/wiki/Feedback). The distinct word â€œfeedbackâ€ was however born in 1920 to describe the action of feeding back the signal from output to input and thus began its journey.

The process of feedback has various applications some of which are critical to our very existence. Biological systems contain many type of regulatory circuits that aid normal functioning of our body. Besides, feedback is used in many more fields like mechanical engineering, electronic engineering, social sciences, economics and finance, world system development, government, administration, organizations, education institutions etc.

Then why not in behavioural health?

Why is it difficult for therapists to understand the value feedback has to offer to their therapy? Isn't it only logical that only when therapists know the course or the direction that their therapy is taking; will they be able to provide apt treatment? Is it also not apparent that the best source of this information will be the client himself who is undergoing the treatment? The more I read, the clearer it became that I am on the right path; the right path of spreading the right message of applying feedback informed treatment in order to increase therapy effectiveness.

In order to know more about the practical application of feedback in therapy, visit http://myoutcomes.com/ or call us 1-877-763-4775 (international toll free).

August 12, 2014 by Cindy Hansen Advancing Outcome Informed Therapy Video Series

Strategies for Becoming a Highly Effective Agency: A Webinar by Dr. Scott Miller

Strategies for Becoming a Highly Effective Agency

A Webinar by

Dr. Scott Miller

MyOutcomes recently hosted a webinar where Dr. Scott Miller shared his strategies for becoming a highly effective agency. His findings are based on the latest empirical evidence and will help you, your staff or agency:

Engage and retain difficult-to-reach patient populations
Increase successful treatment completion rates from 50 to 82%
Reduce missed or cancelled sessions by 40%

Ask yourself:

Are you ready to meet the increasing demands of funding sources and regulatory bodies to produce valid and reliable outcome report measures suitable for adults and children?

Want to impress third party payers, funding bodies and regulatory agencies with advanced outcome reporting and clinical evidence of your agency effectiveness?

Then click here to access this valuable resource

April 1, 2014 by Cindy Hansen Agencies MyOutcomes Scott Miller Webinar

Therapists Don’t Learn from Feedback?

A clinic director recently sent in the following question: “These measures claim to improve therapist skills, yet there has been a recent study showing that therapists did not learn from the feedback on the two measures (ORS and SRS) and did not improve their skills.

September 15, 2013 by Cindy Hansen Feedback Informed Treatment

Barry Duncan's Views on MyOutcomes Version 11

See what Dr. Barry Duncan has to say about MyOutcomes’ version 11 tool

Doctors Barry Duncan and Scott Miller developed a simple yet innovative technique that focuses on the client â€“ therapist relationship and the outcomes achieved as perceived by the client. This technique is known as Client-Directed Outcome-Informed Therapy or CDOI as it is known in short. To help the therapists put this in practice, two scales, namely the Outcome Rating Scale (ORS) and the Session Rating Scale (SRS) were developed that required clients to fill them at the beginning and end of every session.

MyOutcomes had gone a step further and created a web-based tool that analysed the information entered by the clients and presented it in an easy to understand graphical form so that the therapist can gather whatever information he wants and tune the sessions accordingly for increased therapy outcomes.

In the latest version, version 11 of this MyOutcomes tool, these graphs are made more interactive and customizable to suit the needs and preferences of individual behavioral health practitioners. It merges the state-of-the art technology with cutting edge psycho-therapeutic techniques.

In this brief video clip, Dr. Barry Duncan, one of the developers of Partners for Change Outcome Management System (PCOMS), shares his views of MyOutcomes version 11.

August 2, 2013 by Karl A. Peuser, PhD Dr. Barry Duncan MyOutcomes Version 11

Achieving Clinical Excellence

Everywhere, mental health practitioner are being asked to do more with less; less money, less time, and less support. Are you prepared for the challenging times ahead?

Consider joining us, this May in Amsterdam, for the International Achieving Clinical Excellence Conference. Learn how to respond to the new demands, as well as grow professionally, in these economically uncertain times.

Discover Feedback-Informed Treatment (FIT) and how to improve outcome, quality of service and your effectiveness by 65%.

Learn what the latest research says about qualities of top-performing therapists and how to apply the concepts that lead to excellence in your own work and supervision.

Be inspired by colleagues from different countries and learn from them how to implement evidence â€“based practices that lead to excellence in mental health services.

April 16, 2013 by Cindy Hansen Evidence Based Psychotherapy

Feedback-Informed Treatment designated as an â€œEvidence-Based Practiceâ€

Feedback Informed Treatment EBP, Evidence based practice

Feedback Informed Treatment has now become Feedback Informed Treatment EBP!

FIT been added to SAMSHA's official database of evidence-based practices. SAMSHA's National Registry of Evidence-based Programs and Practices (NREPP) is a searchable online registry of mental health and substance abuse interventions that have been reviewed and rated by independent reviewers. The purpose of this registry is to assist the public in identifying scientifically based approaches to preventing and treating mental and/or substance use disorders that can be readily disseminated to the field.

Most notably FIT received a prefect score in the “Readiness for Dissemination” category. This is due in part to the recent release of the FIT Manuals, but also noted was the thriving professional community of the International Center for Clinical Excellence.

February 8, 2013 by Cindy Hansen Feedback Informed Treatment

Isn’t the ORS and SRS just a patient satisfaction measure?

“Isn't it really just a patient satisfaction measure and what do they tell you anyway?â€ is one of the three typical questions asked regarding the ORS and SRS, according to Scott Miller, who along with Barry Duncan, developed these two therapeutic tools. This is actually a two-part question that attempts to challenge the validity of the MyOutcomes tools.

The first part of the question, â€œIsn't it really just a patient satisfaction measure,â€ not only misses the mark but its underlying sentiment is disturbing. Although it probably isn't intended, the question seems to suggest that the client's subjective experience of the clinical process is of little consequence. The therapeutic process, however, is about the patient and the patient's goals. It is the client's subjective state that brings the clinician and the client together and it will be the client's subjective state that will determine when that relationship comes to an end. Any information that can provide insight into the client's ongoing experiences toward achieving their goals should be considered of high value to the therapist. Furthermore, patient satisfaction is critical to the success of an agency or a clinician's practice. Satisfied patients can mean continued funding for an agency because that agency is achieving their raison d’Ãªtre. Patients who are happy with their treatment will tell others; others who are potential clients. An increased amount of clients translates into a growing practice for the individual clinician.

Success is not simply a matter of clients achieving their therapeutic goals. It is also measured by retention of the more difficult cases.It might sound pretty impressive for a therapist to claim that 95% of their clients are successful in achieving their goals. If, however, that same therapist has an attrition rate of 40%, an entirely different light is shed upon that therapist's practice and claimed success.

January 25, 2013 by Cindy Hansen Agencies MyOutcomes ORS / SRS ORS/SRS Outcome Rating Scale Scott Miller Session Rating Scale