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Feedback-Informed Treatment×Outcome Rating Scale×
FieldSocial WorkPsychotherapy Research
FamilyProcess / pipelineProcess / pipeline
Year of origin20032003
OriginatorScott D. Miller, Barry L. Duncan & colleagues (PCOMS)Scott D. Miller, Barry L. Duncan
TypePractice framework using session-by-session client feedback on outcome and allianceClient-rated
Seminal sourceMiller, S. D., Duncan, B. L., Brown, J., Sparks, J. A., & Claud, D. A. (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. link ↗Miller, S. D., Duncan, B. L., Brown, J., Sparks, J. A., & Claud, D. A. (2003). The Outcome Rating Scale: Preliminary validity studies of a brief, visual, general measure of session effectiveness. Journal of Brief Therapy, 5(2), 23–33. link ↗
AliasesFIT, Partners for Change Outcome Management System, PCOMS, Client-Directed Outcome-Informed PracticeORS, ORS-4
Related44
SummaryFeedback-informed treatment (FIT) is a structured way of practicing in which the client completes very brief measures of how they are doing (outcome) and how the session went (the alliance) at every meeting, and the clinician discusses these ratings openly with the client and uses them to adjust the work. Developed by Scott Miller, Barry Duncan, and colleagues as the Partners for Change Outcome Management System, FIT operationalizes routine outcome monitoring as a transparent, collaborative conversation, anchored by the four-item Outcome Rating Scale and Session Rating Scale, and is recognized as an evidence-based practice for improving engagement and reducing dropout and deterioration.The Outcome Rating Scale (ORS) is a 4-item ultra-brief symptom and wellbeing measure designed to track subjective improvement across individual, interpersonal, social, and overall functioning dimensions. Developed by Miller and Duncan, the ORS uses visual analog scales to enable session-by-session outcome monitoring in clinical practice and research. It is paired with the Session Rating Scale (SRS) in measurement-based care protocols to simultaneously track what clients feel and how they are functioning.
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ScholarGateCompare methods: Feedback-Informed Treatment · Outcome Rating Scale. Retrieved 2026-06-24 from https://scholargate.app/en/compare