PCOMS

Exess has NZ licencing rights for PCOMS. PCOMS is an empirically validated tool used to evidence the outcomes of clients and assist organisations to better evidence those client outcomes to funders. Key to PCOMS is the concept that the client or whanau voice is privileged in the intervention. PCOMS is the value system (client privilege, social justice, client and alliance factors, etc) that underlie PCOMS (which is the feedback intervention that leads to improved outcomes and decreased costs). PCOMS is proven to shorten intervention times allowing for more volume to be channelled through existing contracts, creating greater overall efficiency for the client, whanau and organisation. PCOMS has been developed by Barry Duncan and is available in Exess in both English and Te Reo Maori.

To find out more about PCOMS, view the website

www.heartandsoulofchange.com

Go to PCOMS Website

PCOMS has been incorporated into Exess Client Management System based on a belief that providing a client centred approach to measuring outcomes is a huge benefit to our customers. Exess has all the PCOMS questionnaires built into it in English & Te Reo Maori and can present individual and population data in a graphed format. We can also use PCOMS to neutrally evidence the RBA questions – ‘How well did we do?’ and ‘Is anyone better off?’. The question of ‘How much did we do?’ can be evidenced in Exess’s other reports.

PCOMS  is an empirically validated tool used to evidence the outcomes of clients and assist organisations to better evidence those client outcomes to funders. Key to PCOMS is the concept that the client or whanau voice is privileged in the intervention.

PCOMS is proven to establish within the first two to four consultations as to whether the intervention will be successful. Because PCOMS helps measure progress the clinician is able to establish and acknowledge incremental shifts and therefore reinforce and support desired behaviours that would not be possible without such a measurement tool. This in turn helps direct the clinician and the client to the real issues and not become side-tracked with red herrings.

PCOMS is also proven to shorten intervention times, as often although the client is ready to leave the worker and organisation is reluctant to let them go and continue engaging in an intervention with them. Shortening intervention time allows for more volume to be channelled through existing contracts, creating greater overall efficiency for the client, whanau and organisation.

Some of the questions asked about PCOMS are:

What is PCOMS and where did it originate?
PCOMS was developed by the co-directors of the Institute for the Study of Therapeutic Change (ISTC). It is an empirically-based meta-theory that is based on the idea that client feedback can both improve effectiveness and enable services to be individually tailored. Barry Duncan & Scott Miller developed the Outcome Rating Scale (ORS) and Session Rating Scale (SRS) (building on the work of Lynn Johnson) as clinical tools to encourage therapists to openly discuss the benefit and fit of services with clients.
PCOMS service contains no fixed techniques and no causal theory regarding the concerns that bring people to your service. Any interaction with a client can be client-directed and outcome-informed when the consumer’s voice is privileged, recovery is expected, and the worker/s purposefully form strong partnerships with clients:

(1) to enhance the factors across theories that account for successful outcome;

(2) to use the client’s ideas and preferences (theory of change) to guide choice of technique and model; and

(3) to inform the work with reliable and valid measures of the consumer’s experience of the alliance and outcome.

How does PCOMS fit with the approach and/or the scales I am already using?
Any therapeutic model or approach can be used with PCOMS work. PCOMS involves eliciting feedback from clients regarding the fit and effectiveness of the approach used. The key difference for practitioners incorporating CDOI work is that if a particular model/ technique or worker is not a good fit for a client and/or is not resulting in any positive change for the client, then another treatment model or a different worker would be sought; one that was a better fit for the client that will hopefully result in positive client outcomes. There is no specific content to PCOMS—no particular ideas about why clients come to the service or how they be helped.
Are treatment gains obtained by implementing real time feedback from outcome measures such as the ORS and SRS maintained over time?
The answer is YES.  Treatment gains measured at the end of treatment are predictive of gains measured at follow ups. Not only are outcomes improved by up to 100%, but treatment effects are enduring over time. A recent study of couples in Norway demonstrated that the feedback condition maintained its advantage over the non-feedback group and achieved a 50% less separation/divorce rate.
Please see Barry Duncan’s website for further information: http://heartandsoulofchange.com