January 2015


MyOutcomes Has Your Apt App

Introducing MyOutcomes Mobile

MyOutcomes, feedback informed, improve outcomes, reduce costs

It is my recollection that when the first computers began appearing in the business world and the health professions, they were promoted as reducing paperwork and saving time. Of course, they really did neither. Software tended to be complicated and time consuming. Hard copies were printed for use or as backups. Plus it was easier to read the hard copies than the electronic versions. But, the world changes and, along with it, so does technology.

With such things as better monitors and video cards, we have been able to adapt to spending our time reading documents on a screen, rather than in a printed manual, journal, or newspaper. The Cloud has provided a safe and secure way of storing our data, thereby reducing the need for printing out hard copies. And, of course, email has dramatically cut into the raison d’etre for the postal services. There has been one possible holdout…the jury is out as to whether this technology actually saves time.

MyOutcomes, the web-based application for the Partners for Change Outcome Management System (PCOMS), has long established itself as the ideal clinical tool that reduces paperwork. Although users can easily print out hard copies of each client’s data, users can just as easily and rapidly access that same data electronically via the internet for viewing on a variety of devices.

Now,in keeping with its goal at staying at the forefront of integrating modern technology with modern psychotherapeutic best-practices, MyOutcomes is fulfilling the promise of the computer age to save time…that ephemeral substance that seems to disappear far too rapidly. Time is important to the therapist and the client. Every minute is valuable. It is understandable that therapists are jealous of the time they have to spend with their clients. It is also understandable that therapists are reluctant to give up any of those minutes to something that doesn’t seem to be directly related to what is viewed as the traditional therapeutic process.

Of course, it has been well established that MyOutcomes®, with its SRS (Session Rating Scale) software and its ORS (Outcome Rating Scale) software, plays a central role in successfully achieving therapeutic goals when meaningful use of the data is achieved. Furthermore, the ORS and SRS each take less than a minute to administer and score. That translates to a lot of therapeutic power for a very small investment of time.

Now, MyOutcomes introduces a new way for the therapist to recover even that administrative time, while making that administration easier. The MyOutcomes mobile or web app can be easily downloaded onto any number of electronic devices a client might use. The therapist can then provide the client with an access ID and password to MyOutcomes so that they can take, say, the ORS prior to arriving for their appointment.

It’s really very simple. The client needs to download the free MyOutcomes app from iTunes or Google Play onto their smartphone or tablet. Once the client is set up, the therapist goes to their MyOutcomes Provider page. In the column headed “Action,” there is a link titled “Give Access.” The therapist selects the client they wish to provide access to and clicks on that link. A temporary (24 hrs) password will be generated. The therapist needs to communicate this password and the clients ID to the client (security tip- if the therapist plans to communicate by email and is not yet using a secure email application then for security purposes the clients User ID and temporary password should be shared in separate emails.

The client will open the app on their device, then select whether they are a client based in the U.S., Canada, or International, enter the ID and password in the appropriate fields and click the login button. Then, the client will see a field for them to take the appropriate scale (ORS/CORS/SRS/CRSR/GSRS). When they click on the take button, they will see the same instructions that are provided when the scale is administered on a computer. At the top of the screen are navigational arrows to move backward and forward between the pages. Moving forward through the next four pages will take the client through each of the sub-measures. After finishing scoring the sub-measures, the client will come to a page summarizing their input. The client has the option of making adjustments before hitting the “Submit” arrow at the top of the screen. The next two pages will show the expected treatment response graph and the related feedback messages, respectively. That’s it! As soon as the client has completed the scale, the therapist will be able to see the results on their own device.

In today’s technological world, there are many apps available. They are available for play. They are available for work. They are available for health. Many of the apps for health, promise so much and do so little. There are apps that do a lot, but they cost a lot. The MyOutcomes app, on the other hand, delivers the power and promise of MyOutcomes and, just as importantly, it is free.



Upcoming Workshop

Train the Trainers, Florida,February 2015

The Heart and Soul of Change Project is pleased to announce the 2015 annual Training of Trainers Conference. Come to sunny Florida at the best time to escape the cold arctic northland! But reserve your place early.

Training Details

February 2—6, 2015 (27 hours of CEUs or CEs). This intensive training experience is designed to give you all that you need in order to begin training others and implementing the Partners for Change Outcome Management System (PCOMS). It provides the first step in becoming a Project Certified Trainer. The Project Certified Trainer designation reflects completion of the Training of Trainers Conference as well as an exemplary demonstration (via video) of training expertise and a demonstration of conceptual and practical understanding of PCOMS at both an individual practitioner and agency level.

Participants Will Receive

Subscription to Member Site (a $120 value);
Barry’s PowerPoint presentations for the whole week including annotated PowerPoint presentations;
Administration and scoring manual of the ORS / SRS (a $39.95 value);
The Second Edition of the PCOMS Manual which covers the whole gamut from clinical implementation to supervision and agency implementation—Heroic Clients, Heroic Agencies (a $39.95 value); and
Certificate of attendance and 27 hours of Florida CEUs for counselors, social workers, and MFTs and 27 CEs for psychologists provided by the training institute.


