> ## 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.
# What measurement-based care is in Rivet
> Validated measures administered in session, scored live, with results captured for your record.
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).
## 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.
## 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](/measurement-based-care/administering-measures-in-session).
## 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.
## Related articles
Why MBC matters clinically.
The collaborative fill flow.
What counts as a meaningful change on PHQ-9, GAD-7, PCL-5, and more.