Using the MORS
Is the MORS a clinical tool or an administrative tool? How can it be used for either/both application?
The MORS was originally developed as an administrative tool to measure where individuals are in their journey of recovery and produce data that describe the journey of recovery over time. During its creation and testing, the tool was also shown to have clinical/therapeutic value. Strategies and interventions based on the individual’s level of recovery can be discussed in team meetings and other collaborative environments.
How often should the MORS be administered?
The length of time between administrations of the MORS will vary, primarily depending on the caseload of the staff doing the rating. Generally, the lower the caseload, the more often the ratings can be done. The more frequently MORS is administered the more data points are collected which can allow for more meaningful analysis. The creators of MORS recommend that MORS is administered quarterly at a minimum. MORS is administered monthly in the MHA service programs where it was created and tested.
Who should complete the MORS?
Any person employed by the program where the individual receives services who has received “Introduction to MORS” training may complete the MORS. The employee who knows the individual best and/or had the most contact with the individual in the period of time being assessed is often the best choice. MORS ratings can also be completed via consensus in a team to allow for discussion.
Should MORS ratings be done individually or by consensus on a team?
We believe that it is highly desirable to complete the MORS ratings via consensus in a team to allow for discussion. Team rating processes promote greater interrater reliability and the discussions that occur are where the clinical/therapeutic value of the MORS is greatest.
Is it appropriate to use MORS in an involuntary treatment setting?
It is appropriate to use MORS in an involuntary treatment setting. However, most individual ratings typically will be the same or within a very small range because of the stage of recovery of the individuals involved.
Is it appropriate to use MORS in a crisis?
MORS should not be used as a risk assessment tool or during a crisis.
Are the MORS ratings applied to the individuals I provide services to going to make them ineligible for services or housing?
No. MORS is part of the transformation of mental health towards a recovery oriented system, which includes movement through the system as a core value. MORS can give some insight into how and when individuals get better and therefore require a lower level of care. While it can assist in decisions regarding level of service, it should not be used as a sole indicator of readiness to move on.
How will we use the MORS where I work?
Many of the decisions about how to use MORS (like how often it is administered) are individual to the programs using the scale. MHALA suggests administering the MORS quarterly (at a minimum) in a team environment. MHALA advocates that valid MORS data collected over time can inform decisions about services and level of care. For more information about how a 3-stage model of care system can be applied using MORS, please see the Training and Resources page.
Is MORS compatible with Medicaid billing?
Yes. The time spent rating is billable as an assessment. That amount of time is so small, however, that it will likely be best documented at the end of another service with the individual. Because the MORS is an assessment of an individual’s current status, it will generally be accepted as part of any Medicaid documentation. Because local medicaid rules differ, it’s always better to check first.