Systematic Clinical Outcome and Routine Evaluation (SCORE)

Systematic Clinical Outcome and Routine Evaluation (SCORE)
Cahill et al.‚ 2010
Systematic Clinical Outcome and Routine Evaluation-28 (SCORE-28)
Cahill et al.‚ 2010
1.    Being in this family is important to us
2.    People do things that show that they care about each other in my family
3.    We are a very organized family
4.    People in my family interfere too much in each other’s lives
5.    Our family shares enjoyable times together
6.    One person tends to get blamed for everything in my family
7.    People often don’t tell each other the truth in my family
8.    If something is going wrong in our family we know we can change it
9.    We find it hard to deal with everyday problems
10.When people in my family get angry they ignore each other on purpose
11.Life in our family is very difficult.
12.Each of us gets listened to in our family
13.People in my family are willing to change their views about things
14.In our family it is OK to show how you feel
15.In my family people prefer to watch TV than to spend time with each other
16.Other people look down on our family because we are different
17.When one of us is upset he or she get looked after in the family
18.Respecting elders is important in our family
19.It feels miserable in our family
20.People in our family lie to each other
21.In my family we blame others when things go wrong
22.Things always seem to go wrong for my family
23.In my family we talk to each other about the things that matter to us
24.We are good at finding new ways to deal with things that are difficult
25.People in the family are nasty to each other
26.We trust each other
27.People slam doors‚ throw things‚ or make a lot of noise if they are upset
28.We seem to go from one crisis to another in my family
29-A. What do you think is the biggest problem/challenge for the family at the moment? Please name it and mark on the line how difficult it is for your family to cope with.
The main problem is:
29-B. It is now no problem at all 1 2 3 4 5 6 7 8 9 10 It is really awful
29-C. It doesn’t affect us much 1 2 3 4 5 6 7 8 9 10 It totally spoils our family life
Systematic Clinical Outcome and Routine Evaluation-15 (SCORE-15)
Stratton‚ Lask‚ Robinson‚ et al
1.    In my family we talk to each other about things which matter to us
2.    People often don’t tell each other the truth in my family
3.    Each of us gets listened to in our family
4.    It feels risky to disagree in our family
5.    We find it hard to deal with everyday problems
6.    We trust each other
7.    It feels miserable in our family
8.    When people in my family get angry they ignore each other on purpose
9.    We seem to go from one crisis to another in my family
10.When one of us is upset they get looked after within the family
11.Things always seem to go wrong for my family
12.People in the family are nasty to each other
13.People in my family interfere too much in each other’s lives
14.In my family we blame each other when things go wrong
15.We are good at finding new ways to deal with things that are difficult
What words would best describe your family?
What is the problem/challenge that brought you to therapy?
The main problem is………………
How severe is it? Please mark your answer on the line below:
no problem at all 0 1 2 3 4 5 6 7 8 9 10 really bad
How are you managing as a family?
Very well 0 1 2 3 4 5 6 7 8 9 10 very badly
Do you think the therapy here will be / has been helpful?
Very helpful 0 1 2 3 4 5 6 7 8 9 10unhelpful
Systematic Clinical Outcome and Routine Evaluation-15 (SCORE-15)
Version for younger children
1.    In my family we talk to each other about things which matter to us
2.    In my family people often do not tell each other the truth
3.    In my family every person gets listened to
4.    In my family it feels risky or scary to disagree
5.    We find it hard to deal with everyday problems
6.    We trust each other
7.    It feels miserable in our family
8.    In my family when people get angry they ignore each other on purpose
9.    In my family we seem to go from one big problem to another
10.When one of us is upset they get looked after in my family
11.Things always seem to go wrong for my family
12.People in the family are nasty to each other
13.People in my family interfere or get involved too much in each other’s lives
14.In my family we blame each other when things go wrong
15.We are good at finding new ways to deal with things that are difficult
Could you tell us what words best describe your family?
What is the biggest problem for your family at the moment?
How big is this problem for your family? Please put a mark on the line below:
No problem 0 1 2 3 4 5 6 7 8 9 10Very big problem
Systematic Clinical Outcome and Routine Evaluation-15 (SCORE-15)
Child Version
1.    In my family we talk to each other about things which matter to us
2.    People often don’t tell each other the truth in my family
3.    Each of us gets listened to in our family
4.    It feels risky to disagree in our family
5.    We find it hard to deal with everyday problems
6.    We trust each other
7.    It feels miserable in our family
8.    When people in my family get angry they ignore each other on purpose
9.    We seem to go from one crisis to another in my family
10.When one of us is upset they get looked after within the family
11.Things always seem to go wrong for my family
12.People in the family are nasty to each other
13.People in my family interfere too much in each other’s lives
14.In my family we blame each other when things go wrong
15.We are good at finding new ways to deal with things that are difficult
What words would best describe your family?
What is the problem/challenge that brought you to therapy? The main problem is …..
How severe is it? Please mark your answer on the line below:
no problem at all 0 1 2 3 4 5 6 7 8 9 10 really bad
How are you managing as a family?
very well 0 1 2 3 4 5 6 7 8 9 10 very badly
Do you think the therapy here will be / has been helpful?
very helpful 0 1 2 3 4 5 6 7 8 9 10 unhelpful
Systematic Clinical Outcome and Routine Evaluation-40 (SCORE-40)
Stratton‚ Lask‚ Janes‚ & Bland‚ 2010
1.    Being in this family is important to us
2.    People do things that show that they care about each other in my family
3.    We are a very organised family
4.    It feels risky to disagree in our family
5.    People in my family interfere too much in each other’s lives
6.    Our family shares enjoyable times together
7.    One person tends to get blamed for everything in my family
8.    People often don’t tell each other the truth in my family
9.    If something is going wrong in our family we know we can change it
10.The rules are fair in our family
11.We find it hard to deal with everyday problems
12.When people in my family get angry they ignore each other on purpose
13.Life in our family is very difficult.
14.Each of us gets listened to in our family
15.People in my family are willing to change their views about things
16.There are no rules in my family
17.In our family it is OK to show how you feel
18.In my family people prefer to watch TV than to spend time with each other
19.Other people look down on my family because we are different
20.When one of us is upset they get looked after within the family
21.Respecting elders is important in our family
22.It feels miserable in our family
23.Being with some family members can be frightening
24.People in our family lie to each other
25.In my family we blame each other when things go wrong
26.Things always seem to go wrong for my family
27.We hardly ever put each other down in my family
28.People hit each other a lot in my family
29.In my family we ignore our problems in the hope that they will go away
30.In my family we talk to each other about the things that matter to us
31.We are good at finding new ways to deal with things that are difficult
32.People in the family are nasty to each other
33.We trust each other
34.We get into a muddle about who should do what
35.In my family it’s OK to spend time on your own if you want to
36.People slam doors‚ throw things or make a lot of noise if they are upset
37.My family feels part of a wider community
38.We seem to go from one crisis to another in my family
39.My family is very strict
40.We feel hopeful about the future
You may feel that some questions/answers were particularly informative about your family.
If so‚ would you please tell us the numbers of those items……
You may feel that some questions were difficult to answer informatively (e.g. confusing‚ badly phrased‚ unacceptable). If so‚ would you please tell us the numbers of those items…..
 (a) Pre-therapy version
41.What words would best describe your family?
42.What do you think is the biggest problem/challenge for the family at the moment?
Please name it and mark on the line how bad it is now and how difficult it is for your family to cope with:
The main problem is………………………………….……………………………………………
It is now:
no problem at all ___________________________ really awful
It doesn’t affect us much _____________________ totally spoils our family life
43.Can you say what change you would most hope for in the near future?
I would like to see a change in……………………………………………………………………
44.Do you think that family therapy will be the right kind of approach for the problems that you have? Please mark your answer on the line below:
totally wrong _________________________________ exactly right
45.Can you tell us how you felt about filling in this questionnaire?
Family Strengths‚ Family Communication‚ Family Difficulties
1= Extremely well‚ 2= Very well‚ 3= Well‚ 4= A bit‚ 5= Not well‚ 6= Not at all
Scoring Instructions for the 29-item version (Cahill et al.‚ 2010; Fay et al.‚ in press)
Family Strengths–29 = (1 + 2 + 3 + 5 + 8 + 12 + 14 + 17 + 18 + 23 + 24 + 26) / 13
Family Difficulties–29 = (R9 + R11 + R16 + R19 + R22 + R28) / 6
Family Communication–29 = (R4 + R6 + R7 + R10 + R15 + R20 + R21 + R25 + R27) / 9
Scoring Instructions for the 15-item version (Fay et al.‚ 2013; Stratton et al.‚ 2010)
Family Strengths–29 = (12 + 17 + 23 + 24 + 26) / 5
Family Difficulties–29 = (R9 + R19 + R21 + R22 + R28) / 5
Family Communication–29 = (R4 + R7 + R10 + R25 + R27) / 5

