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1 " required. The traditional system asked patients to complete questionnaires twice: at the beginning of therapy and at the last session. It failed because many people end therapy at a different time from when their therapist expects. The solution was to move to a session-by-session outcome monitoring system in which patients are asked to complete a simple measure of their symptoms at every session, ensuring that an end of treatment symptom score is almost always available. This system gave the therapist a much better idea of how the patient was progressing. It has also enabled IAPT to record and publish14 the clinical outcomes of 97% of people who have a course of therapy.15 This is a remarkable achievement that ensures we really know how well the services are doing. "
― Richard Layard ,