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Measurement-based care (MBC) is the practice of giving your clients validated outcome measures on a regular schedule and using the results to guide care. Inside Rivet, that means three things:
  1. You can open a validated measure during a video session and push it to your client’s device in one tap.
  2. Scores compute live as your client answers — totals, subscales, severity bands, and any high-risk item flags appear in your view as they fill.
  3. The completed measure copies into your session notes — the score block, the severity band, and (for SOAP / DAP) the underlying responses if you want them.
The library covers the screening measures you actually use: PHQ-9, GAD-7, K10, DASS-21, PCL-5, PSS-10, ISI, AUDIT, plus child / adolescent versions, ACT process measures, eating, OCD, ADHD, bipolar, and the clinician-administered six (HAM-D, HAM-A, Y-BOCS, YMRS, YGTSS, C-SSRS).

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What that actually means

The transparent version, so you know what to trust. Live scoring. Every standardized scale has its scoring built in. Rivet sums the items, applies any subscale multipliers (DASS-21 × 2, WHO-5 × 4), looks up the matching severity band, and renders the score in your view as the client fills. Reverse-scored items (PSWQ, EPDS, PSS-10, DERS-18, SDQ, SCS-SF and others) are reversed for you, not in the form wording. The math is the same math the source paper specifies. Completed responses save to the client’s record. When your client submits, their item-by-item answers, the computed score, and the severity band are saved to the client’s record. The score feeds the outcomes view and the score-over-time charts visible when you open the client’s contact. To bring the result into your EHR, use “Copy for session notes” or “Download” — that step is what gets it into Jane, Owl, or your paper chart. Transparent scoring. Every score Rivet displays maps back to a published algorithm. The score block in your notes includes the subscale label, the numeric score, the severity band, and any cutoff that fired. Nothing is inferred or estimated.

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What MBC in Rivet is not

  • Not a reminder system. Rivet doesn’t send scheduled nudges or follow-up pings to clients between sessions. The delivery is either in-session or a one-time link — administration is a clinical act, not an automated one.
  • Not a diagnostic engine. Severity bands and cutoffs are surfaced as the published algorithm defines them. Interpretation, diagnosis, and treatment decisions are yours.
Measures can be administered during a video session (the client fills on their device while you watch the score update) or sent as a link from the conversation thread for the client to complete on their own time. The in-session path is the one the research supports most strongly. See Administering measures in session.

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What flows into your notes

When you click “Copy for session notes” or “Download” on a completed measure:
  • The measure title and timestamp
  • Every answered item — verbatim wording on the question, your client’s response on the answer
  • A “Score:” block at the bottom: each subscale’s label, score, severity band (where defined), and any cutoff that fired (“[Cutoff: probable PTSD]”, “[Cutoff: clinical insomnia]”)
  • Any per-field notes you typed alongside the form during the session (private to you, never sent to the client)
If the measure is a SOAP or DAP note, the score from a separately-administered measure earlier in the same session can autofill into the Objective or Data section — so a PHQ-9 score and its band land in your note without re-typing.

The evidence base

Why MBC matters clinically.

Administering measures in session

The collaborative fill flow.

Clinical change thresholds

What counts as a meaningful change on PHQ-9, GAD-7, PCL-5, and more.