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- 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 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 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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- 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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- 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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- 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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- 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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- https://www.myoutcomes.com
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- 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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- 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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- 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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- 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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- Clients and therapists receive real-time, empirically-based feedback
- Feedback messages flag at-risk cases and promote constructive dialogue
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- 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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- ORS scores are aggregated for providers, programs, sites, and agencies
- Supervisors, administrators, and payors can assess relative
effectiveness
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- 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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- 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!
- Jonathan Hunt-Glassman
- Product Manager, MyOutcomes
- t: (301) 960-2920
- c: (917) 597-2785
- e: jglassman@danya.com
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