Feedback-Informed Treatment (FIT)

Monitoring what matters - your progress, your experience, your outcomes

A clinical standard you already understand

Health professionals understand the importance of monitoring clinical outcomes. You apply this principle in your own practice every day, such as reviewing results, adjusting treatment plans, and checking that what you’re doing is actually working for your patient. Evidence-based practice isn’t just about choosing an intervention with a good evidence base. It’s about checking whether it’s working for this person, in this context, and adjusting when it isn’t.

At MINDCHECK HP, we apply the same principle to your care.

What Feedback-Informed Treatment means

Feedback-Informed Treatment (FIT) is an evidence-based approach to psychological practice in which structured client feedback is systematically gathered and used to monitor treatment progress and the quality of the therapeutic relationship, reviewed at every session, not just at the beginning or end of a course of treatment.

FIT draws on a significant body of research demonstrating that two factors are consistently among the strongest predictors of positive outcomes from psychological treatment. The first is the therapeutic alliance, understood as the quality of the working relationship between client and psychologist. The second is the client’s own perception of whether therapy is on the right track. Critically, this research shows that it is the client’s perception of the alliance, not just the psychologist’s, that is the stronger predictor of outcome.

What this looks like in practice

At the start of each session, your psychologist will invite you to complete two brief measures:

The Outcome Rating Scale (ORS) is a four-item measure that takes approximately one minute to complete, assessing how you are feeling across personal, interpersonal, social, and overall wellbeing dimensions. This tracks your progress over time and alerts your psychologist to any areas that aren’t improving as expected.

The Session Rating Scale (SRS) is completed at the end of each session. This assesses your experience of the session itself: whether you felt heard and understood, whether the goals and focus felt right, and whether the overall approach felt like a good fit. This gives your psychologist real-time feedback on the therapeutic relationship and the direction of treatment.

The feedback generated by these measures is reviewed with you openly, not used as an internal clinical note. If something isn’t working, or if a particular focus or approach doesn’t feel right for you, that conversation happens while there is still time to change course.

Why this matters for health professionals specifically

Health professionals can find it difficult to give direct feedback, including to their own treating psychologist. Professional cultures that value competence and self-sufficiency can make it feel disloyal or ungrateful to say that something isn’t working. The formal structure of FIT removes that social friction. It makes feedback a clinical expectation rather than a personal criticism, built into the process from the start, not an awkward conversation that requires the client to initiate it.

FIT also reflects the same evidence-based, outcome-focused standards that health professionals apply in their own clinical work. For practitioners who are accustomed to rigorous professional standards, FIT signals that psychological treatment at MINDCHECK HP is held to the same level of accountability.

In summary

FIT means your psychologist isn’t waiting until the end of your treatment to find out whether it helped. It means your progress is actively monitored, your experience of therapy is regularly checked, and your care is adjusted based on evidence from your own sessions, not on assumption. It is one expression of MINDCHECK HP’s broader commitment to evidence-based, outcomes-focused psychological care for health professionals.