Better Outcomes Now Blog

PCOMS, Diagnosis and Acute Inpatient Care

Diagnosis and Acute Inpatient Care Two recently published articles are now available--both take PCOMS to different places. The first discusses PCOMS as an alternative to psychiatric diagnosis. Rather...

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What’s In a Name?

Partners for Change Outcome Management System There has been an ongoing confusion about what to call the clinical methodology of administering and discussing the Outcome Rating Scale (ORS) and the...

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The Future of Outcome Monitoring Is Here

Monitoring outcomes as a quality improvement strategy, better described as systematic client feedback, is no longer a vision of the distant future—it is the way things are expected to be done quite...

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If I Can Stop One Heart from Breaking

The “Impossible” Case project I have always been taken by Emily Dickinson and this is one of my favorites. I included this poem in the book, Psychotherapy with “Impossible” Cases, which described my...

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Supervision: Who Is It For?

Supervision Through PCOMS This blog is based on a recent comment (Duncan, 2016) published in the Australian and New Zealand Journal of Family Therapy. The purpose of supervision is to promote the...

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The Ominous Clinical Cutoff and Data Accuracy

Ominous Clinical Cutoff & Data Accuracy If there is anything about PCOMS and the Outcome Rating Scale that raises the hair on our collective necks, it is the ominous sounding but completely innocuous...

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Research, Mischaracterizations, Limitations, and PCOMS

PCOMS Research, Mischaracterizations & Limitations Doing research is hard. Especially original research and data collection (vs. harvesting existing data), and particularly in real clinical settings....

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The More Things Change, the More They Stay the Same

The PCOMS Longevity A long time ago in a galaxy far, far away… In 1994, I published an article in the journal Psychotherapy with my friend and colleague Dorothy Moynihan (“Applying Outcome Research:...

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PCOMS and Focus: Helping an Underrated Therapist Skill

A very understated and underrated skill for doing good work, and perhaps one of the, if not the most difficult one for therapists to master, is the ability to keep sessions focused and not get lost...

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PCOMS Top Ten Motivations for Therapists

When doing implementations of PCOMS, after I do an overview of what PCOMS actually is and show a video of what it looks like, I ask therapists, "Why don't you want to do this?" or "Why won't you do...

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