Simple Practice New Measurement Screening and Assessment Tool

Simple Practice’s new integrated screening and progress monitoring tools can simplify how you provide measurement-based care to your clients. When clients complete a measure, their scores will be calculated for you, and you’ll be able to view their progress over time on the new Measures tab of a client’s profile.

Understanding scored measures

Scored measures are self-report assessment tools that can be used to screen for mental health conditions and evaluate treatment progress. The following scored measures are available in SimplePractice:

What is the GAD-7?

The Generalized Anxiety Disorder 7-item scale, or GAD-7, is a tool designed to measure the presence and severity of anxiety. To view the GAD Scale click here : GAD-7

What is the PHQ-9?

The Patient Health Questionnaire-9, or PHQ-9, is a tool designed to measure the presence and severity of depression. Learn more about the questions in the PHQ-9

Scheduling Recurring Measures

To schedule measures to be automatically sent to clients on a recurring basis:

  • Navigate to the client’s Overview page
  • Click Share
  • Check the box next to the scored measure(s) you want to share
  • Choose the Frequency
    • Once
    • Before every appointment
    • Before every other appointment

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Note: Only scored measures can be scheduled to send automatically.

  • Click Continue to Email
  • Follow the prompts to schedule the recurring item(s)

If you choose Before every appointment or Before every other appointment, the measure will be automatically sent 24 hours before the client’s next appointment. If the appointment is less than 24 hours away, the first measure will be sent immediately. Clients who haven’t completed a scored measure will also receive an email 1 hour before their appointment.

To remove a scheduled recurrence:

  • Navigate to the client’s Overview page
  • Select the Files tab
  • Locate the scheduled measure
  • Select the 3 horizontal dots next to it > Delete

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  • Select End recurrence

To change the frequency of a recurrence, you can delete the scheduled measure and reshare it with the desired frequency.

Understanding the Requirement

Viewing scores and completed measures

Measures completed by clients will be scored automatically. You can review the client’s score and responses from their Overview page. To do this:

  • Click All Items
  • Select Scored measure from the dropdown menu

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  • Click the completed measure you’d like to view

Along with the client’s responses to each question, you’ll see a Score and a Scoring interpretation. You can click View scoring guide for more information:

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Important: Some scored measures, like the PHQ-9, include questions about suicidality and self-harm. If a client answers affirmatively, a high-risk flag will display when you view their results. To learn more, see How is the high-risk flag generated on scored measures?

How is the high-risk flag generated on scored measures?

Some measures, like the PHQ-9, include questions related to suicidal ideation. If a client reports that they’ve had thoughts of suicide or self-harm Several days, More than half the days, or Nearly every day, this will be indicated by a high-risk flag when you view their results.

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If a client respond affirmatively to a suicidal ideation question, they’ll see the following modal upon submitting the measure:

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Visualizing scores over time

Routinely administering scored measures can help you track a client’s progress over time and identify patterns or trends. To view this data:

  • Navigate to the client’s Overview page
  • Select the Measures tab

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If the client has completed a measure multiple times, each score will be displayed on the graph, along with the change since the first measure they completed (since baseline) and their most recently completed measure (since last).

Can my client still complete a scheduled measure after an appointment?

If a client didn’t complete a measure before their appointment, they can still do so afterwards. For scheduled measures, clients receive an automated email 24 hours before their next appointment, as well as 1 hour before their appointment if the measure hasn’t yet been completed.

A Guided Approach

Below, we’ve outlined a guided approach to seamlessly integrate the new tool into your current practice. Dive in and enhance your therapeutic strategy!

Identifying Fluctuating Mental Health States

Begin by shortlisting clients whose mental health states seem to vary across sessions. By regularly sending them the automated measures, we can gather more consistent data and monitor any abrupt changes in their state. This proactive approach allows us to act timely if needed.

Tracking Depression and Anxiety Progress

For clients who are particularly struggling with depression or anxiety, these measures can serve as a tangible tracking method. It’s not just about identifying when they are struggling but recognizing and celebrating their improvements. Periodic assessments provide both a motivation for clients to see their growth and an objective measure for us to adjust our interventions accordingly.

Assessment for Reluctant Disclosures

We know that some clients find it challenging to openly discuss certain issues during sessions. Automated measures can act as a non-confrontational channel for them to communicate their feelings and symptoms. By offering these clients an alternative tool, we might obtain a more accurate representation of their system, helping guide our therapeutic strategies.

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