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| Routine Outcome Monitoring× | Outcome Rating Scale× | |
|---|---|---|
| Field≠ | Social Work | Psychotherapy Research |
| Family | Process / pipeline | Process / pipeline |
| Year of origin≠ | 2001 | 2003 |
| Originator≠ | Michael J. Lambert and the patient-focused/measurement-based-care tradition | Scott D. Miller, Barry L. Duncan |
| Type≠ | Systematic repeated measurement of client outcomes to inform ongoing care | Client-rated |
| Seminal source≠ | Lambert, M. J., Hansen, N. B., & Finch, A. E. (2001). Client-focused research: Using client outcome data to enhance treatment effects. Journal of Consulting and Clinical Psychology, 69(2), 159–172. DOI ↗ | 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 ↗ |
| Aliases≠ | ROM, Measurement-Based Care, Outcome Monitoring, Progress Monitoring | ORS, ORS-4 |
| Related | 4 | 4 |
| Summary≠ | Routine outcome monitoring (ROM), also called measurement-based care, is the practice of repeatedly administering a validated outcome measure throughout a course of treatment and using the resulting data to track each client's progress, compare it against an expected recovery trajectory, and adjust care when a client is not improving as predicted. Pioneered in psychotherapy by Michael Lambert's patient-focused research and now standard in behavioral health and social work, it turns outcome measurement from a one-time research activity into a continuous clinical feedback loop that demonstrably improves outcomes for clients who would otherwise deteriorate. | 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. |
| ScholarGateDataset ↗ |
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