This research-to-practice manual introduces Routine Outcome Monitoring (ROM), a feedback-based approach to preventing impasses and relapses in couple and family therapy as well as within other psychotherapy approaches. This book discusses how ROM has been developed and experienced within the Norwegian couples and family therapy community in line with international trends of bridging the gap between clinical practice and research. Locating the method in evidence-based systemic practice, contributors describe the core techniques, tools, and process of ROM, including examples of effective uses of feedback over different stages of therapy, with individuals in family context, and implemented in different countries. Giving clients this level of control in treatment reinforces the concept of therapy as a collaborative process, fostering client engagement and involvement, commitment to treatment, and post-treatment progress. ROM is applicable across clinical settings and clinician orientations for maximum utility in work with clients, and in building therapeutic self-awareness.