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Scored measures

Scored measures put numbers behind clinical progress — administer standardized instruments, get automatic scoring with severity interpretation, and watch the trend across treatment (measurement-based care).

Twenty-five instruments are built in:

  • Depression: PHQ-9, PHQ-2, PHQ-A (adolescents, ages 11–17), CESD-R, and GDS-15 (older adults)
  • Anxiety and distress: GAD-7, PHQ-4 (brief anxiety + depression), K10 (psychological distress), and DASS-21 (depression, anxiety, and stress subscales)
  • Trauma and stress: PCL-5 (PTSD symptoms), PC-PTSD-5 (brief PTSD screen), and IADQ (adjustment disorder)
  • Suicide risk: C-SSRS Screener
  • Substance use: AUDIT-C and AUDIT (alcohol)
  • Well-being and self-esteem: Flourishing Scale, SWLS (satisfaction with life), and Rosenberg Self-Esteem Scale
  • Health and functioning: PHQ-15 (somatic symptoms) and CDC HRQOL-4 (healthy days)
  • ADHD: ASRS v1.1 Screener (adults)
  • Children: PSC-17 (pediatric psychosocial screen, completed by a parent)
  • Therapy process: ARM-5 (therapeutic alliance), Goal Progress (a one-question check-in on the client's main goal), and MAIA-2 (interoceptive awareness)

Every one is scored automatically on completion with its standard severity bands, or tracked over time where the instrument has no published cut-offs.

In this guide, we'll cover:

Choosing your practice's measures​

Settings → Shareable Documents → Scored Measures controls what your practice uses: "Enabled measures appear in the share flow; defaults are pre-selected."

The Scored Measures settings tab with the built-in instruments

  • Enabled — the measure can be sent to clients.
  • Default — it comes pre-checked whenever you send an intake.

Sending measures to clients​

Measures ride the same intake/share wizard as forms — check the measure in the Scored Measures section and pick its frequency:

  • Once — a single send (this is how intake baselines go out)
  • Before every appointment / Before every other appointment — sent the day before
  • After every appointment
  • Every 2 weeks / Every 4 weeks — with a First share date anchoring the cadence

Recurring measures send themselves on schedule through the portal; the client completes each one, and scoring happens on submission. To stop a schedule, find its Scheduled row on the client's Files tab and choose End recurrence — "Already-sent measures are kept; no new ones will be sent."

An unfinished measure simply stays Pending — there's no automatic nagging. Nudge with Send reminder on its Files-tab row, or rely on the client's pre-appointment document reminders if you've enabled those.

Administering a measure in session​

For right-now measurement, skip the portal entirely:

  1. Open the client's Measures tab and click New scored measure.
  2. Pick the instrument, and either hand the client your screen or enter their responses yourself.
  3. Click Score — the result computes instantly with its severity band.

Reading the measures tab​

The Measures tab with Schedule measures and New scored measure

Each measure gets a trend card: the latest score out of the maximum with its severity band (e.g. "Latest: 12 / 27 · Moderate"), change since last and since baseline (down-arrows are green — lower is better on symptom scales), and a line chart drawn over color-coded severity bands so the clinical meaning of the trajectory is visible, not just the direction.

Click any administration in the Completed measures list for the full detail: the score gauge, every question with the client's response and item score, the instrument's complete scoring guide, and the source citation.

The High-Risk flag​

A PHQ-9 with item 9 (thoughts of self-harm) answered anything above "Not at all" is flagged: "Client reports thoughts of suicide or self-harm. Consider following up to further assess level of risk."

The PHQ-A (thoughts of death or self-harm, and its suicide-risk questions), the C-SSRS Screener, and the CESD-R ("I wished I were dead" or "I wanted to hurt myself" answered above "Not at all or less than 1 day") raise the same flag.

The flag surfaces as a red High risk badge everywhere the measure appears — the Measures tab, the completed-measure detail, Session Prep, and the appointment timeline. It is a flag, not an alert — the app does not send you a notification, so build the habit of glancing at Session Prep before each session.

Where else scores surface​

  • Session Prep on the recording page — latest scores, deltas, and anything still pending, plus the scores feed the AI's pre-session summary.
  • Appointment details — a "Scored measures" section showing Completed / Pending / Not sent per session.
  • The Files tab — each administration and schedule as a row with status.

Good measurement practice​

  • Pick one or two instruments per presenting concern and administer them on a rhythm — trend beats snapshot.
  • Scores are conversation starters, not verdicts: review notable changes with the client in session.