Skip to main content

The SCORE in Europe: Measuring Effectiveness, Assisting Therapy

  • Chapter
  • First Online:
Systemic Research in Individual, Couple, and Family Therapy and Counseling

Part of the book series: European Family Therapy Association Series ((EFTAS))

Abstract

This chapter describes Clinical and Research Experiences Across Europe Using the SCORE as an Indicator of Family Functioning and is based on the symposium with that title in the International Systemic Research Conference, Heidelberg, 2017. The crucial importance of being able to report the outcomes of systemic couple and family therapies (SCFT) is discussed and some of the difficulties identified. Following an overview of the development and validation of the different versions of SCORE, the symposium and this chapter follow the timeline of the development and use of SCORE first in the UK and then during the decade of research in Ireland led by Alan Carr, followed by more recent studies in Poland, Portugal and Spain, and Italy (In addition to the authors, this chapter draws on the contributions to the SCORE symposium of Margarida Vilaça, Anna Paula Relvas, Roberto Pereira, Feliks Matusiak, Barbara Jozefik, and Daniele Paolini). We present wider studies of the uses of SCORE in Europe by the EFTA Research Committee as a project led by Peter Stratton and Luigi Schepisi. Finally, we review areas of potential in developments of SCORE measures, possible research projects, and use of SCORE in clinical interventions.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • 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, 210–231.

    Article  Google Scholar 

  • Cahill, P., O’Reilly, K., Carr, A., Dooley, B., & Stratton, P. (2013). Systemic clinical outcome and routine evaluation- 28 (SCORE-28). In C. Simmons & P. Lehmann (Eds.), Tools for strengths-based assessment and evaluation (pp. 447–450). New York, NY: Springer.

    Google Scholar 

  • Carr, A., & Stratton, P. (2017). The score family assessment questionnaire: A decade of progress. Family Process, 56, 285–301. https://doi.org/10.1111/famp.12280

    Article  Google Scholar 

  • Cassells, C., Carr, A., Forrest, M., Fry, J., Beirne, F., Casey, T., et al. (2015). Positive systemic practice: A controlled trial of family therapy for adolescent emotional and behavioral problems in Ireland. Journal of Family Therapy, 37, 429–449. https://doi.org/10.1111/1467-6427.12038

    Article  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.

    Article  Google Scholar 

  • 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, 454–463. https://doi.org/10.1111/famp.12117

    Article  Google Scholar 

  • Hartnett, D., Carr, A., & Sexton, T. (2016). The effectiveness of Functional Family Therapy in reducing mental health risk and family adjustment difficulties in an Irish Context. Family Process, 55(2), 287–304. https://doi.org/10.1111/famp.12195

    Article  Google Scholar 

  • Jewell, T., Carr, A., Stratton, P., Lask, J., & Eisler, I. (2013). Development of a children’s version of the SCORE index of family function and change. Family Process, 52(4), 673–684. https://doi.org/10.1111/famp.12044

    Article  Google Scholar 

  • Jozefik, B., Matusiak, F., Wolska, M., & Ulasińska, R. (2015). Family therapy process—Works on the Polish version of SCORE-15 tool. Psychiatria Polska, www.psychiatriapolska.pl. doi:https://doi.org/10.12740/PP/OnlineFirst/42894

  • Matusiak, F., Józefik, B., Wolska, M., Ulasińska, R., & Stratton, P. (submitted). A quantitative and qualitative analysis of changes in systemic family therapy: Results of the polish clinical version of the SCORE – 15 questionnaire. Psychiatria Polska.

    Google Scholar 

  • O’Hanrahan, K., Daly White, M., Carr, A., Cahill, P., Keenleyside, M., Fitzhenry, M., … Browne, S. (2017). Validation of 28 and 15 item versions of the SCORE family assessment questionnaire with adult mental health service users. Journal of Family Therapy, 39, 4–20. https://doi.org/10.1111/1467-6427.12107

    Article  Google Scholar 

  • Relvas, A. P., Vilaça, M., Rivas, G., & Pereira, R. (2015). SCORE-15: Datos portugueses y españoles. Communication presented at the III Iberian Congress of Family Therapy, Cáceres, Spain.

