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Helping More Clients:Using the ACORN Tools to Inform your Therapy
• Clinician accounts for 5-10 times more variance in outcome than treatment method
• Clinician training and years of experience don’t improve client outcomes
• Clinicians cannot achieve the same results without questionnaires
What We Know
Routine Measurement
+
Utilizing Client Feedback=
Better Results for your Clients
The Research is Clear
Ignoring the research in our field carries risks to clients
ACORN Overview
Input:
Clients submit electronic questionnaires
Clients fill out paper questionnaires
Questionnaires are translated into usable information on our servers.
Output:
www.Clinicians log in to the ACORN Toolkit online to access information regarding cases.
Submitting Data
To Begin: Log into the toolkit and create forms from the “Forms” menu
• Not sure what form type to use?
• click “Which Forms Should I Choose”
Submitting Data:
Mobile forms work on any device with a web browser
Questionnaire Administration
• Completed by client at each session
• Takes 1-2 minutes to complete
A variety of standardized, reliable questionnaires:
Alliance
Alliance items ask about your relationship with the client.
The use of alliance items has been shown to:
• Reduce no-show and premature termination
• Improve outcomes
Using Alliance
Talk to your clients about alliance items. Encourage honest feedback!
“I know I’m not perfect. I may have trouble believing you if you always just say everything was perfect.”
If they indicate something didn’t work as well as it could have,
find out what could improve
Review their Responses
• Take a moment to thoughtfully review the client’s responses on the form
• Did any of their responses surprise you? If so, discuss it
• You’re not psychic! Check your assumptions by looking at their responses
• 4 out of 5 times clinicians underestimate dropout!
Viewing Data
Once you submit data, these pages help you view it:
• “Toolkit” is your main dashboard. It lets you view your client’s cases in detail.
• “Forms Processed” shows forms we have received. On this page you can look at client responses from a mobile or online form immediately after they submit it
Viewing Data:
Your Toolkit Dashboard
Dashboard: Select Data View
• Summary Only (Default) – Only shows your summary statistics
o Data and Summary – Shows all of your cases
o High Risk Cases – Cases that are high risk for a poor outcome
o Cases in Transition – Cases that are doing well and may be ready to be seen less often
Dashboard: Filter for Data
• Set any filters as desired
• Press the Refresh Button once you’re done
No Need to Close Cases
• Just set the Date Range to the last 2 months! Then cases you haven’t seen in over 2 months will naturally filter out of your dashboard view over time
Benchmarking Outcomes It’s impossible to know if you’re improving
if you never measure how well you’re doing
Effect Size
This score helps give you a way to measure your effectiveness with clients, while controlling for differences in caseload.
Severity Adjusted
Clinical Messages
Messages can help warn you of trends associated with poor outcomes
On your Dashboard: cursor over these to read
Client Progress Graph
Sev
erit
y(l
ow
er n
um
ber
= le
ss d
istr
ess)
On your Dashboard: Click on client ID for graph
On the Graph Page: Select variables you want to graph
Quickly and easily review client progress over time
Help Menu
• ACORN Help will take you to useful tutorial materials
• Have a question? Let us know! Click Submit Request
What Are We Learning
From ACORN
• Clinicians who look at the toolkit regularly improve
• Clinicians who don’t look at their toolkit do not improve
• Clinicians who stop looking regress
For our latest tutorials and tipsvisit our YouTube channel:
https://www.youtube.com/channel/UC1itBfvPkaxRWcJtq2cw_eQ
ACORN FAQs
https://acorncollaboration.org/faqs
Supporting Research
https://acorncollaboration.org/articles