FIT Outcomes

| August 21, 2013
Feedback Informed treatment, FIT Outcomes
Feedback Informed treatment or FIT is a process of integration of PCOMS or Partners for Change Outcome Management System into clinical practice. Behavioral health service providers regularly solicit feedback from clients. The treatment meted out as a result is informed as it is based on the information given by the client himself and hence the name feedback informed treatment. This helps to empower the client and engage them more deeply in the process.

Research on how FIT can improve outcomes started in the 80’s and 90’s and even though it was clear that FIT outcomes have a positive impact, it was difficult to apply in practice, as the instruments used were extremely lengthy.

A group of researchers including Dr. Scott Miller, Founder of The International Center for Clinical Excellence, aimed at creating brief versions of these measures so that they could be applied more regularly during sessions.  Thus came into being two brief scales called the Outcome Rating Scale (ORS) and the Session Rating Scale (SRS) that measure how a client is doing and how the therapist is faring in helping them. These scales are so brief that they take only a minute to complete and are designed to be administered at the beginning and end of each therapy session.

A number of researches and several randomized clinical trials have since shown the benefits of using these measures of feedback in therapy. Some of the proven FIT benefits are:

  • “Total program costs were reduced by 10 to 35 percent while outcomes and satisfaction improved.” Bohanske, R. T., & Franczak, M. (2010). “Transforming public behavioral health care: A case example of consumerdirected services, recovery, and the common factors.” In B. L. Duncan, S. D. Miller, B. E. Wampold, & M. A. Hubble (Eds), The Heart and Soul of Change: Delivering What Works in Therapy (2nd ed., pp. 299-322). Washington, D.C.: American Psychological Association. doi:10.1037/12075-010
  •  “Success rates increased in one study by 65 percent and by as much as 100 percent in others.” (Anker, Duncn, & Sparks, 2009; Miller, Duncan, Brown, Sorrell, & Chalk, 2006). Independently confirmed by Reese, Norsworthy, and Rowlands, 2009.
  •  “Cancellation rates declined by 40 percent and no-shows by 25 percent.” (Bohankse & Franczak, 2010; Duncan, Miller, Wampold, & Hubble, 2010).
  • “Length of stay in psychotherapy was reduced by 40 to 50 percent across a broad range of behavioral health services.” (Bohanske & Franczak, 2010; Duncan, Miller, Wampold, & Hubble, 2010; Miller, Duncan, Sorrell, & Brown, 2005).

MyOutcomes has taken this science and developed a web-based tool where ORS and SRS can be filled directly using our software. Results can be derived almost instantly at the click of a button and depicted graphically for easy interpretation.

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Category: Feedback Informed Treatment

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