Performance Measurement Network

Submitted By: Cindy Hansen
Developer: Scott D. Miller, Ph.D; Barry L. Duncan, Psy.D
Contact: Cindy Hansen:; +877.763.4775
Proprietary: Instrument has copyright
Restrictions: MyOutcomes®, the Gold Standard in ultra-brief, session-by-session progress tracking is available by annual subscription, ranging from $104 to $229 per license. MyOutcomes® can be purchased online for up to 20 providers or by custom quote. The MyOutcomes® subscription includes the license to administer the Outcome Rating Scale (ORS), Child Outcome Rating Scale (CORS), Session Rating Scale (SRS), Child Session Rating Scale (CSRS), and Group Session Rating Scale (GSRS) in 30+ languages. MyOutcomes® subscription also includes access to a variety of evidence-based performance metrics and predictive algorithms. Since 2007, MyOutcomes® has served as the licensed vendor of the original web-based version of the Partners for Change Outcome Management System (PCOMS) and is the only North American Performance Metrics Web-Services and Single Sign-On API vendor.
Reporter: Self-report (Individual/Patient/Client), Independent Provider (not working directly with individual), Parent/Guardian, Teacher, Employer
Description: MyOutcomes®, a full-service quality improvement platform, established in 2007, offers 30-minute consultations and one-month evaluation accounts. MyOutcomes® includes implementation support and state of the art training in Feedback-Informed Treatment® (FIT) with Scott D. Miller, Ph.D. MyOutcomes® was launched as the first Web-based version of the Partners for Change Outcome Management System (PCOMS). Each of the five primary instruments that comprise the basic PCOMS measurement set, the Outcome Rating Scale (ORS), Session Rating Scale (SRS), Child Outcome Rating Scale (CORS), Child Session Rating Scale (SRS), and Group Session Rating Scale GSRS) are visual analogue scales consisting of four 10 cm lines. The ORS, SRS and GSRS are used with adults and adolescents, aged 13-17. Children aged 6-12 use the CORS and CSRS. A child or adolescent can be administered either the CORS or ORS. Younger children can draw on the Young Child Session Rating Scale or Young Child Session Rating Scale. Session notes can be added to capture any additional feedback. MyOutcomes® is the only PCOMS software listed in the National Registry of Evidenced-Based Programs and Practices. The validity and reliability of the PCOMS Measures has been assessed and reviewed in numerous clinical trials and over 25 psychometric studies across divergent clinical populations and cultures.Because of the desire to create a system feasible for everyday clinical practice, PCOMS instruments are brief, generally requiring no more than 1 to 3 minutes to administer, review and discuss feedback. The four 10 cm lines on the paper version of the ORS total to a score of 40. Three of the scales assess major domains (Individually, Interpersonally, and Socially) also measured by Michael Lambert’s OQ-45, Individually captures a client’s personal assessment of their distress or well-being; Interpersonally, clients’ significant relationships; and Socially, clients’ work, school, friends, and other social arenas. The fourth, Overall, captures anything else contributing to the client’s estimation of distress/wellbeing. The CORS retains the same domains but uses language suitable for its intended age group: Me, Family, School, and Everything, with smiley/frowny faces at either ends to aid comprehension. The ORS/CORS is given at the beginning of a session and the SRS/CSRS is given at the end of a session. MyOutcomes®’ SRS/CSRS is a four-item scale that enables the therapist to get a quantitative measure of the client’s view of the therapeutic alliance. Specifically, the SRS asks the client to use a sliding scale to assess their relationship with the therapist, whether the client feels they covered the goals and topics they need, how well the therapist’s approach fits for the client’s, and an overall general assessment of the most recent session. Based upon the composite and sub scale scores, and using a red, yellow and green signalling system, the therapist can determine whether the alliance is threatened. MyOutcomes® offers multilevel access and advanced client outcome management tools for administrators, supervisors, and clinicians. MyOutcomes® features: innovative outcome-tracking tools provide real-time granular analysis of client improvement, intuitive consoles and dashboards offer at-a-glance identification of at-risk cases, interactive graphs allow for comparison of multiple clients at once. MyOutcomes® Web-Services and Single Sign-On API enables users to access digital administration of the PCOMS Measures and Performance Metrics reporting. The user administers the ORS and SRS in digital format through an iFrame. MyOutcomes® calculates results, predictive scores and sends reports back to the original system.
Population: MyOutcomes® has an international client base that includes divisions of the U.S military, government-funded agencies, and some of the world’s largest behavioral-health organizations. There are over 1.5 million documented administrations and it is in use across the United States of America, Canada, and in over 20 other countries.
Program Setting: MyOutcomes® has been successfully implemented in a wide variety of service settings, with broad and diverse clinical populations, all over the world. PCOMS serves a broad population and is not diagnostically based. The PCOMS Measures are appropriate for use in inpatient, outpatient, voluntary and involuntary mental and behavioral health program settings.
Age Range: 5-12, 12-18, 18-65, over-65
Administration Frequency: Each contact
Administration Time: Less than 5 minutes
Scoring Time: Paper and pencil administration uses a metric based ruler can take 5 minutes to hand score and chart. The digital versions provide instant results.
Benchmark Data: Yes – Published and available
Psychometric Testing: Yes – Published and available
Administration Options: The PCOMS measures have been translated into 30+ different languages. Paper and Pencil scores can be added manually to the system. Digital administration options include: email, smartphones, tablets, computers and hand scored paper administrations can be manually entering. MyOutcomes® Mobile for phones and tablets offers client self-administration options and included an offline mode.
Publications: Bringhurst, D.L., Watson, C.W., Miller, S.D. & Duncan, B.L. (2006). The reliability and validity of the Outcome Rating Scale: A replication study of a brief clinical measure. Journal of Brief Therapy, 5, 1, 23-30.

Duncan, B., Miller, S., Sparks, J., Reynolds, J., Claud, D., Brown, J., & Johnson, L. (2003). The session rating scale: Psychometric properties of a “working” alliance scale. Journal of Brief Therapy, 3(1), 3-12.

Quirk, K., Miller, S.D., Duncan, B.L., & Owen, J. (2012). The Group Session Ratings Scale: Preliminary Psychometrics. Counseling and Psychotherapy Research, 1-7, iFirst Article.
Keywords: Feedback-Informed Treatment®, MyOutcomes®, ORS/CORS, PCOMS, SRS/CSRS/GSRS

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