The hospital information system was a useful tool for retrospectively detecting patients with an NI during the ICU stay. Given its high sensitivity, it may be useful as an alert for the NI team.
A factor analysis of data from 1,295 administrations of a level of care instrument produced a seven‐factor solution. The scales developed from these factors through a simple unit weighting procedure were internally reliable and replicable on an additional sample of clients. The seven factors are discussed in terms of level of functioning measures. Results suggest that community living skills and self‐care skills are two among several robust dimensions of level of functioning in psychiatric clients. Implications are discussed.
A summary measure of clients' level of functioning could assist mental health agencies to better document and evaluate their services. Currently, numerous state mental health authorities collect a level of functioning measure within a management information system on virtually all clients served with state resources. The uses of these data include describing the clientele, defining a priority population for services, preparing performance indicators and measuring contract obligations. However, clearer delineation of the construct of functioning, further exploration of the psychometric properties of the instruments and stricter procedures to ensure the accuracy of data would result in data that are more useful for both management and research.
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