Encyclopedia of Couple and Family Therapy

Living Edition
| Editors: Jay Lebow, Anthony Chambers, Douglas C. Breunlin


Living reference work entry
DOI: https://doi.org/10.1007/978-3-319-15877-8_403-1

Name and Type of Measure

The Systemic Clinical Outcome and Routine Evaluation, or SCORE, is a questionnaire for completion by literate family members.


The SCORE was developed in the context of family and couple therapy to provide a measure of the quality of functioning within peoples’ close relationships. Its rationale is derived from a systemic therapy perspective of the significance of interactions in close relationships as a potential source of stress and as a major resource in achieving and sustaining therapeutic change.


The SCORE was developed by a team led by Peter Stratton, Emeritus Professor of Family Therapy, Leeds Family Therapy & Research Centre, Institute of Health Sciences, University of Leeds, Leeds LS2 9LJ, UK. Email: p.m.stratton@ntlworld.com.

Description of the Measure

The SCORE is a multi-item self-report instrument for completion by literate family members 7 years and older to monitor progress and outcome in systemic therapy. There are...

This is a preview of subscription content, log in to check access


  1. 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.CrossRefGoogle Scholar
  2. Carr, A., & Stratton, P. (2017). SCORE family assessment questionnaire: A decade of progress. Family Process. 56(2), 285–301.  https://doi.org/10.1111/famp.12280
  3. Cassells, C., Carr, A., Forrest, M., Fry, J., Beirne, F., Casey, T., & Rooney, B. (2014). Positive systemic practice: A controlled trial of family therapy for adolescent emotional and behavioral problems in Ireland. Journal of Family Therapy, 37, 429–449.CrossRefGoogle Scholar
  4. 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(1), 24–42.CrossRefGoogle Scholar
  5. Hamilton, E., & Carr, A. (2016). Systematic review of self-report family assessment measures. Family Process. 55(1), 16–30.  https://doi.org/10.1111/famp.12200.
  6. Hartnett, D., Carr, A., & Sexton, T. (2016). The effectiveness of functional family therapy in reducing adolescent mental health risk and family adjustment difficulties in an Irish context. Family Process, 55(2), 287–304.CrossRefPubMedGoogle Scholar
  7. 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.CrossRefPubMedGoogle Scholar
  8. Józefik, B., Feliks Matusiak, F., Wolska, M., & Ulasińska, R. (2015). Family therapy process − Works on the Polish version of SCORE-15 tool. Psychiatria Polska. https://doi.org/10.12740/PP/OnlineFirst/42894.
  9. Martin, R. (2009). Young people, family factors, resilience, and criminality (Unpublished doctoral DPsychSc thesis). UCD, Dublin.Google Scholar
  10. McKiernan, A., Guerin, S., Quinn, C., & Carr, A. (2016). Respite, family functioning and parental coping in pediatric palliative care. Paper presented at the Second international children’s palliative care conference. Building bridges – home, hospital and hospice: An interdisciplinary conference, Farmleigh House, Phoenix Park, Dublin. 22–23 Apr 2016.Google Scholar
  11. O’Hanrahan, K., Daly White, M., Carr, A., Cahill, P., Keenleyside, M., Fitzhenry, M., Harte, E., Hayes, J., McCullagh, A., McGuinness, S., Noonan, H., O’Shea, H., Rodgers, C., Whelan, N., Sheppard, N., & Browne, S. (2016). Validation of 28 and 15 item versions of the score family assessment questionnaire with adult mental health service users. Journal of Family Therapy.  https://doi.org/10.1111/1467-6427.12107.
  12. Stratton, P. (2014). SCORE: Systemic Clinical Outcome and Routine Evaluation index of family functioning and change. Using the SCORE-15 (with contributions from Judith Lask, Gary Robinson, Marcus Averbeck, Reenee Singh, Julia Bland and Jan Parker). In D. Law & M. Wolpert (Eds.), Guide to using outcomes and feedback tools with children young people and families (pp. 120–128). London: CORC. Accessed at: http://www.corc.uk.net/resources/additional-information-about-the-measures.Google Scholar
  13. Stratton, P., Bland, J., Janes, E., & Lask, J. (2010). Developing an indicator of family function and a practicable outcome measure for systemic family and couple therapy: The SCORE. Journal of Family Therapy, 32(3), 232–258.CrossRefGoogle Scholar
  14. Stratton, P., Lask, J., Bland, J., Nowotny, E., Evans, C., Singh, R., Janes, E., & Peppiatt, A. (2014). Detecting therapeutic improvement early in therapy: Validation of the SCORE-15 index of family functioning and change. Journal of Family Therapy, 36(1), 3–19.CrossRefGoogle Scholar
  15. Teh, Y. Y., Lask, J., & Stratton, P. (2015). 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.  https://doi.org/10.1111/1467-6427.12103.
  16. Vilaça, M., de Sousa, B., Stratton, P., & Relvas, A. P. (2015). The 15-item Systemic Clinical Outcome and Routine Evaluation (SCORE-15) scale: Portuguese validation studies. Spanish Journal of Psychology, 18, E87.CrossRefPubMedGoogle Scholar
  17. Vossler, A., & Moller, N. (2015). ‘We argue a lot and don’t talk with each other’: How distressed are families when seeking Relate family counseling? Counselling and Psychotherapy Research, 15(1), 12–20.Google Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.School of Psychology, University College DublinDublinIreland
  2. 2.Clanwilliam InstituteDublinIreland
  3. 3.Leeds Family Therapy and Research Centre, University of LeedsLeedsUK

Section editors and affiliations

  • Heather Pederson
    • 1
  • Diana Semmelhack
    • 2
  1. 1.Council for RelationshipsPhiladelphiaUSA
  2. 2.Midwestern UniversityDowners GroveUSA