The Score Family Assessment Questionnaire: A Decade of Progress ALAN CARR* PETER STRATTON † This paper reviews a decade of research (2006–2016) on a family assessment instrument called the Systemic Clinical Outcome and Routine Evaluation (SCORE). The SCORE was developed in Europe to monitor progress and outcome in systemic therapy and has been adopted by the European Family Therapy Association as the main instrument for assessing the outcome in systemic family and couple therapy. There are currently six main versions of this instrument: SCORE-40, SCORE-15, SCORE-28, SCORE-29, Child SCORE-15, and Relational SCORE-15. It has also been translated into a number of European languages. Fifteen empirical studies of the SCORE “family of measures” have been conducted. Most have aimed to establish psychometric properties of these instruments in English and other languages. Others have used the SCORE to document the level of family adjustment in clinical samples or evaluate outcome in treatment trials. There is now sufficient evidence for the reliability and validity of the SCORE to justify the use of brief versions of this instrument to monitor progress and outcome in the routine practice of systemic therapy. Keywords: Family Assessment; Systemic Assessment; Systemic Clinical Outcome and Routine Evaluation Fam Proc x:1–17, 2017 INTRODUCTION T his paper presents a review of research on a family assessment instrument called the Systemic Clinical Outcome and Routine Evaluation (SCORE), which was developed to meet the increasing need for systemic therapy to demonstrate its effectiveness (Carr, 2014a, 2014b, 2016; Stratton, 2014a; Stratton et al., 2015). The SCORE or Systemic CORE was modeled on the Clinical Outcomes and Routine Evaluation (CORE; Barkham et al., 1998; Evans et al., 2000), an instrument widely used in the UK for assessing the outcome in individual psychotherapy. Like the CORE, the SCORE contains questions about clini- cally meaningful issues that change over the course of therapy. The SCORE is a multi- item self-report instrument, for completion by literate family members 7 years and older. There are currently six main versions of the SCORE (SCORE-40, SCORE-15, SCORE-28, SCORE-29, Child SCORE-15, and Relational SCORE-15). All contain between 15 and 40 items, each of which describes an aspect of family functioning (e.g., “In my family we talk to each other about things that matter to us”). Responses to items are given on five- or six- point Likert scales ranging from 1 = describes my family very or extremely well, to 5 or 6 = describes my family—not at all. Items in the 15-, 28-, 29-, and 40-item versions of the SCORE are given in Table S1. In addition to these descriptive items, all versions contain *School of Psychology, University College Dublin, Dublin, Ireland. † Leeds Family Therapy and Research Centre, University of Leeds, Leeds, UK. Correspondence concerning this article should be addressed to Alan Carr, School of Psychology, University College Dublin, Dublin 4, Ireland. E-mail: alan.carr@ucd.ie 1 Family Process, Vol. x, No. x, 2017 © 2017 Family Process Institute doi: 10.1111/famp.12280