Measuring Progress Toward Recovery
Consumer Recovery Outcomes System
How CROS Works

Account Set-Up Consultation

During implementation, the CROS Project Director and representatives from your site have an Account Set-Up meeting where many of the specific details and procedures can be tailored to your needs. During this process, we can help you determine an appropriate CROS Account Contact Person, the specific population you will survey, data identifiers that will ensure you get the most out of your dataset, an administration schedule and a timeline for receipt of program evaluation reports. This process is part of our outstanding customer service that is provided to CROS users.

Who completes CROS 3.0 questionnaires?

Consumers - CROS may be used with any consumers who participate in programs that use recovery-oriented approaches. CROS was piloted on consumers with diagnoses of Schizophrenia, Major Depression, Bipolar Illness and other severe and persistent psychotic disorders (DSM-IV codes 295.10 to 298.9).

Staff - A staff member who has sufficient contact with the consumer to have a sense of the consumer’s feelings of hope, daily functioning, coping skills and quality of life qualifies to complete CROS.

VIP - The VIP has regular contact with the consumer outside the mental health setting. The VIP can be a spouse, significant other, family member, friend (including another consumer), neighbor, other healthcare provider (e.g., visiting nurse, board & care staff) or a person from the consumer’s church, spiritual group or ethnic community. It is the consumer’s choice whether or not to use a VIP. Participating in CROS should be encouraged if the VIP is someone who may be helpful in encouraging the consumer’s recovery.

CROS Data Identifiers

Consumers and staff who use CROS are registered into the system with unique identifiers. This ensures that incoming CROS data is clean before it enters the database. Three additional data identifiers (Organization, Agency and Program) are available so data can quickly and easily be grouped into meaningful categories for your additional use (e.g., combining CROS data with your internal data for other kinds of research).

CROS Timing

The timing of CROS administration is determined during the Account Set-Up Process. We recommend that CROS be done in conjunction with consumers’ treatment planning processes so that the Treatment Progress Report can be of greatest clinical assistance. A tickler system is available to provide reminders as to which consumers are due to complete a questionnaire.

Submitting CROS 3.0 Questionnaires for Scoring

All CROS 3.0 questionnaires are submitted by fax toll-free to the CROS Service Center for cleaning, scoring and further processing. For convenience, CROS Fax Cover Pages with faxing directions and a confidentiality statement are included. If there are transmittal or readability problems with the questionnaires received, our Customer Service personnel will communicate with the CROS Account contact person in order to resolve the issue, again ensuring the collection of clean and useful data.

How a Treatment Progress Report (TPR) is Generated

CROS 3.0 Consumer, Staff or VIP questionnaires for a particular individual in the database that have been completed within two weeks of each other will match and a TPR will be generated. The TPR will automatically fax to the program’s CROS Account Contact Person who will be responsible for distributing it to the appropriate staff member.

Additional Program Evaluation Reports and Raw Data Availability

Aggregate and outcomes reports are generated on a timeline determined during the Account Set-Up Process. We can also provide a copy of your CROS dataset in an electronic format for your internal use.

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How CROS Works
  • CROS includes input from three perspectives: Consumer, Staff Member & VIP
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  • CROS 3.0 questionnaires are faxed from the mental health program to the CROS Service Center
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  • When questionnaires match in the database...
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  • ...a Treatment Progress Report is generated and immediately faxed back to the program

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  • Program Evaluation Reports are generated according to the timeline specified in the Account Set-Up Progress and returned to the program.