The addictions program has introduced Client Directed Outcome Informed (CDOI), a simple, measurable, effective and feasible outcome-based accountability process. At the beginning of each session, staff ask clients to evaluate how they are doing using the Outcome Rating Scale (ORS). At the end of each session, clients evaluate the effectiveness of the session and the counsellor. These are clinical tools to encourage counsellors to openly discuss the benefit and fit of services with their clients. They allow for immediate client-based feedback. This approach is being used by most counsellors in the program and has received positive responses from clients. They can track how well they are doing based on their own assessment and how they are able to direct services for their own success. This system will provide the rest of the country with a model for accountable counselling services.

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