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The history of the science behind MyOutcomes®

In 2008, after seven years of research and development, MyOutcomes® was launched as a Web-based version of the Partners for Change Outcome Management System (PCOMS), developed by Scott D. Miller, Ph.D. and Barry L. Duncan, Psy.D. That same year, they co-authored “Consumer-Driven Outcomes Management: A New Paradigm for Quality Improvement in Behavioral Health,” which detailed how empowering consumers to take a more active role in assessing mental healthcare outcomes dramatically improves the quality and efficiency of services. The white paper also called upon the U.S. President and Congress to require consumer-driven outcomes management as a centerpiece in reform of the behavioral health industry.
In 2010, because of three randomized clinical trials demonstrating the power of feedback conducted by researchers at the Heart and Soul of Change Project and published in top tier, peer-reviewed journals, PCOMS was submitted for inclusion in the US Substance Abuse and Mental Health Services Administration’s (SAMHSA) National Registry of Evidence-based Programs and Practices (NREPP). After an arduous review that included both a research and the ability to disseminate evaluation, both dissemination versions of PCOMS (Heart and Soul of Change Project and International Center for Clinical Excellence) were accepted in early 2013.In the spring of 2013, MyOutcomes released Version 11 of its web-based application. Besides streamlining processes and providing advanced graphing and reporting functions, Version 11 also include new trajectories of change that more accurately account for clients who need more sessions to achieve clinically significant change. Using the latest in statistical methodology and based on more than 427,000 administrations of the ORS, the 2012 Algorithms developed by Dr. Barry Duncan and his team predict therapy outcomes based on length of service (short term v. longer term therapy encounters), uniquely including a dynamic switch to trajectories applicable to longer term clients, thereby addressing the needs of both clients whose change occurs more slowly and clinicians not working from a brief therapy perspective.In the spring of 2014, MyOutcomes released Version 12. Notable updates include: Tagging, Remote Client Access and Group Session Rating Scale.

Tagging increases your ability to segregate and aggregate client data to match your reporting needs. Remote Client Access gives therapy clients the ability to log in and register their feedback on their own device. MyOutcomes® is accessible on any computer, laptop, tablet, or smartphone that has internet access. MyOutcomes® Version 16 supports the following browsers: Internet Explorer 9, 10, 11, Edge, Firefox (latest version), Google Chrome (latest version), Safari (latest version), iPad/iPhone, and Android. MyOutcomes Mobile for smart phones provides a simplified version of MyOutcomes that can be downloaded for free on iTunes and Google Play. With all of the client administration options now available, online administration of the ORS/CORS and SRS/CSRS for multiple clients in therapy has become feasible. The Group Session Rating Scale can now be entered by all group members simultaneously for instant feedback and more responsive adjustments to group issues.

In May 2015, Version 13 of MyOutcomes was released with its salient features like Email PCOMS – a way to send the measures directly to the client so they can enter their responses on their own devices; Customizable Aggregate Stats Report – offering a number of new metrics including new sections on Recovery, Treatment Duration and Discharge; The ORS Audit Dashboard – a new dashboard application to easily identify cases where data integrity may be at risk.

Version 14 of MyOutcomes was released on 28th November 2015. MyOutcomes® Version 14 included important changes to benchmarking and reporting features. The most impactful changes with this release were the move from an expected treatment response based on average client progress to a new more clinically significant equation that predicts and reports treatment outcomes by comparing individual client responses to both successful and unsuccessful treatment episodes.

In the spring of 2016, we release Version 15. The most notable innovations in Version 15 include: The ability to easily separate or combine ORS and SRS performance metrics for children, adolescents and adults. Enhanced data point roll over information, which not only provided more information about current session responses but now appears even on skipped sessions. An onscreen option to switch between the SRS (Session Rating Scale) and the GSRS (Group Session Rating Scale) for those clients who are receiving both group and individual counselling. And finally, a new home screen customization option which allows you to set the number of clients you want displayed.

In the fall of 2016, we release Version 16, which included a number of upgrades to MyOutcomes Mobile, as well as three new Validity Indicators. The Validity Indicators are as follows:

  1. ORS Over 35: Total number and % of cases whose intake ORS is 35;
  2. Intake ORS Over Clinical Cut Off: % of cases whose intake ORS is over the clinical cutoff;
  3. Saw Tooth Pattern: Number of and % of all cases whose last for ORS scores went up and down by 6 or more points and whose last ORS score was lower than the service target.

You can learn more about the upgrades to MyOutcomes Mobile here.

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Watch our webinar with Scott D. Miller and Cindy Hansen that answers your questions about MyOutcomes Advanced Behavioral Algorithms and Reporting Features.

MyOutcomes Benchmarking Report

Looking for PCOMS international benchmarks to inform quality improvements? Need to know more about the individualized predictive outcomes used in MyOutcomes® Pro and MyOutcomes® FIT? Read the MyOutcomes Benchmarking Report here