I. Introduce PCOMS TWO streams leading ups to PCOMS Policy and Values (and Politics) Recovery movements Substance abuse Disabilities SPMI VA’s Measurement Based Care in Mental Health Initiative Science Psychotherapy Process and Outcome

I. Introduce PCOMS TWO streams leading ups to PCOMS Policy and Values Privilege the client’s voice Clients have ideas about well-being and treatment Clients like to be asked Asking leads to better outcomes Listening leads to even BETTER outcomes Asking clients their opinions about treatment leads to better therapists