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Clinician Average Change Scores
These are the basic statistics for identifying the progress in treatment of clients in the report.
 
 
 
 
 

Average Intake ORS:  

 
 

This is the average initial ORS score for clients in the report.  

 
 

For adults in out-patient mental health settings it is typically in the range 16 to 19. May be higher and sometimes over the clinical cut-off for mandated clients. 

 
 
 
 

Average Intake SRS: 
 

 

 
 

This is the average initial SRS score for clients in the report. The SRS cut off is 36 so clients who score below 36 are indicating a dissatisfaction with the session.  

 
 

Lower intake scores that improve over treatment are associated with better outcomes at the end of care. If looking at the SRS sub-scores for the session will help to indicate where their client’s dissatisfaction lies. 

 
 
 
 

Average Most Recent ORS: 

 

 
 

This is the average of all most recent ORS scores for the clients whose cases are in the report. Provides a snapshot of current treatment effect. Should be higher than the intake ORS if clients on average are making progress in the treatment or service. 

 
 

For Open Cases the most recent ORS score is the score for the last session the client attended. For Closed (planned) cases it is the final score before the case is closed. For Closed (unplanned) cases it is the score for the last session the client attended. 

 
 
 
 

Average Most Recent SRS: 

 

 
 

This is the average of all most recent SRS scores for the clients whose cases are in the report. Provides a snapshot of current engagement. Should be higher than the intake SRS if clients on average are making progress in the treatment or service. 

 
 

For Open Cases the most recent SRS score is the score for the last session the client attended. For Closed (planned) cases it is the final score before the case is closed. For Closed (unplanned) cases it is the score for the last session the client attended. 

 
 
 
 

Average Raw Change ORS: 

 
 

The difference between the ‘Average Intake ORS' score and the 'Average Most Recent ORS' score.  

 
 

Provides a quick look at the current effect that therapy is having across clients. In general, a change of 5+ points or more indicates reliable change. 

 
 
 
 

Average Raw Change SRS: 

 
 

The difference between the ‘Average Intake SRS' score and the 'Average Most Recent SRS' score.  

 
 

Provides a quick look at the average change in SRS scores across clients. In general, a positive change indicates improved engagement, and a negative change may indicate deteriorating engagement 

 
 
 
 

Raw Effect Size (ESRaw) for ORS 

 

 
 

This is a measure of change from intake (pre-treatment) to treatment termination (post-treatment). This Raw Effect Size is also known as the uncorrected effect size or sometimes pre-post effect size. An ESRaw is “raw” or “uncorrected” when it treats all intake scores equally and does not adjust the effect size score based on the severity of the intake score.  

For example, clients who have more severe problems will tend to score low on the ORS and therefore will tend to show greater improvement by the end of treatment than those clients who have less severe scores. This means that therapists who have more severe clients will tend to have higher raw ES values than therapists who have less severe clients. 

 
 

The ESRaw tells us how well the clients in the report are doing compared to a baseline of no improvement.  

Generally you need at least 40+ cases in a report for a reliable effect size score. The average ESRaw will be lower for active ongoing clients compared to closed (inactive) clients because they have not completed treatment.