What changed: The scoring method and clinical cutoff for the A-DES have been updated to improve accuracy and interpretability.

For the CA version, the total score calculation has been revised from a sum to a mean calculation, and a clinical cutoff score of 4 has been applied. For the US version, the same clinical cutoff of 4 has also been introduced. A source citation has been added to the Interpretation Guide in both versions for reference.

What changed: The introductory pages of the AUDIT have been revised to improve content parity between the English and French versions.

While a validated, 1:1 French translation of the English introductory text does not exist within the AUDIT's body of literature, language from widely used French iterations of the AUDIT has been incorporated to more closely align with the English version while adhering to language established in AUDIT validation research. A direct translation of the confidentiality statement has also been added to the French version, appearing as line 2 on the first introductory page.

What changed: Skip logic has been updated to ensure all drug categories are screened, regardless of their legal status.

Previously, responses related to substances whose legality varies by jurisdiction — such as marijuana — were skipped unless the respondent had explicitly reported use of illegal substances. This update ensures consistent and complete screening across all respondents.

What changed: A bug has been resolved that was incorrectly calculating the DES-II total score out of 280 instead of the correct maximum of 100. Score colouring has also been updated to clearly distinguish between normal and clinically significant symptom presentations.

What changed: The recipient type for the Emotion Dysregulation Inventory, 30-item (EDI-30) has been updated from Adult (Self-Report) to Parent/Caregiver. The assessment is now configured to be completed by a parent or caregiver on behalf of the patient, reflecting the intended respondent for this measure.

What changed: The question order in the GS-PSS (Care Experience Survey) has been updated. The likelihood to recommend question has been moved from its previous position (Question 8) to appear last, immediately before the open-ended feedback question.

This revised order encourages respondents to reflect on specific dimensions of their care experience — including safety, communication, environment, and outcomes — before providing an overall recommendation.

What changed: The RRS has been reclassified under the Therapeutic Alliance assessment type. This update ensures that RRS results are correctly reflected in the Therapeutic Alliance dashboard, supporting more consistent tracking and reporting of therapeutic relationship data.

What Changed: Conditional logic has been added to Question 1. If a patient responds “no,” the assessment will now skip the remaining questions, as they are only applicable when chronic pain is reported.

This update streamlines the assessment experience and ensures patients are only presented with relevant questions.

What Changed: We worked directly with co-author Dr. Brent Mallinckrodt to update the Symptom Severity thresholds in the Results display to align with percentile ranges derived from a large sample (N = 1,786) from the BR-WAI development study. Scores can now be interpreted relative to the following percentile ranges:

Higher scores indicate a stronger perceived therapeutic alliance. These ranges provide context for individual scores relative to typical client responses, helping clinicians assess the strength of the therapeutic relationship accurately and consistently.

What Changed: The CDC results display has been updated to standardize item-level color coding and align the scoring legend across items:

These updates improve consistency and clarity in how item responses are interpreted.

What Changed: The ChOCI-R-P and ChOCI-R-C results displays have been updated to reflect the Total Impairment Score as the primary scoring metric and to include updated symptom severity thresholds plotted as a single data point on the graph.

ChOCI-R-C (Child) Severity Thresholds

ChOCI-R-P (Parent) Severity Thresholds

These updates provide a clearer representation of total impairment and support more consistent interpretation of symptom severity across both parent and child versions.

What Changed: The CHOIS and CHOIS-ES results displays have been updated to include revisions to subscales, scoring methodology, graph display, interpretation guide, and severity thresholds.

The scoring approach has been revised to use average scores, ensuring more accurate comparisons across subscales with different numbers of items. This scoring methodology is designed to ensure alignment with the literature and clinical best practices for interpreting CHOIS scores. A Total Symptom score has also been added, incorporating all symptom subscales into a single composite metric.

The updated severity thresholds are as follows:

These updates improve consistency in score interpretation and enhance the clarity of visual and interpretive outputs.

What Changed: The GEQ results display has been updated to clearly display scores for 11 subscales, providing more detailed insight into distinct domains of grief and response patterns:

The addition of these subscales supports more nuanced interpretation by highlighting specific aspects of the grief experience.

What Changed: We’re excited to announce that the Greenspace Standard Patient Satisfaction Survey (GS‑PSS) has been updated and is now the Care Experience Survey! Based on your feedback, this update makes capturing care experiences clearer, more meaningful, and more consistent across sites:

The Care Experience Survey helps you gather richer insights into care experiences while keeping reporting and compliance simple — a modern update from the GS‑PSS that truly reflects the people you serve.

What Changed: A suicidality flag now appears in the results display when a patient has endorsed Item 5 (“Suicidality”) in the HEADS-ED assessment.

This update helps clinicians quickly identify patients who may need additional support, enabling timely care and treatment for those who need it.

What Changed: A clinical cutoff has been added to the ICG results display. A total score greater than 25 is now indicated as exceeding the clinical threshold.

This update helps clinicians more easily identify individuals who may be experiencing clinically significant levels of grief symptoms, supporting timely assessment and intervention.

What Changed: The INQ results display has been updated to clearly display scores for two subscales, providing more detailed insight into key constructs of interpersonal risk:

Higher scores indicate stronger endorsement of these constructs. The addition of these subscales supports more nuanced interpretation by distinguishing between different interpersonal dimensions.

What Changed: The RAS-12 results display has been updated to clearly identify patient scores across three subscales, providing more detailed insight into distinct dimensions of self-appraisal:

Higher scores indicate more positive self-appraisals. The addition of these subscales supports more nuanced interpretation by highlighting specific areas of coping and support.

What Changed: A suicidality flag now appears in the Results view when a patient has endorsed any of the following items in the past two months:

This update helps clinicians quickly identify patients who may need additional support, enabling timely care and treatment for those who need it.

What Changed: A “Not Applicable” response option has been added to item 4 (“Affected your work performance”), and scoring now prorates totals and subscale scores when this option is selected. This ensures results are calculated consistently and accurately.

What Changed: We updated Question 29 (“What is your weight at present?”) such that the upper limit has been removed, allowing patients to enter weight values greater than 500 lbs. This ensures assessments can be completed accurately and supports a more inclusive assessment experience.

What Changed: The scoring guide and Results display have been updated to more clearly identify reverse-scored items across the assessment (items 1, 3, 5, 7, 9, and 11), ensuring that total and subscale scores are accurate and easier to interpret.

What Changed: The Results graph now displays the T-score corresponding to the Anxiety/Depression subscale, ensuring consistency with the validated RCADS-47 scoring approach and alignment with the values shown in the results table. This supports more accurate interpretation of symptom severity.

What Changed: We have updated the Results display for the UCLA-PTSD-RI series of assessments, which previously merged results from the child- and parent-report versions onto a single display. Results are now displayed on separate graphs, allowing parent- and child-specific response data to be viewed independently.