Validation Articles

The science behind Outcome Referrals’ services started more than twenty years ago.


The following diagnostic publications illustrate the TOP’s outstanding factor structure and sensitivity to change.

Best Outcomes

Most clinicians see patients with whom they are effective as well as patients with whom they are reliably ineffective or even harmful. It is only when we better assess and match a patient’s problems (e.g., Major Depression) with a clinician who is reliably effective in treating that problem that we can double the chances of successful treatment and bring down total healthcare costs.

Provider Friendly

Built by and for providers, TOP and its reporting and quality improvement roadmaps help providers document and improve the quality of care.

Outcome Referrals celebrates the unique strengths of each clinician. 96% of clinicians document at least one area of expertise and more than 50% have five or more areas of documented expertise.


According to Robert Wood Johnson, 8% of the population has both chronic medical and psychiatric problems. This population is consuming 54% of healthcare dollars in the US. When these patients’ problems are successfully addressed, their total cost of care is reduced by an average of 20%.

Child Welfare