Combined SRS And ORS
Comparing Scores Between children and Adults
The data has been collected across two patients, a teenager male child aged 15 attending a therapy and a male adult 25 years old. The outcome rating scale (ORS) has been modeled to refer to a five point Likert scale with the following levels; Extremely well or Close, well or Close, Not sure, unwell or Distant, and Extremely Unwell or Distant measures categorized under 5,4,3,2, and 1 respectively depending on four categories, Individual wellbeing (well or unwell), Interpersonal ties (close to distant), Social ties (close/distant), and Overall wellbeing.
Session Rating Scale, SRS is also examined on a five level Likert scale with strongly Disagree, Disagree, Not sure, agree, and strongly Agree, coded as 1,2,3,4, and 5, respectively. It is also assessed on four categories such as Relationship defining whether the client felt understood and respected during therapy, relevance of goals and topics covered during the session, the feeling on the general performance or approach of the therapist, and the general feeling on the overall session with the therapist, whether or not it is a fit. See Appendices one for the Raw Data and Appendix 1 to 3 for the organized data.
Outcome Rating Scale for a child
· Combined SRS and ORS graphs for each client. For single-contact roles, compare scores across two or more “types” of clients over time (e.g. children vs. adults, cancer patients vs. mothers in ICU, men vs. women).
· Visual interpretation of graphs (1-2 paragraphs)
· Interpretation of clinical cutoff scores and Reliable Change Indices (RCI). Alternative cutoff’s and change indices must be developed and described if scales are modified.
2. Practice Decision: For each client, state whether you feel the client has deteriorated, remained the same, improved only slightly, improved a great deal, or achieved all treatment goals. Draw your conclusions based on the pattern of the clients’ ORS scores and comments. (1-3 paragraphs)
3. Please describe three occasions in which you allowed client feedback to guide your intervention (Refer to specific sessions or dates). For each occasion, please describe: 1) What feedback the client gave you. 2) How you replied in that moment. And 3) What changes you made to treatment/services as a result of their feedback.
· Occasion 1 (1-2 paragraphs)
· Occasion 2 (1-2 paragraphs)
· Occasion 3 (1-2 paragraphs)
4. Discuss the role of each of the following in your clients’ outcomes:
· Client characteristics (Choose specific characteristics from those discussed in class such as stages of change and coping style). (1-2 paragraphs)
· Treatment alliance (draw heavily from the readings in your discussion here).
5. Conclusions regarding the evaluation processes
· Barriers: What factors made the evaluation process difficult (e.g., client, agency, personal)? (1-2 paragraphs)
· Process: How did using these tools impact your relationship with your clients? Include both positive and negative impacts. (1-2 paragraphs)
6. Briefly, discuss your observations of your own practice during this semester. Consider the following (1-2 paragraphs):
· Your ability to ‘read’ your clients
· Your ability to make changes to your approach
· What skills and abilities have you developed this semester?
Be very specific and provide concrete examples!