Selecting a rating scale for evaluating services to the chronically mentally Ill

Green, Rex S.; Gracely, Edward J.

doi:10.1007/bf00757163

Cited by 84 publications

(43 citation statements)

References 7 publications

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“…Moreover, the CSI scores were able to differentiate between individuals who reported a need for mental health services and those who did not. CSI was designed to function as a brief self-report measure of psychiatric symptoms (Ciarlo and Edwards 1981;Green and Gracely 1987). Given the demands in mental health practice settings, a 5-min psychiatric interview such as the CSI is a major advantage in its utilization as a measure of prevalence of psychiatric symptoms.…”

Section: Methodsmentioning

confidence: 99%

Using Psychiatric Symptomatology to Assess Risk for HIV Infection in Individuals with Severe Mental Illness

Rothbard

Blank

2011

Community Ment Health J

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In this study, we use the Colorado Symptom Index, a measure of psychiatric symptomatology, to identify vulnerable subgroups within the severely mentally ill population at elevated risk for HIV infection. Baseline data on 228 HIV positive and 281 HIV negative participants from two clinical trials were used. With years to HIV diagnosis as our primary endpoint, Kaplan-Meier estimates were calculated to find a CSI cut-off score, and a Cox proportional hazards model was used to obtain relative risks of infection for the two CSI categories created by the cut point. We found that a CSI score ≥ 30 was associated with a 47% increased risk for HIV infection (P < 0.01). While this study establishes the foundation for using CSI scores to identify a vulnerable subgroup within the SMI community, further studies should develop effective approaches to mitigate psychiatric symptomatology in order to examine the impact on HIV transmission risky behaviors.

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Section: Methodsmentioning

confidence: 99%

Using Psychiatric Symptomatology to Assess Risk for HIV Infection in Individuals with Severe Mental Illness

Rothbard

Blank

2011

Community Ment Health J

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“…Other commonly cited features included feasibility, appropriate case-mix adjustment, and sensitivity to change. From a researcher perspective, these are key factors to consider in the mental health-care quality assessment (Burlingame et al, 2005;Burlingame et al, 1995;Erbes et al, 2004;Green & Gracely, 1987;Hermann et al, 2006;Hermann et al, 2004;Hermann & Palmer, 2002;Lambert et al, 1992;Slade, 2002;Waraich et al, 2010).…”

Section: Existing Frameworkmentioning

confidence: 99%

“…This feature was only cited by two of the ten frameworks, both of which dis-cussed usefulness in the context of utility across settings (Erbes et al, 2004;Green & Gracely, 1987). Conversely, the clinician-participants framed usefulness in terms of improving client engagement, program evaluation, session-by-session feedback, prevention of drop-out, and creating focus in therapy.…”

Section: Initial Motivation and Selecting Measuresmentioning

confidence: 99%

Progress Monitoring Measures: The Interaction of Clinician Initial Motivation with Selection and Maintenance Issues

Knoll¹,

Ioniţă²,

Tomaro³

et al. 2016

PSYCH

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The use of Progress Monitoring (PM) measures has been shown to improve outcomes in therapy for clients who do not follow the normal trajectory of improvement. In addition to improved outcomes, there are several other documented benefits of PM that may motivate clinicians to use PM. Research has examined the broader field of selecting mental health care quality assessment tools and a review of the literature has pointed to the importance of considering motivation for assessment when selecting a measure. However, how motivation influences the selection or maintained usage of PM measures has not been studied. This study examined initial motivation as well as measure selection and continuing use of PM. Consensual Qualitative Research methodology was applied to characterize how clinicians (n = 25) started, selected, and maintained use of PM measures and how initial motivation related to measure selection and continued use. Regardless of initial motivation, convenience and effectiveness emerged as important when selecting and continuing to use a measure. Results are compared to current frameworks for selecting mental healthcare quality indicators. Our results suggest that PM measures need to strike a balance, emphasizing convenience as well as efficacy in order to improve clinical uptake and adherence.

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“…for this population. 77 Interviewer ratings of work, independent living, and social functioning from the RFS were used for this study in accordance with procedures previously reported.15 After interview training, the ICC among 3 interviewers on the RFS items was >0.8. A principal components factor analysis of the 3 items found that there was a single factor with an eigen value greater than 1 that explained 55% of the item variance, lending credence to the use of the global score.…”

mentioning

confidence: 99%

The Prospective Relationships Among Intrinsic Motivation, Neurocognition, and Psychosocial Functioning in Schizophrenia

Nakagami¹,

Hoe²,

Brekke³

2010

Schizophrenia Bulletin

109

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To address significant gaps in our understanding about how neurocognition, intrinsic motivation (IM), and psychosocial functioning are interrelated in schizophrenia, this study investigated the following questions: Is IM stable or dynamic over time? Does neurocognition predict change in IM over time? What is the association between change in neurocognition, change in IM, and change in psychosocial functioning? Finally, what is the causal structure of the relationships among neurocognition, IM, and psychosocial functioning over time? One hundred and thirty individuals diagnosed with schizophrenia or schizoaffective disorder were recruited from 4 community-based psychosocial rehabilitation programs in urban Los Angeles. Measures of neurocognition were taken at baseline and 12 months. Measures of IM, psychosocial functioning, and symptoms were taken at baseline, 6, and 12 months. Results of latent growth curve modeling analyses demonstrated that IM is dynamic over time. Baseline neurocognition was associated with the initial level of IM but did not predict the rate of change in motivation. However, baseline levels of IM predicted rates of subsequent improvement in neurocognition. Change in IM was strongly associated with change in psychosocial functioning, and change in neurocognition was associated with change in psychosocial functioning, but change in IM was not associated with change in neurocognition. Latent difference score analyses revealed that neurocognition caused changes in psychosocial functioning, and psychosocial functioning caused changes in IM. These findings improve our fundamental understanding of the relationships among these variables and contribute to intervention development for improving outcomes in schizophrenia.Key words: intrinsic motivation/neurocognition/ schizophrenia/psychosocial functioning/outcome/ rehabilitation IntroductionRecent studies indicate that neurocognition and intrinsic motivation (IM) have significant functional consequences for individuals with schizophrenia.1-8 Substantial research links aspects of neurocognition to functional outcomes in work, social, and independent living domains (for review, see Green et al ) and functional improvement during rehabilitation. 2,4,5 There is newer but also growing literature linking intrinsic and extrinsic motivation separately to functional outcomes and treatment responsiveness (eg, Choi and Medalia 6). There is also recent evidence that IM mediates the relationship between neurocognition and functional outcomes. 7,8 While knowledge is growing in this area, we lack a fundamental understanding of how these variables are interrelated. A prospective approach is essential to better understand the relationships among neurocognition, IM, and functional outcomes in schizophrenia. Longitudinal multiwave data will allow for an examination of the relationships among change in these variables over time as well as for modeling the causal relationships among them. This will contribute to understanding the relationships among these variables, as w...

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Selecting a rating scale for evaluating services to the chronically mentally Ill

Cited by 84 publications

References 7 publications

Using Psychiatric Symptomatology to Assess Risk for HIV Infection in Individuals with Severe Mental Illness

Using Psychiatric Symptomatology to Assess Risk for HIV Infection in Individuals with Severe Mental Illness

Progress Monitoring Measures: The Interaction of Clinician Initial Motivation with Selection and Maintenance Issues

The Prospective Relationships Among Intrinsic Motivation, Neurocognition, and Psychosocial Functioning in Schizophrenia

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