Measurement-Informed Care FAQs

Our FAQs provide straightforward explanations to your common questions about measurement-informed care (MIC) surveys.

Does Rula have surveys available for child clients younger than 11? 

All therapy clients aged 11 and older receive MIC surveys. Measures for children younger than 11 years old have not yet been distributed.

For adolescents (11+) completing the surveys, should I involve their parents/guardian?

While adolescents 11 and over should complete the surveys independently, parental involvement in treatment (when clinically appropriate) can be valuable. This allows you to gather their perspective on the client's symptoms and care needs.

In couples/family therapy, who fills out the surveys?

Since there is always a primary client in couples and family treatment, the primary client will complete the measurement surveys by answering the questions about themselves.

Are the surveys available in languages other than English? 

The surveys are not currently available in other languages. However, clients may request translation services by contacting Support at or calling (323) 676-7425.

My client isn't receiving the measurement-informed care (MIC) survey bundle. What should I do?

Survey links go to the email used for appointments. First, have your client check their spam folder for emails mentioning "check-in survey." If the client is 11-17, the email might be sent to a parent/guardian. Please discuss this with your client’s parent/guardian to be sure they get access to the survey link. If your client is still unable to find the survey link, have them contact Support at or call (323) 676-7425.

Will MIC data ever be used to supersede my clinical judgment? 

Rula and commercial payers agree that while measurement surveys are a highly valuable source of clinical data, they are not, and will never be, the sole reflection of a client's clinical progress or the quality of care being provided. MIC scores must always be viewed within the full context of other factors that inform assessment, approach, and interpretation of symptom changes.

How does Rula use the data?

Rula analyzes anonymous aggregate trends to assess treatment outcomes. This data is shared with commercial insurance plans for transparency and with referral partners to attract more clients for you. We track therapist use of MIC (i.e., % of time you review client scores in session, for those clients who do complete the surveys) to find ways to support therapists in using MIC to enhance care. Additionally, outcome data is used in a Clinical Care Review process (which only applies to specific clients in California) to evaluate medical necessity for ongoing care, as required by some payer contracts.

Is it mandatory for clients to complete MIC surveys?

We expect all clients to complete these regular check-in surveys as a standard of care with Rula. However, not completing the survey does not prevent treatment from being provided. Technically, a client can “opt out” of the surveys by clicking “UNSUBSCRIBE” on the emails. This is discouraged as surveys are considered to be part of the standard of care and may be required by some payers.

Are there more self-report measures that Rula can automatically send my client, other than the PHQ-9 and GAD-7? 

While the vast majority of clients who come to Rula for care experience depression and/or anxiety (which the PHQ-9 and GAD-7 target), we recognize your need, as an independent private practice therapist, for a broader range of assessment tools. 

In the future, we will be building a "Measurement Library" in the provider portal, offering a variety of self-report measures across diagnoses and populations. This will enhance your use of MIC and provide valuable data to complement the incredible clinical care you already provide.

Are there Clinical Team members at Rula that I can meet with to ask questions and obtain support on using MIC in my practice? 

Yes! The Clinical Quality team (comprised of fellow licensed therapists) hosts several clinical support and case consultation sessions per week. Check out the Therapist Events Calendar to find when these events are scheduled, and the link to join! In addition, you can meet one-on-one with one of our Clinical Quality Specialists, if you prefer. Simply send an email to to get it scheduled.

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