    Google Scholar 

  • Rivas, G., & Pereira, R. (2015). Validación de una escala de evaluación familiar: adaptación del score-15 con normas en español. III Congreso Ibérico de Terapia Familiar, Caceres.

    Google Scholar 

  • Stratton, P. (2008). Practitioner Research Network in Action: Constructing an outcome measure for therapy with relational systems. The Psychotherapist, 38, 15–16.

    Google Scholar 

  • Stratton, P. (2016). The evidence base of family therapy and systemic practice. Association for Family Therapy, UK. Online copy available at www.aft.org.uk

  • 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.

    Article  Google Scholar 

  • Stratton, P., Lask, J., Bland, J., Nowotny, E., Evans, C., Singh, R., … Peppiatt, A. (2014). Validation of the SCORE-15 Index of Family Functioning and Change in detecting therapeutic improvement early in therapy. Journal of Family Therapy, 36, 3–19. https://doi.org/10.1111/1467-6427.12022

    Article  Google Scholar 

  • Stratton, P., & Low, D. (2020) Culturally sensitive measures of systemic family therapy. In K. S. Wampler, M. Rastogi, & R. Singh, (Eds) Handbook of systemic family therapy (Vol. 4). Systemic family therapy and global health issues. John Wiley and Sons.

    Google Scholar 

  • Stratton, P., McGovern, M., Wetherell, A., & Farrington, C. (2006). Family therapy practitioners researching the reactions of practitioners to an outcome measure. Australian and New Zealand Journal of Family Therapy, 27, 199–207.

    Article  Google Scholar 

  • Stratton, P., Silver, E., Nascimento, N., McDonnell, L., Powell, G., & Nowotny, E. (2015). Couples and family therapy in the previous decade – What does the evidence tell us? Contemporary Family Therapy, 27, 1–12. https://doi.org/10.1007/s10591-014-9314-6

    Article  Google Scholar 

  • Teh, Y. Y., Lask, J., & Stratton, P. (2017). From family to relational SCORE-15: An alternative adult version of a systemic self-report measure for couples and LGB people. Journal of Family Therapy, 39, 21–40. https://doi.org/10.1111/1467-6427.12103

    Article  Google Scholar 

  • Vilaca¸, M., Relvas, A. P., & Stratton, P. (2017). A Portuguese translation of the Systemic Clinical Outcome and Routine Evaluation (SCORE): The psychometric properties of the 15- and 28-item versions. Journal of Family Therapy, 40, 537–556. https://doi.org/10.1111/1467-6427.12197

    Article  Google Scholar 

  • Vilaça, M., Stratton, P., Sousa, B., & Relvas, A. P. (2015). The 15-item systemic clinical outcome and routine evaluation (SCORE-15) scale: Portuguese Validation Studies. The Spanish Journal of Psychology, 18(E87), 1–10. https://doi.org/10.1017/sjp.2015.95

    Article  Google Scholar 

  • Wolpert, M. (2013). Uses and abuses of Patient Reported Outcome Measures (PROMs): Potential iatrogenic impact of PROMs implementation and how it can be mitigated. Administration and Policy in Mental Health and Mental Health Services Research.https://doi.org/10.1007/s10488-013-0509-1. Open access at Springerlink.com

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Stratton, P., Carr, A., Schepisi, L. (2020). The SCORE in Europe: Measuring Effectiveness, Assisting Therapy. In: Ochs, M., Borcsa, M., Schweitzer, J. (eds) Systemic Research in Individual, Couple, and Family Therapy and Counseling. European Family Therapy Association Series. Springer, Cham. https://doi.org/10.1007/978-3-030-36560-8_20

Download citation

Publish with us

Policies and ethics