Stratton‚ P‚ Bland‚ J.‚ Janes‚ E & Lask‚ J. (2010). Developing a practicable outcome measure for systemic family therapy: The SCORE. Journal of Family Therapy. 32‚ 232-258.

Cahill‚ P.‚ O’Reilly‚ K.‚ Carr‚ A.‚ Dooley‚ B.‚ & Stratton‚ P. (2010). Validation of a 28-item version of the systemic clinical outcome and routine evaluation in an Irish context: The SCORE-28. Journal of Family Therapy‚ 32(3)‚ 210–231.

Cahill et al.‚ (2010). Systematic Clinical Outcome and Routine Evaluation-28. In: Simmons C. A.‚ Lehmann P. (eds). Tools for strengths-based assessment and evaluation‚ New York‚ NY: Springer‚ pp. 447-450. (2013). Google Scholar

Fay‚ D.‚ Carr‚ A.‚ O'Reilly‚ K.‚ Cahill‚ P.‚ Dooley‚ B.‚ Guerin‚ S. & Stratton‚ P. (2013) Irish norms for the SCORE-15 and 28 from a national telephone survey. Journal of Family Therapy. 35‚ 24-42

Hamilton‚ E.‚ Carr‚ A.‚ Cahill‚ P.‚ Cassells‚ C.‚ & Hartnett‚ D. (2015). Psychometric Properties and Responsiveness to Change of 15- and 28-Item Versions of the SCORE: A Family Assessment Questionnaire. Family Process‚ 54 (3)‚ 454-463.