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Behavioral Health Evaluation Strategies
Behavioral Health Evaluation Strategies
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(916) 420-5181


  • Home
  • Team
  • Services & Partners
  • The SCALE Framework

Routine Outcomes Monitoring (ROM)

Decreasing dropout rates and improving client engagement for substance use & mental health clients

Feedback-Informed Treatment (FIT) is a highly effective approach supported by an extensive body of research. Studies have identified two key factors that most significantly impact behavioral health outcomes: (1) early changes in treatment progress and (2) the quality of the therapeutic alliance, as rated by the client. FIT emphasizes these principles by incorporating ongoing client feedback into the therapeutic process.


For practitioners utilizing FIT, client feedback is collected at every session. This consistent data collection allows practitioners to continuously assess the effectiveness of the treatment and make evidence-based adjustments as needed. This iterative approach ensures that the treatment remains aligned with the client’s needs and goals.


The Outcome Rating Scale (ORS) and the Session Rating Scale (SRS) are the most commonly used tools in FIT. These assessments are brief, yet highly valid, reliable, and sensitive to change. Their efficiency and accuracy make them indispensable for gathering frequent, actionable insights that practitioners can use to customize treatment strategies in real time.


At BHES, we offer comprehensive Feedback-Informed Training workshops. BHES's FIT services are led by Rikke Addis, Director of Training and Certification for the International Center for Clinical Excellence (ICCE). Rikke works with practitioners worldwide to achieve certification in Feedback-Informed Treatment (FIT), providing assessment, coaching, and feedback on key competencies. Rikke has extensive experience helping organizations implement FIT, and these workshops equip behavioral health teams with the skills and knowledge needed to integrate FIT effectively into their practice.


For more information or to request a quote for a FIT workshop and implementation, please fill out the form below

The International Center for Clinical Excellence

FIT has a large international community of practitioners, academics, and educators who are continually researching and writing about how to improve behavioral health practice. The International Center for Clinical Excellence provides valuable resources and guidance to FIT trainers and practitioners.






Training Request Form

Fill out the FIT Training Request Form below!

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