Most therapists aspire to become better at what they do. But how do you get better? How do you make sense of all the noise—the fads and fashions, our love affair with models, and the persuasions of...
Barry Duncan
Recent Posts
Unless you have been hiding under a rock, don’t read anything other than social media pablum, are part of a cult of some model, or just don’t think about or care about your effectiveness, you are...
Better Outcomes Now v. Our Corporate Competitors
April 28 2024
Our marketing consultants have been trying to get me to do a comparison between Better Outcomes Now (BON) and our competitors for a long time, as well as other “sales” related activities. “I am not a...
Multicultural Competence, MBC, and the ORS/SRS
March 26 2024
There have been great strides in behavioral health regarding diversity, equity, inclusion, and multicultural competence, but a need remains to translate these values into actionable practices in...
The Three Faces of the Outcome Rating Scale
February 26 2024
The Outcome Rating Scale (ORS) is the first of two brief, user-friendly measures employed by the Partners for Change Outcome Management System (PCOMS). The ORS measures client benefit from services...
STAR*D Exposed: Jackie Was Right!
January 22 2024
A re-evaluation of the influential STAR*D study of antidepressants has exposed it as a fraud, now recognized by the psychiatric community. Dr. Sparks was right.
Top Ten Qualities of the Best Therapists
November 27 2023
An often asked question is what makes one therapist better than another. This blog identifies ten therapist qualities that differentiate the best from the rest.
What We've Been Up to at Better Outcomes Now
October 24 2023
Better Outcomes Now or BON, the web application of the evidence-based practice, the Partners for Change Outcome Management System (PCOMS), is an empirically proven measurement-based care (MBC) system...
The Myth of Multiple Outcome Measures
August 28 2023
There is nothing wrong with using an additional outcome measure. For example, using the PHQ-9 as a periodic measure in addition to the every session Outcome Rating Scale (ORS) makes total sense with...
Implementing Measurement Based Care
August 01 2023
Measurement based care (MBC), sometimes called routine outcome monitoring (ROM) or systematic client feedback (our favored term), is gaining traction across behavioral health settings. In fact, it is...