Partners for Change Outcome Management System

Recovery Practice One Client At A Time

The clinical approach to clinical services utilized by behavioral health services at Community Health and Counseling Services is a recovery model that is based on research on the factors that make mental health treatment successful. Our approach privileges the client’s voice in treatment to the maximum extent possible, while adhering to professional and ethical standards of practice, and celebrates clients’ strengths and heroic qualities. Uniquely, the approach incorporates regular measurement of client progress as well as attention to the client’s perception of the treatment process, using simple tools that can be administered in under a minute. This outcome measurement system is known as Partners for Change Outcome Management System, or PCOMS, which has received approval by SAMHSA/NREPP as an evidence based practice.

CHCS is the first agency in the world to apply PCOMS systematically to community integration service programs, in addition to its traditional application to psychotherapy services.

Measuring progress based on the self-report of clients at regular intervals allows us to partner with them to note early, small signs of progress or deterioration. Thus, we are in a position to discuss these small changes with clients, and to make adjustments in our approach so as to maximize the likelihood of a successful outcome. The use of measurement tools, in combination with our clinical judgment and the continuing input of the client and of others who are concerned about the client’s well-being, provide a vehicle for us to determine when maximum benefit has been attained from services. In addition, support teams that include the clients and their formal and informal helpers can make decisions about the viability and efficacy of continuation of services. Thus, we are able to closely tailor services to the specific level of need of the client, and we make services accountable both to clients and to payer sources.
Our use of this approach enables us to confidently assure our clients that recovery is not just a possibility, but a probability, and it ensures that we are accountable in our use of both public and private funding for mental health services. 

More information on the PCOMS and the data management system used at CHCS, called Better Outcomes Now (BON) can be found at and

SAMSHA Recognizes CDOI

The Measurement Tools Used in CDOI Practice are Granted Evidence Based Practice Recognition by SAMSHA

After a two year evaluation of the tools used in Client Directed Outcome Informed work, SAMSHA has put them on the list of Evidence Based Practices. The tools are the Outocme Rating Scale (ORS) and the...

CDOI Practice at CHCS

A More Detailed Description with Data

Recovery is an individual client’s responsibility, but can be assisted by others in both formal and informal supporting roles who believe in the client, focus on strengths and resiliencies, and point...

CDOI Client Example

CDOI Work with the Severely and Persistently Mentally Ill

Joanne is a 47 year-old woman diagnosed with bipolar disorder. When Community Health and Counseling Services (CHCS) began case management with her, she had been in mental health services most of her...

CHCS Mission

Community Health and Counseling Services will provide community health services that are needed and valued by the communities and individuals we serve.