Evaluating risk and functioning in persons with serious and persistent mental illness.

Abstract

and Functioning-Revised (CERF-R), an assessment instrument designed for use with adults with severe and persistent mental illness (SPMI) delineates 18 areas of risk and functioning along with judgments regarding level of care needs. Consensus treatment team ratings were obtained on 736 state hospital patients and 2,607 clients receiving public sector mental health services in the community. Results indicate that the CERF-R exhibits a high level of internal consistency, test-retest, and interrater reliability. Concurrent validity was evident for the functional subscale. The functional and risk items successfully discriminate level of service needs. Factor analysis of the CERF-R is consistent with the three primary reasons persons with SPMI need public mental health services.