Change Metrics refer to an outcome measure’s ability to use a Reliable Change Index (RCI) and cutoff score to define standards for clinically significant changes achieved during mental health treatment (i.e. classifying patient change as—recovered, improved, no change or deterioration).
Reliable Change Index is the amount by which a client’s total score must increase (deterioration) or decrease (improvement) to be considered clinically significant. Changes in the total score that are less then the RCI are not statistically relevant (i.e. no change). Following is a table of the RCI’s for each Measure.
Y-OQ® 2.0113
Y-OQ® SR 2.018
Y-OQ® 30.210
S-OQ® 2.018
(Examples of items measured in the sub scales)
  • Symptom Distress (SD)
    • Anxiety disorders
    • Affective disorders
    • Stress related illnesses
  • Interpersonal Relations (IR)
    • Loneliness
    • Conflict with others
    • Family difficulties
  • Social Role Performance (SR)
    • Conflicts at work
    • Relationships
    • Interaction with parents, adults, and peers
(Examples of items measured in the sub scales)
  • Intrapersonal Distress (ID)
    • Anxiety
    • Depression
    • Self-harm
  • Somatic (S)
    • Headaches
    • Dizziness
    • Pain or weakness in joints
  • Interpersonal Relations (IR)
    • Attitude towards others
    • Communication and interaction with friends
    • Aggressiveness, arguing, and defiance.
  • Critical Items (CI)
    • Paranoia
    • Hallucination
    • Delusions, suicide, eating disorder issues.
  • Social Problems (SP)
    • Truancy
    • Sexual problems
    • Substance abuse
  • Behavioral Dysfunction (BD)
    • Times of inattention
    • Hyperactivity
    • Impulsivity

White alert: Your client is functioning in the normal range.

Green alert: The rate of change your client is making is in the adequate range. No change in treatment plan is recommended.

Yellow alert: Your client's rate of change is not adequate. Consider altering your treatment plan by intensifying treatment, shifting intervention strategies and monitoring progress especially carefully. Without a change in treatment, your client may end up with no significant benefit from therapy.

Red alert: Your client is not making the expected level of progress. Chances are your client will drop out of treatment prematurely or have a negative treatment outcome. Steps should be taken to carefully review this case and decide on a new course of action.

Research has proven that clients whose progress is likely to lead to dropping out of therapy can be identified before treatment ends. Speedy feedback to the clinicians and clients can reduce failure by two-thirds.

You can track overall change, looking at the total score. You can track specific symptoms or behaviors using subscale scores. The OQ, administered and scored in the waiting room, also offers the opportunity to see a detailed snapshot of how a client is doing before the session starts. This includes a set of critical items that may require immediate attention.
The OQ®-Analyst software will tell you if the client is making reliable improvement, some improvement, no change, some deterioration, or reliable deterioration. Furthermore, it will recommend general next steps such as continuing things as they are, considering discharge, treatment plan review, or intensive and immediate intervention. Your best interpretive tool, though is talking with your clients about their own scores and what they mean.
For adult clients you will see a total score, critical items, and subscale scores on interpersonal distress, social relationships, and social role functioning. For children and adolescents, you will see a total score, critical items, and subscale scores on intrapersonal distress, somatic symptoms, interpersonal relations, social problems, and behavioral dysfunction.

The OQ provides a very early, statistically validated read on how the client is doing and whether they are having the desired or expected response to treatment.

Results can be used to provide encouragement for clients who are doing well and to have a focused discussion about what is working and what is not if clients are not having the expected or desired improvement.

The subscale scores can be used to identify and target particularly problematic areas as a focus of treatment.

Client responses to particular items can draw provider attention to areas that need investigation during the current session.

The results allow the provider and client to jointly monitor the client’s progress from a shared point of reference, allowing the client to participate more fully in assuring that their treatment is as effective and efficient as possible.

OQ®-Analyst - Cost depends on the number of unique patients/clients per year you expect to serve with OQ instruments.

OQ®-Paper- Cost depends on the number of full-time equivalent (FTE) clinicians you intend to license.

OQ®-Access - Cost depends on the number of patients/clients per year, per instrument you’ll be serving with OQ instruments.

OQ Measures encourages and supports researchers. Research licenses are limited and require an application that can take up to 30-days approval.
A large percentage of OQ Measures clients are nonprofits. The pricing of OQ products is quite cost effective already and takes into account the budgetary limitations of nonprofits. We do not offer discounts to nonprofits.
Routine Outcome Monitoring (ROM) is the recommended clinical practice of monitoring patient progress through questionnaire feedback in order to identify clients at-risk for potential treatment failures. This allows the provider to detect and treat respective causes for deterioration in order to improve the general effects of mental health treatment. Dr. Michael Lambert coined the term “routine outcome monitoring” or “ROM,” as the very first pioneer in this niche field of psychology research.