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MyOutcomes


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MyOutcomes, LLC
  • A joint venture from between the Partners for Change Outcome Management System (PCOMS) and Danya International, Inc. (Danya)
  • PCOMS
      • Extensive experience in clinical practice, publications, training, seminars, and consultations related to the delivery of client-directed, outcome-informed therapy
  • Danya
      • Service areas include research and evaluation, information technology, education and training, program management support, and health product development
      • U.S. federal agency clients include National Institute of Mental Health, Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration
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MyOutcomes
  • MyOutcomes is an interactive, web-based application that administers the Partners for Change Outcome Management System (PCOMS)


  • MyOutcomes monitors and improves service effectiveness by providing information on service outcomes and the therapeutic alliance


  • MyOutcomes increases efficiency and demonstrates results without extensive user burden or expense


  • Current customers include Magellan Health Services, Workplace Options and the U.S. Navy



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The Theory of MyOutcomes
  • “The general trajectory of change in successful therapy is predictable”1
  • Measures of client progress and experience of the therapeutic alliance can be used to “determine the appropriateness of the current therapy … [and] the need for further treatment … [and to] prompt a clinical consultation for patients who [are] not progressing at expected levels.”2
  • “Clients … quickly tire of measures that lack obvious face validity, require more than a few minutes to complete, or use time spent with the clinician.”3


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Benefits of MyOutcomes
  • Shown to increase effect size by up to 65%4
  • Shown to save costs by reducing cancellations, no-shows and long-term null outcome cases without negatively affecting outcomes or client satisfaction5
  • Proven valid and reliable in peer-reviewed studies6
  • 2-minute length boosts compliance and allows easy integration into therapy sessions


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Benefits of MyOutcomes
  • For Clients
      • Facilitates clients’ constructive feedback
      • Boosts retention and outcome rates
  • For Clinicians
      • Enables adjustments when services are at risk-for a negative or null outcome with real-time feedback
      • Provides feasible and easy-to-use measurement of progress
  • For Agencies, Managed Care Entities & EAPs
      • Identifies reliably superior clinicians and those in need of consultation or further training
      • Reduces service failure and no-shows, resulting in significant cost-savings
      • Provides quantitative measures of success

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Features of MyOutcomes
  • Identifies in real time clients who are at-risk for negative or null outcomes
  • Provides empirically-based suggestions to increase the likelihood of success
  • Aggregates data into reports on provider, program and agency effectiveness for supervisory, administrative, and payment purposes


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Privacy and Security
  • Robust protection for privacy and security of clients’ data
  • Controlling authorities
      • HIPAA
      • Business Associate Agreements
  • Privacy
      • User roles
      • De-identification of aggregated data
      • Hidden directory
  • Data Security
      • Physical protection, enterprise-class firewall, network security
      • Secure transfer with 128-bit encryption
      • Automatic logout
      • User logging and audit trails

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Live Demo of MyOutcomes
  • https://www.myoutcomes.com
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How MyOutcomes Works
  • Tree view allows for fast and easy navigation among records
  • User roles provide providers, supervisors, and administrators with access to appropriate records
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How MyOutcomes Works
  • For each new client, data is collected on the client’s demographics and planned services
  • Data collection can be customized to develop norms for specific populations or service programs
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How MyOutcomes Works
  • At each session, clients complete the Outcome Rating Scale
  • A four-item self-report instrument
  • Takes less than one minute to complete
  • Assesses client’s subjective assessment of change
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How MyOutcomes Works
  • Clients also complete the Session Rating Scale
  • Assesses the strength of the therapeutic alliance
  • Four items measure the quality of the relational bond and agreement between therapist and client on goals, methods and approach of therapy


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How MyOutcomes Works
  • Clients and therapists receive real-time, empirically-based feedback
  • Feedback messages flag at-risk cases and promote constructive dialogue
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How MyOutcomes Works
  • ORS scores are plotted in relation to an expected trajectory of change based on the client’s intake score
  • SRS scores are plotted in relation to the lower limit of established norms
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How MyOutcomes Works
  • ORS scores are aggregated for providers, programs, sites, and agencies
  • Supervisors, administrators, and payors can assess relative effectiveness



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More Information
  • Questions, comments and requests for more information about MyOutcomes may be directed to:
      • Jonathan Hunt-Glassman
      • Product Manager, MyOutcomes
      • t: (301) 960-2920
      • c: (917) 597-2785
      • e: jglassman@danya.com

  • Online multimedia training
    • https://www.myoutcomes.com/training.aspx
      • Requires Flash Player 9 or higher

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More Information
  • MyOutcomes is based on the Partners for Change Outcome Management System, developed by Scott Miller, Ph.D. and Barry Duncan Psy.D., co-directors of the Institute for the Study of Therapeutic Change.


  • Further reading:
      • Duncan, B.L., Miller, S.D., Reynolds, L., Sparks, J., Claud, D., Brown, J., et al. (2004). The session rating scale: Psychometric properties of a “working” alliance scale. Journal of Brief Therapy, 3 (1).
      • Duncan, B.L., Miller, S.D., & Sparks, J.  2004. The heroic client:  Principles of client-directed, outcome-informed therapy (Rev. ed.).  San Francisco:  Jossey-Bass.
      • Miller, S.D., Duncan, B. L., Sorrell, R.,  & Brown, G.S.  2005.  The Partners for Change Outcome Management System.  Journal of Clinical Psychology 61 (2): 199-208.
      • Miller, S.D., Duncan, B.L., Brown, J., Sorrell, R., & Chalk, M.B. (in press). Using outcome to inform and improve treatment outcomes. Journal of Brief Therapy.
      • Miller, S.D., Duncan, B.L., Brown, J., Sparks, J., & Claud, D. 2003. The outcome rating scale: A preliminary study of the reliability, validity, and feasibility of a brief visual analog measure. Journal of Brief Therapy, 2(2), 91–100.
      • Miller, S.D., Duncan, B.L., & Hubble, M.A. 2002. Client-directed, outcome-informed clinical work. In Comprehensive handbook of psychotherapy, Volume 4, Integrative/Eclectic, edited by F.W. Kaslow & J. Lebow, 185–212. New York: Wiley.

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Thank You
  • Thank you!






      • Jonathan Hunt-Glassman
      • Product Manager, MyOutcomes
      • t: (301) 960-2920
      • c: (917) 597-2785
      • e: jglassman@danya.com