Feedback Informed Therapy
in Practice

​At Hopscotch and Harmony, we value the importance of client feedback and collaborative treatment planning; that is why we have implemented Feedback Informed Therapy (FIT) into our practice.

​Feedback Informed Therapy (FIT), developed by Scott Miller, involves the use of two brief surveys:
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1) Outcome Rating Scale (ORS) to measure client wellbeing, and
2) Session Rating Scale (SRS) to measure client satisfaction in therapy. 

At the beginning of each session, your psychologist will invite you to complete the ORS, which asks you to rate how you have been feeling in four areas of your life (personal wellbeing and health, interpersonal relationships, social relationships outside of family, and overall well being).

Your psychologist will then discuss the results with you and explore any issues that may have arisen since the previous session. This helps develop goals and an agenda for that session. Every time the ORS is completed, often on an iPad or laptop, a score will be plotted on a graph so that you and your psychologist can track your progress through treatment. The graph helps your psychologist identify any significant changes and can help modify treatment planning to better support your needs.

Clients often report that seeing this graph can be particularly helpful when they feel they have not made any progress in treatment, as it provides a bigger picture look at the overall progress that has been made.

At the end of each session, your psychologist will invite you to complete the SRS, which asks you to rate how successful you think the session was, and opens up an opportunity to provide your psychologist feedback.

Areas to consider include whether you feel you were heard and understood by your psychologist, whether you felt you were both on the same page, and whether you felt your goals were worked towards.

Although some clients may find it uncomfortable to provide feedback, research shows that it is incredibly important for clients to feel connected with their psychologist and clients will show better outcomes if the relationship between you and your psychologist is strong.

There is no such thing as a “perfect psychologist”, so we do not expect “perfect scores”.

The feedback you provide will help the psychologist alter the way they conduct their sessions with you, so that it aligns better with your expectations and how you feel therapy would work best for you. 

Our psychologists all receive individual supervision and support in how to best implement FIT into their practice. We believe that our use of FIT helps ensure that we can offer the best support and help clients achieve their goals in the most effective way. 
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If you have any questions about Feedback Informed Therapy, please contact our FIT Coordinator Alyce Galea ([email protected]).