The measure includes 34 simply worded items all answered on the same five-point scale ranging from `not at all' to `most or all the time'. The items cover four domains: subjective well-being four items), problems/symptoms twelve items), life functioning twelve items) and riskto self and to others; six items). Some items are tuned to lower and some to higher intensity of problems in order to increase scoring range and sensitivity to change; 25% of the items are `positively' framed with reversed scores. Overall, the measure is problem scored i.e. higher scores indicate more problems).
The Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE-OM) is a 34-item self-report measure designed to assess level of psychological distress and outcome of psychological therapies. The 34 items comprise four domains (with each domain comprising specific clusters): specific problems (depression, anxiety, physical problems, trauma), functioning (general day-to-day functioning, close relationships, social functioning, close relationships, social relationships); subjective well-being (feelings about self and optimism about the future); and risk (risk to self, risk to others).