> ## 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.

# Measurement-based care

> Validated measures administered in session, scored live, and ready for your record.

Measurement-based care is the practice of administering validated outcome
measures consistently across treatment and using the results to inform what
you do next. Rivet handles the in-session piece: your client fills the
measure on their device during the session, scores compute live as they
answer, and severity bands surface inline. The completed measure copies
into your notes in one tap.

## Start here

<CardGroup cols={2}>
  <Card title="What it is in Rivet" icon="circle-info" href="/measurement-based-care/overview">
    What measurement-based care looks like inside a Rivet session — what
    Rivet handles, what you see on screen, what lands in your notes.
  </Card>

  <Card title="The evidence base" icon="book" href="/measurement-based-care/the-evidence-base">
    Why MBC changes outcomes — the Lambert and Boswell research, in plain
    language.
  </Card>
</CardGroup>

## Day to day

<CardGroup cols={2}>
  <Card title="Administering measures in session" icon="clipboard-check" href="/measurement-based-care/administering-measures-in-session">
    The collaborative fill flow: client fills on their device, you watch the
    score build as they go.
  </Card>

  <Card title="Measure trajectories" icon="chart-line" href="/measurement-based-care/measure-trajectories">
    How session-to-session scores carry forward through your notes today.
  </Card>

  <Card title="Clinical change thresholds" icon="ruler" href="/measurement-based-care/clinical-change-thresholds">
    What counts as meaningful improvement on the most-used measures.
  </Card>

  <Card title="Risk flagging" icon="triangle-exclamation" href="/measurement-based-care/risk-flagging">
    How PHQ-9 Item 9 and C-SSRS high-risk items surface — and what Rivet
    does not do.
  </Card>
</CardGroup>