Introducing the Outcome Rating Scale

August 28, 2023

ID10667

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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.