A B S T R AC TClinical utility of an assessment instrument can provide important information about the potential value of that instrument when used in practice. The aim of this study was to describe social work practitioners' experiences of the clinical utility of a Swedish version of the Home Observation for Measurement of the Environment (HOME) Inventory. Because knowledge of clinical utility in this area is scarce, a qualitative method based on semi-structured interviews was used to gain a deeper understanding of the phenomenon. Data were collected through 16 interviews and then analysed by qualitative manifest content analysis. The analysis yielded five categories: improves quality of child protection investigations, supports practitioners, HOME has drawbacks and difficulties, certain issues are important for future applications and basic conditions are crucial. The findings supported the clinical utility of the HOME Inventory though some critical issues have to be addressed, especially concerning the category basic conditions are crucial. A thorough education, the possibility to practice activities related to the administration of the method and support from management were found to be essential. Replication and further studies are needed in the Swedish context to confirm the applicability of the HOME Inventory.
The aim of this pilot study was to explore psychometric properties of two versions of the Home Observation for Measurement of the Environment Inventory in a Swedish social service sample. Method: Social workers employed at 22 Swedish child protections agencies participated in the data collection. Both classic test theory approaches and Rasch analysis were used. Seventy-five (46 double) protocols of the Early Childhood version and 65 (43 double) protocols of the Middle Childhood version were obtained. Results: The interobserver reliability and Rasch reliability displayed acceptable results. Targeting was satisfying for the middle and more adequate home environments. However, there were mixed results concerning model fit. Conclusion: The scores may be used to identify families with inadequate home environments where children may be at risk.
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