> ## Documentation Index > Fetch the complete documentation index at: https://docs.getrivet.ca/llms.txt > Use this file to discover all available pages before exploring further. # Clinician-administered measures > The six structured-interview instruments you fill about a client — never sent to them, by design. 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 to a client, the option isn't available — the picker doesn't show "send to client" 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 picker, 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 fill one inside a video session — open it from the in-session toolbar (**Clinical templates ▾**) and it renders on your screen only. Nothing is sent to the client's device, and your selections save as you work. The client sees the normal session view while you ask each question and record the answer. ## 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 Hamilton Depression Rating Scale, 17-item. Treatment-trial outcome measure for depression. Hamilton Anxiety Rating Scale, 14 items split across psychic and somatic subscales. Yale-Brown Obsessive Compulsive Scale. Severity tracking for OCD, including ERP outcome measurement. Young Mania Rating Scale. Mood-stabilizer outcome measure in bipolar care. Yale Global Tic Severity Scale. Motor and phonic tic severity for Tourette's and chronic tic disorders. Columbia Suicide Severity Rating Scale, Screening (Recent). FDA's standard suicide severity rating. ## Related articles How async send works for self-report measures — and why these six are excluded. The full template library: screening, outcome tracking, substance use, children and adolescents, specialized.