Clinician-administered measures - Rivet Knowledge Base

These are the measures you fill out yourself, during or after a clinical interview. The client never sees the form. They don’t get a link, a text, or an email. You sit with the rater anchors in front of you, ask the structured probe questions, and score each item based on your clinical judgment. Rivet includes six of them: HAM-D, HAM-A, Y-BOCS, YMRS, YGTSS, and C-SSRS. They cover depression, anxiety, OCD, bipolar mania, tic severity, and suicide risk — the clinician-administered counterparts to most of Rivet’s self-report screens.

Why they’re separate from your self-report library

Self-report measures like the PHQ-9 and GAD-7 are designed to be filled by the client. The questions are written in plain second-person English, the scoring is simple, and the psychometrics are validated for unaided self-completion. Clinician-administered measures are different instruments. They have structured rater anchors, severity rubrics that require clinical training to interpret, and inter-rater reliability validated only when a trained interviewer scores them. A HAM-D is not a “long PHQ-9” — it’s a different scale measuring different constructs, with different cut-points, and designed for a different filler. If you sent a HAM-D to a client to fill out, the resulting score would be psychometrically meaningless. That’s the reason these measures are walled off from your normal “send to client” flow.

What Rivet does to enforce it

These six measures are flagged in the template library as clinician-administered. If you try to send one of them as an async link or in-session push, the send is refused before any link is generated. There is no way to bypass this — the picker doesn’t show “send to client” as an option for these templates. The same lockout applies to practitioner-private templates (SOAP, DAP). Practitioner-private notes are blocked from sending for privacy reasons — they autofill from prior PHI. Clinician-administered measures are blocked for psychometric reasons — sending them would invert the instrument. Different reason, same outcome.

How you fill one

Solo fill is the canonical delivery mode. From the Templates tab, pick the measure, tap New response, and the renderer opens with the client selector at the top. You pick the client, answer each item with the rater anchor you choose, and submit. Rivet computes the total, subscales, and severity band and saves the response to the client’s chart. You can also pin one of these measures inside a video session as a practitioner-only view — it renders on your screen, nothing about it is sent to the client’s device, and your selections autosave as you work. The client sees nothing on their side except the normal session UI.

When to choose clinician-administered over self-report

Situation	Clinician-administered	Self-report
Treatment trial / outcome research	HAM-D, HAM-A, Y-BOCS, YMRS	PHQ-9, GAD-7
Inpatient / acute-care setting	All six	Sometimes paired
Client has limited reading / language barrier	Clinician-administered	Avoid self-report
Client may minimize or over-report	Clinician-administered	Adds rater calibration
Routine outcome monitoring in therapy	Self-report is fine	PHQ-9, GAD-7 weekly
Suicide risk screening	C-SSRS (always)	Never substitute

For weekly progress monitoring in psychotherapy, self-report is usually the right tool — it’s lighter, the client engages with the score, and the psychometrics hold up. Clinician-administered measures earn their cost when you need the rater anchors: research-grade outcome tracking, complex presentations, or instruments like the C-SSRS where self-report is explicitly contraindicated.

On suicide risk

The C-SSRS is in this group for a reason. Columbia explicitly states the C-SSRS is not a self-report instrument, and Rivet enforces that. When you administer the C-SSRS, items 4 (intent), 5 (plan), and 6 (behavior in the past 3 months) carry clinical weight that needs your judgment in the room. Rivet captures the data and surfaces high-risk items. The clinical decision — safety plan, means restriction, level-of-care, hospitalization — stays yours. Rivet does not auto-escalate, does not notify anyone, and does not substitute for your in-the-moment assessment.

The six measures

HAM-D

Hamilton Depression Rating Scale, 17-item. Treatment-trial outcome measure for depression.

HAM-A

Hamilton Anxiety Rating Scale, 14 items split across psychic and somatic subscales.

Y-BOCS

Yale-Brown Obsessive Compulsive Scale. Severity tracking for OCD, including ERP outcome measurement.

YMRS

Young Mania Rating Scale. Mood-stabilizer outcome measure in bipolar care.

YGTSS

Yale Global Tic Severity Scale. Motor and phonic tic severity for Tourette’s and chronic tic disorders.

C-SSRS

Columbia Suicide Severity Rating Scale, Screening (Recent). FDA’s standard suicide severity rating.

Sending a measure to a client

How async send works for self-report measures — and why these six are excluded.

Clinical templates overview

The full template library: screening, outcome tracking, substance use, children and adolescents, specialized.

Safety plan HAM-D — Hamilton Depression Rating Scale

⌘I

​Why they’re separate from your self-report library

​What Rivet does to enforce it

​How you fill one

​When to choose clinician-administered over self-report

​On suicide risk

​The six measures