The Measures tab
Measurement-based care in Pippa: PHQ-9, GAD-7, SCOFF, EDE-Q and its subscales, score bands, self-serve check-ins vs in-session scores, and the C-SSRS entry rules.
The Measures tab is where you track validated symptom scores over time. You have two ways to get a score in: record one you administered in session, or send the patient a self-serve check-in they complete in their own app. Either way the score lands on a trend chart with its severity band, so you can watch a symptom move across weeks. This is the basis of measurement-based care.
The instruments and their bands
Pippa supports five instruments. Higher scores mean more severe on every one. The bands below are the validated cutoffs the dashboard colors and alerts on.
| Instrument | Measures | Range | Bands |
|---|---|---|---|
| PHQ-9 | Depression | 0 to 27 | 0 to 4 minimal, 5 to 9 mild, 10 to 14 moderate, 15 to 19 moderately severe, 20 to 27 severe |
| GAD-7 | Anxiety | 0 to 21 | 0 to 4 minimal, 5 to 9 mild, 10 to 14 moderate, 15 to 21 severe |
| SCOFF | Eating-disorder screen | 0 to 5 | 0 to 1 negative, 2 or more positive |
| EDE-Q (global) | Eating pathology | 0 to 6 | up to 1.5 community range, up to 3.99 subthreshold, 4.0 and up clinical |
| C-SSRS | Suicide risk screen | 0 to 6 | 0 none, 1 to 2 low, 3 moderate, 4 to 6 high |
A score in a shaded (action) band is what feeds the patient's concern list on the patient overview and the at-risk column on the roster. For PHQ-9 and GAD-7 that is moderate and up, SCOFF is a positive screen, EDE-Q is 4.0 and up, and C-SSRS is 4 and up.
EDE-Q subscales
EDE-Q is scored as the mean of four subscales, each 0 to 6: restraint, eating concern, shape concern, and weight concern. When a patient self-submits an EDE-Q, the subscale breakdown is shown under that record so you can see whether shape and weight concern are driving a high global score, not just the single number.
Recording an in-session score
Use the composer at the top of the tab to enter a score you administered yourself.
Choose PHQ-9, GAD-7, SCOFF, EDE-Q, or C-SSRS. The score field limits itself to that instrument's range.
Type the total (or for C-SSRS, the item, see below), set the date administered, and press Add score.
Scores you enter this way are clinician-recorded. Patient-submitted scores carry a patient badge so the two sources stay distinguishable in the history.
Assigning a self-serve check-in
Instead of administering a scale yourself, you can send it to the patient's app. Use the Send a check-in control, choose the instrument, and set the repeat: Once, Weekly, Every 2 weeks, or Monthly. The patient completes it in the app, and the score returns here automatically with the patient badge.
You can assign PHQ-9, GAD-7, SCOFF, and EDE-Q as self-serve check-ins. C-SSRS is not assignable; a suicide-risk screen is recorded by a clinician only.
The C-SSRS entry rule
C-SSRS is entered differently from the other scales. You do not sum items. Enter the highest item the patient endorsed, on this scale:
- 0 none
- 1 wish to be dead
- 2 active suicidal thoughts
- 3 thoughts with method
- 4 intent
- 5 plan
- 6 behavior
A score of 4 or higher (intent, plan, or behavior) is a positive screen and pages the care team. See the crisis playbook for what happens next. A positive C-SSRS should always be paired with the patient's safety plan.