This article will provide an illustration of the way in which St. Andrew’s Project, Camphill Aberdeen works with an outcomes measurement framework termed ‘Outcomes that Matter’. Therapeutic support is negotiated with children, their families and supporting agencies following a comprehensive ecological assessment. The intended outcomes for any short or medium term intervention are then agreed with those involved. Achievement profiles are drawn up with each young person on a weekly basis, forming the basis of an outcome-based intervention plan. An example will be provided of recent work with a young person, in which the ‘Outcomes that Matter’ recording format was used collaboratively when working with a particular practice issue.