The document discusses PCOMS (Partners for Change Outcome Management System), an evidence-based practice designated by SAMHSA. PCOMS was developed by Dr. Barry Duncan and the Heart and Soul of Change Project to improve client outcomes. Better Outcomes Now (BON) is a web application that implements PCOMS's clinical process and was used in five randomized clinical trials demonstrating PCOMS's effectiveness. PCOMS incorporates robust predictors of therapeutic success like early client feedback and the therapeutic alliance into an outcome management system.

1. Consumer Driven.
Evidence Based.
The Heart and Soul of Change
Project, founded by Dr. Barry
Duncan, is a practice-driven
research and training consortium
focusing on improving outcomes
via PCOMS. Because of the
research efforts of the Project,
PCOMS is a designated evidence
based practice by the Substance
Abuse and Mental Heath Services
P C O M S . C O M
B E T T E R O U T C O M E S N O W. C O M
H E A R TA N D S O U L O F C H A N G E . C O M
Better Outcomes Now (BON) is the
web application of PCOMS, created
by the developer of the clinical
process of PCOMS and the
organization that conducted the five
randomized clinical trials that led to
its evidence based practice
designation.
B E T T E R O U T C O M E S N O W. C O M
Devoted to empirically-derived
clinical practices, PCOMS
incorporates the most robust
predictors of therapeutic success
into an outcome management
system that partners with consumers
while honoring the daily pressures of
front-line clinicians
P C O M S . C O M
Therapist
On Becoming
a Better
Evidence-BasedPractice
OneClientataTime
SECOND EDITION
BARRY L. DUNCAN
Forewords by Michael J. Lambert and David N. Elkins
Partners for Change Outcome
Management System
NOW

2. ❖ PCOMS is empirically-proven to
improve outcomes
❖ PCOMS can be used with any
therapy model and any
diagnosis—One Size Can Fit All
❖ BON is a true application of
PCOMS, its clinical process and
intent
❖ BON provides real time, single
page views for consumers,
providers, and supervisors
❖ BON enables unlimited data
reporting capabilities
❖ BON highlights the keys to
successful implementation
❖ BON includes comprehensive
online PCOMS training resources
COMBINING SCIENCE, TECHNOLOGY,
AND CLINICAL EXPERTISE TO IMPROVE
CONSUMER OUTCOMES
SIX REA SONS TO DO PCOMS A ND BON
PCOMS and BON boil down to this: partnering with clients to identify those who aren't
responding to clinician business as usual and addressing the lack of progress in a proactive way
that keeps clients engaged while therapists collaboratively seek new directions.
3. PCOMS, A SAMHSA EBP provides
an early warning system that allows
clinicians, clients, and agencies to shift
focus, re-visit goals, or alter interventions
before deterioration or dropout.
2. PCOMS RESEARCH includes 5 RCTs
demonstrating that client based outcome
and alliance feedback dramatically improves
outcomes across client groups.
5. PCOMS INCORPORATES the most
robust predictors of success, the consumer’s
experience of early change and the alliance
into real time outcome management. system.
1. PCOMS OPERATIONALIZES
practices that are often given only lip service:
individually tailored, recovery-oriented
services, consumer involvement, and social
justice.
4. PCOMS IS A PROVEN quality
improvement strategy for public behavioral
health that is practical and cost effective.
6. PCOMS DIRECTLYAPPLIES the
research about what really matters to
change, what we have called the heart (the
client) and soul (the alliance) of change.
NOW