Introducing the Outcome Rating Scale

Transcript

• 00:07Thanks for coming in and for
• 00:08being here today. Sophia,
• 00:09we're going to get started on working on
• 00:12some of the goals that we talked about
• 00:14with your grandma on the intake session.
• 00:16So we talked about working on
• 00:18your attendance at school, right.
• 00:20And then also some relationship
• 00:22stuff with your teachers.
• 00:24Is that right? Yeah. OK.
• 00:25So before we get started,
• 00:27I'd like to do a quick check in
• 00:29form to start out our conversations.
• 00:31It's called the outcome rating scale.
• 00:33It's super brief and it helps us
• 00:35make sure that we're talking about
• 00:37how therapy is going for you.
• 00:39And this is it right here, OK?
• 00:42It's it just makes sure that kind of
• 00:44what we're talking about together in
• 00:46session is going to be useful for you.
• 00:49And it gives us a sense of your
• 00:50perspective on kind of how things
• 00:52are going on, these different goals.
• 00:53And it also gives us a chance
• 00:56to share that with your grandma
• 00:57so that she has a sense
• 00:59of how you're doing
• 01:02and we can talk about it with her as well.
• 01:04I may ask her to actually fill
• 01:05it out to give her perspective.
• 01:07What questions you have so far?
• 01:10I mean, like, does my grandma have
• 01:12to see my scores? So really good
• 01:13question. So first of all,
• 01:15you should know that because
• 01:16she's your legal guardian,
• 01:18she can access all your school records
• 01:20and all your medical information. OK.
• 01:22However, the way I like to do this is
• 01:25lets you and I get started on this.
• 01:26Check in form, do it a few times together,
• 01:29and then in a session when you feel ready,
• 01:32we can share it with her so you can explain
• 01:34how things are going from your perspective.
• 01:36I can be there to help you.
• 01:38And I have found in my experience
• 01:40it's really helpful for your
• 01:42guardian to know how you're doing,
• 01:44how you think things are going in your life,
• 01:47and it can actually help
• 01:48your communication as well.
• 01:49Yeah, I guess that sounds good.
• 01:52Do we start today?
• 01:53Do we start next time?
• 01:54Let's start now and we
• 01:55can see what you think.
• 01:56OK. All right.
• 01:57So here's the outcome rating scale.
• 02:00So there's four different areas for
• 02:02you to rate, how you these are kind
• 02:04of just different areas of your life.
• 02:06Marks to the left means that things
• 02:08are not going so well and marks to the
• 02:10right means that things are going well.
• 02:12As you're starting to see
• 02:13improvements in your life,
• 02:14you're starting to feel better.
• 02:16Hopefully over time we're going to
• 02:18start seeing your progress going
• 02:19in that that right direction.
• 02:21Now if things are not going as
• 02:23well or if we feel like you know
• 02:26that you're not making change,
• 02:27then we can decide together,
• 02:29let's change up what we're working on or
• 02:31what we're talking about in therapy, right.
• 02:33So can kind of keep us on track to make
• 02:35sure that this process is working for you.
• 02:37OK. So you want to just use my
• 02:39computer and kind of just like,
• 02:41yeah, you can just slide it over.
• 02:52Cool. Yeah. And hit save. All right.
• 02:55And so this kind of created what's going to
• 02:57be the beginning of your graph together that
• 02:59we're going to look at each time you come in,
• 03:01see this green line that it draws for us?
• 03:04That's where we hope things will go overtime.
• 03:07I can see that the very first score here,
• 03:09this red dot, is your score for today.
• 03:12So that's a 17.4.
• 03:14And that's across all the four
• 03:17areas that you just rated.
• 03:19What I noticed about the 17.4 is
• 03:21that it's in this pink section,
• 03:23which is where people score when they're
• 03:25really looking for a change in their life.
• 03:28Yeah. Does that match how you feel?
• 03:30Yeah, yeah, definitely. OK. I
• 03:33mean, I've definitely been struggling,
• 03:34especially in school,
• 03:36since school started back.
• 03:38I feel like I was so
• 03:40carefree as a freshman,
• 03:41and it's just like this year.
• 03:42Everything sucks.
• 03:43And I hate my schedule
• 03:44and I don't want to
• 03:45be here. So.
• 03:48So school's been really irritating to you
• 03:51and it really seems like that that school
• 03:54aspect is really adding a lot of struggles.
• 03:57Yeah. Not only with your your
• 03:58grandma's relationship and really
• 03:59just kind of pervading everything.
• 04:01Yeah. It's the worst.
• 04:02OK. And that's why the.
• 04:04That's why the socially scale is the lowest.
• 04:06OK All right.
• 04:07And your relationship with your grandma,
• 04:09where is that showing up here for you?
• 04:13Probably this one. Yeah. That's OK.
• 04:15The interpersonally scale.
• 04:16Yeah. OK, that makes sense. So
• 04:20I'm curious what you feel
• 04:22like would help make things better,
• 04:24particularly on this socially scale.
• 04:26Like for example, what would
• 04:28it take to move this one just
• 04:30like 1 centimeter to the right?
• 04:34Probably just like actually
• 04:36going to class and like,
• 04:38doing what I have to do, focusing
• 04:40on what I should be focusing on kind
• 04:42of thing. So yeah, I can tell how
• 04:44committed you are to your goals.
• 04:47And I also know that it's really hard
• 04:48for you to stay in class and that you're
• 04:50managing a lot of emotions to be able
• 04:52to be here and to stay in class. Yeah.
• 04:54And so we know attendance is really
• 04:56kind of your big goal right now. Yeah.
• 04:58But maybe getting some tools to manage
• 05:00those emotions so that you can stay
• 05:02in class and not and not feel so bad.
• 05:04Yeah, that would be probably good.
• 05:06OK, Well, let's get started and
• 05:08talk about some ways that we might
• 05:10be able to address that. OK. OK.