Keeping things simple with Pragmatic Tracker

In Pragmatic Tracker we have made a wide and varied range of measures available to provide choice to practitioners, including measures for wellbeing, general distress, specific distress and feedback. From reading around our site you will see how we can integrate ANY measures of any sort and type, configured to meet specific needs. This includes simple customised systems for individuals or small groups of practitioners as well as medium sized or large organisations.

Practitioners may choose whichever measures they wish to present within Pragmatic Tracker. If just ORS and SRS are important to you then all other measures can be switched off.
We also include our excellent 'goals' and 'problems' sections in all installations that allows the literal building of goal and problem measures bespoke to a particular client.

Because the research on the benefits of the use of algorithms is confusing and unconvincing we decided to keep things simple. We use percentage change in relation to the client's starting point. This helps us stay focused on how things are going for THIS particular client who is sitting with us today. We then use our traffic light system to help us identify clients failing to progress or deteriorate.


The outcome rating scale (ORS) is an outcome measure for use typically before or at the beginning of treatment sessions to measure where the client considers themselves to be over the last week.

The session rating scale (SRS) is a session feedback measure typically used towards the end of or after a treatment session to obtain feedback from the client as to how that session has been from their perspective.

The  ORS and SRS are internationally popular sessional instruments for use in a wide variety of mental health and substance abuse settings.

While very brief, each with just 4 items, they have proved themselves as robust measures over the last decade. They have been used as the measuring instruments of choice in a wealth of peer-reviewed international studies. 

Because working in this manner is well supported by research evidence it has gained international acceptance. Prominent amongst the thought leaders and educators in this area is Scott Miller who offers training programmes in the USA and Europe. 


The method of formal integration of client feedback on progress and alliance is known as the Partners for Change Outcome Management System (PCOMS), a client feedback program for improving the treatment outcomes of adults and children participating in a behavioural health care intervention. PCOMS is designed to improve the retention of participants in treatment and to assist them to reach reliable and clinically significant change. The program can be implemented by behavioural health care therapists as part of any behavioural health care intervention.

 ** ORS and SRS are copyrighted measures. The paper versions of these instruments can be accessed from Performance Metrics


The Substance Abuse and Mental Health Services Association (SAMHSA) have approved the formal integration of ORS and SRS into treatment delivery as an evidence based practice and working in this manner has been listed on the National Registry of Evidence-based Programs and Practices (NREPP)






page last updated: 28/05/2017

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