Adult Needs and Strengths Assessment–Abbreviated Referral Version to Specify Psychiatric Care Needed for Incoming Patients: Exploratory Analysis

Abstract

The present study examined the Adult Needs and Strengths Assessment-Abbreviated Referral Version ratings for a group of 272 incoming psychiatric patients over a 2-yr. period to assess whether the rating scale was useful in predicting clinical placement for psychiatric treatment. Participants were patients (125 women) admitted to Regional Mental Health Care, St. Thomas, Canada between April 2004 and June 2006. Most participants were Euro-Canadian and ranged in age from 16 to 87 years. Clinical cutoff scores were established using observed mean differences in the patients' total scores and are expected to help guide psychiatric triage and longer term rehabilitation placement decisions. A canonical discriminant function analysis showed 85.9% of original level of care placements were correctly classified. The rating scale is a valid and reliable tool to specify level of psychiatric care needed for adults with mental disorders.

Examining the Effectiveness of Integrated Behavioral and Primary Health Care Treatment

“…The validity evidence for the ANSA is a function of the level of care decision yielded from administration (Lyons & Walton, ). Nelson and Johnston () examined the ANSA–Abbreviated Referral Version in predicting clinical placement of 272 incoming psychiatric patients for a period of 2 years. Results indicated a significant difference between treatment intensity mean scores across person's who were placed into ambulatory care (outpatient care), acute inpatient stabilization, and long‐term tertiary rehabilitation (Nelson & Johnston, ).…”

Assessing the strengths of mental health consumers: A systematic review.

“…Although there was some supporting evidence in this context, with the analysis indicating a significant different between three different patient group (ambulatory clinic, acute ward and tertiary ward), no other psychometric properties were formally investigated (Nelson & Johnston, 2008). For both the ANSA-A and ANSA, there was no involvement of the target group in the design or method of developing the assessment, therefore, this area was rated as poor.…”

“…1 Psychometric study (Nelson & Johnston, 2008) Name of Assessment Brief description Mental health research 12. Values In Action -Inventory of Strengths (Peterson & Seligman, 2004) Self-report scale based measure containing 240 items rated on a five-point likert scale.…”

“…Adults Needs and Strengths Assessment -Abbreviated (Nelson & Johnston, 2008) Clinician administered scale-based measure. Abbreviated version of the above including16 closed questions.…”

A reverse colocated integrated care model intervention among persons with severe persistent mental illness at the U.S.-Mexico border: A randomized controlled trial protocol

“…Using the PHQ-9 assessment tool [28], patients’ depressive symptoms will be categorized into severity categories as follows: 0–4 minimal, 5–9 mild, 10–14 moderate, 15–19 moderately severe, and 20–27 severe. The ANSA assessment tool, specifically the 14 constructs assessing life functioning, will be used to measure functioning and quality of life [29]. These constructs will be scored as either no evidence of problem (0), history/mild (1), moderate (2), or severe (3).…”