FOR CLINICIANS
For Clinicians
Strengthen your practice with evidence-based safety tools
The Center for Psychotherapy Safety provides free, evidence-graded resources designed for review by our Scientific Advisory Council. Every tool, guide, and course we produce is grounded in the best available research and built to integrate into real clinical workflows.
Whether you are new to routine outcome monitoring or looking to deepen an existing practice, our resources meet you where you are.
Your resources
Clinical Toolkits
Evidence-based tools for integrating safety practices into your sessions — checklists, workflows, and client-facing materials. Coming soon.
Learn more→Free Starter Kit
Everything you need to begin routine outcome monitoring in your practice — bundled into a single kit. Coming soon.
Learn more→Evidence Summaries
Clinician-focused summaries of key research on therapy outcomes, deterioration rates, and feedback-informed treatment.
Learn more→Why routine safety practices matter
Across studies, approximately 5–10% of psychotherapy clients show reliable deterioration (worsening that exceeds measurement error). Without standardized feedback systems, therapists relying on clinical judgment without standardized feedback identify only a small proportion of these cases.
Routine outcome monitoring has been associated with lower rates of deterioration — particularly among clients identified as "not on track" — with some studies reporting reductions on the order of ~50% in that subgroup.
Multiple randomized controlled trials have evaluated feedback-informed treatment approaches, demonstrating improved outcomes for clients identified as at risk for poor response. This evidence base spans across many theoretical orientations.
5–10%
Approximate rate of reliable deterioration across psychotherapy studies
Lambert (2013); Hannan et al. (2005)
~50%
Reduction in deterioration rates reported in some studies among not-on-track clients receiving feedback
Lambert et al. (2003); Shimokawa et al. (2010)
Multiple RCTs
Randomized controlled trials evaluating feedback-informed treatment across many orientations
Lambert & Shimokawa (2011); Reese et al. (2009)
Choosing the right outcome measure
Not all outcome measures are the same. We provide an objective, side-by-side comparison of validated instruments — including the OQ-45, ORS/SRS, CORE-OM, PHQ-9, GAD-7, and NEQ — so you can select the best fit for your practice setting, client population, and budget.
View the Instrument GuideWe equip. We do not blame.
Adopting the "Just Culture" framework from safety science, CPS distinguishes between systemic problems that need system-level solutions, at-risk behaviors that need coaching, and reckless conduct that requires accountability.
Our resources are designed to support clinicians — not to surveil, shame, or punish. Better monitoring leads to better outcomes, and better outcomes protect both clients and therapists.
Not Clinical Advice
The resources on this site are for educational and informational purposes only. They do not constitute clinical advice, diagnosis, or treatment recommendations. Clinicians are responsible for exercising independent professional judgment in the care of their clients. Always consult relevant clinical guidelines, supervisors, and regulatory bodies as appropriate.