Closing the Resource Gap in Psychotherapy

Conducting PCOMS-guidedRecovery Groups

At whichever level of community one wishes to consider, there is a growing demand for mental health services that isn’t being matched by an equivalent accessibility to mental health services. This disparity between the need for services and the ability to obtain services is related to two core factors. First, there is the economics of the situation. Although it’s beginning to change, historically there hasn’t been the same degree of financial support offered to those needing mental health care as there has been for those seeking services providing physical health care. Unfortunately, this change is occurring at a time when health dollars are being stretched in every direction. Second, there aren’t enough mental health providers available to meet the demand. Although the situation is far worse in developing countries, estimates suggest that developed countries are able to provide mental health care to only about 50% of those who need it.

Although this state of affairs isn’t exactly peachy, it isn’t dire either. To counter the issue of finite resources available for mental health care, what is needed are innovative models that bring treatment to more of those who need it, while, at the same time, increasing success rates in a more reasonable time period. By achieving those two goals, it may be possible to close the resource gap and provide more affordable treatment to more of those who need it. Training in one innovative model that holds tremendous promise, Conducting PCOMS-guided Recovery Groups: Counselor or Peer Facilitators, has been developed by George S. Braucht. This model is built on three key concepts: recovery, group therapy, and client-directed, outcome-informed (CDOI) therapy.

Recovery, as defined by SAMHSA, is a process of change through which individuals improve their health and wellness, live self-directed lives, and strive to reach their full potential. Recovery is an evidence-based treatment orientation that, rather than focusing on “curing”, focuses, instead, on life functioning. In other words, to achieve positive outcomes, treatment builds upon the resources, skills and strengths of the individual. Ultimately, recovery-oriented treatment shifts the emphasis from finding the “cause” to assisting the client to achieve the life goals they desire. Given the complexity of human behavior, finding causes can be exceedingly difficult and time consuming. Furthermore, although psychotherapy has been traditionally built on the premise of catharsis, or the notion that discovering and confronting the underlying problem will lead to a release of dysfunctional psychic tension, discovering causes doesn’t result in perfectly functioning human beings. Recovery is still necessary. Recovery-oriented therapy makes recovery the central goal of treatment.

Group therapy, of course, is a strategy to bring treatment to more people in a more cost-effective way. Group has two other advantages. First, it doesn’t need to be led by a trained professional. With the therapist assuming a more supervisory role and enabling peer facilitated group or in the complete absence of available trained professionals, the issue of insufficient therapists to meet the growing mental health care demands can be more directly addressed. The other advantage of group treatment is that it allows the building of community which is one of the major components that supports recovery.

CDOI therapy emphasizes the client’s expressed needs and the client’s perceptions of the therapeutic process. Research demonstrates that shifting the orientation of the treatment approach to the client’s goals and perceptions, successful outcomes are more readily achieved in a shorter period of time. The Partner’s for Change Outcome Management (PCOMS) brings the client’s own voice into therapy. Listed on SAMHSA’s National Registry of Evidence-based Programs and Practices, MyOutcomes is the web-based tool for administering PCOMS. MyOutcomes® has repeatedly demonstrated, in a wide range of clinical contexts, to be a valuable tool for helping clients achieve their therapeutic goals.

Just as MyOutcomes® has played a critical role in traditional one-on-one, talk therapy relationships, MyOutcomes is now proving to be a valuable tool in managing group therapy sessions. With the advent of MyOutcomes Mobile it is possible for each group member to register their Outcome Rating Scale (ORS) and Group Session Rating Scale (GSRS) responses directly into their own smart phone or tablet, providing the group facilitator with at a glance status updates for all group members.

For therapists, who wish to bring treatment to more of those who need it, while, at the same time, increasing success rates, PCOMS-guided recovery groups is an promising step to take in closing the resource gap in Psychotherapy.

Upcoming Workshop

FIT Supervision Training, Chicago, March 2015

After receiving an overwhelmingly positive response to the 2013 and 2014supervision training events, the International Center for Clinical Excellence ispleased to offer this popular event once again in 2015. FIT SupervisionTraining, 2015 will be held from March 16-18, 2015 in Chicago, Illinois, USA.

If you are interested in helping clinicians improve their outcomes and get themost out of client feedback, this three day training event is for you. Through acombination of didactic presentations, skill building exercises and feedback,FIT Supervision Training is designed to prepare participants to provideeffective supervision to clinicians using Feedback-Informed Treatment (FIT). Itis also the first step for those interested in becoming an International Centerfor Clinical Excellence (ICCE) recognized FIT Supervisor.

Participants will learn:

What differentiates FIT supervision from conventional supervision
How to use client feedback to guide clinical supervision practice and help clinicians achieve superior outcomes
What the most common challenges are in FIT supervision and how to overcome them
Strategies to identify and address “at risk” cases in supervision

ICCE Director, Scott Miller, Ph.D, will run the training. A special guest and co-author of the ICCE manual FIT Supervision will also be present.

Participants Will Receive

Set of ICCE FIT manuals valued at $129 USD
Certificate of attendance
Continuing Education units (available for additional fee)
Access to the process for becoming a recognized ICCE FIT Supervisor
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