Feedback-Informed Treatment

Feedback-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.