Development and Validation of a Level-of-Care Instrument for Predicting Residential Placement

Kramer, Henk; Massey, Oliver T.; Pokorny, Lois J.

doi:10.1176/ps.41.4.407

Cited by 18 publications

(9 citation statements)

References 7 publications

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“…So important is the issue, in fact, that it was identified in the initial 1992 National Mental Health Strategy (NMHS), and has since been reaffirmed in the Federal Government’s 1997/98–2000/1 renewal of the policy ( Whiteford, 1997). The provision of appropriate housing has been recognized by many researchers as a means to enhance the effectiveness of treatment and rehabilitation services, to maintain treatment gains, and to decrease the opposition to the ongoing direction of deinstitutionalization ( Barling, 1997; Kramer, Massey & Pokorny, 1990). Without strenuous attention to preventive interventions such as appropriate housing, the morbidity and mortality arising from mental health problems have continued to be compounded.…”

Section: Appropriate Housing: An Unmet Needmentioning

confidence: 99%

Permanent and stable housing for individuals living with a mental illness in the community: A paradigm shift in attitude for mental health nurses

Moxham

Pegg

2000

Australian and New Zealand Journal of Mental Health Nursing

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The provision of appropriate housing for individuals with a mental illness has been recognized by a number of researchers as a means to enhance effectiveness of treatment and rehabilitation services, to maintain treatment gains, and to decrease community opposition to deinstitutionalization. Whether community-based services, which are now meant to be the focus of treatment, are successful or not is crucially related to the nature and availability of accommodation. This paper argues a case for change in the current philosophical basis of, and services provided by, mental health professionals and agencies that are charged with the responsibility of meeting the housing needs of consumers of mental health services. This change, it is contended, needs to be to an approach that is more flexible, more supportive of the consumer, and in which the consumers are empowered to make decisions and choices about their housing needs.

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Section: Appropriate Housing: An Unmet Needmentioning

confidence: 99%

Permanent and stable housing for individuals living with a mental illness in the community: A paradigm shift in attitude for mental health nurses

Moxham

Pegg

2000

Australian and New Zealand Journal of Mental Health Nursing

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“…8,9 Placement instruments have also been developed that are focused on community residential options in a particular jurisdiction. 10,11 These instruments assess everything from physical abilities to problem behaviors and self-care.…”

Section: Introductionmentioning

confidence: 99%

Using the Resident Assessment Instrument-Mental Health (RAI-MH) to Determine Levels of Care for Individuals with Serious Mental Illness

Gibbons

Dubois

Ross

et al. 2007

J Behav Health Serv Res

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This paper outlines the development of an algorithm to determine appropriate levels of care (LOC) for individuals with a serious mental illness (SMI). The algorithm, drew on several domains of the Resident Assessment Instrument-Mental Health (RAI-MH) to support a statistical model that would explain a maximum of variance with the gold standard, a consensus-based global rating of required LOC. The RAI-MH model explained 67.5% of the variance. The validity of the model was further examined by determining how the discrepancy between the current and predicted levels of care related to psychiatric outcomes. The results demonstrated that undersupported clients experienced significant negative psychiatric outcomes compared to clients receiving adequate care. Although the model based on the RAI-MH is not perfect, the results warrant further research to determine its usefulness in predicting required LOC.

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“…The SLICLS-C has good internal consistency as evidenced by a Cronbach alpha of .96, which is compatible with that of the SLICLSs. The Cronbach alpha values for the most frequently used community living skills scales are as follows: Community Ability Scale .90 (Barker, Massey & Pokorny, 1994); MLC Community Skills subscale .98 (Massey et al, 1989; Kramer et al, 1990); SLOF Community Skills subscale .98 (Schneider & Struening, 1983); Independent Living Skills Survey .69 (Cyr et al, 1994). These figures indicate that the SLICLS-C has excellent internal consistency, implying that the assessment was very reliable.…”

Section: Discussionmentioning

confidence: 99%

Cross-Cultural Validation of the St. Louis Inventory of Community Living Skills for Chinese Patients with Schizophrenia in Hong Kong.

Tam²,

Tam³

et al. 2005

Psychiatric Rehabilitation Journal

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Development and Validation of a Level-of-Care Instrument for Predicting Residential Placement

Cited by 18 publications

References 7 publications

Permanent and stable housing for individuals living with a mental illness in the community: A paradigm shift in attitude for mental health nurses

Permanent and stable housing for individuals living with a mental illness in the community: A paradigm shift in attitude for mental health nurses

Using the Resident Assessment Instrument-Mental Health (RAI-MH) to Determine Levels of Care for Individuals with Serious Mental Illness

Cross-Cultural Validation of the St. Louis Inventory of Community Living Skills for Chinese Patients with Schizophrenia in Hong Kong.

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