Validation of the Perception of Change Scale - Family Version (EMP-F) as a treatment outcome measure in mental health services

OBJECTIVE: This study aimed to validate the Perception of Change Scale - Family Version, which evaluates the perception of family caregivers in regard to the treatment outcomes of psychiatric patients in mental health services. METHOD: Family caregivers (N = 300) of psychiatric patients attending mental health services completed the Perception of Change Scale - Family Version. The scale has 19 items rated in a three-point Likert scale that evaluate changes perceived in the patient's life as a result of treatment. RESULTS: The factorial analysis revealed a four-factor structure, with the following dimensions: 1) occupation, 2) psychological factors, 3) relationships, and 4) physical health. In the internal consistency analysis, Cronbach's alpha coefficient was 0.85. The test-retest temporal stability analysis yielded a significant intraclass correlation coefficient (r = 0.96; p < 0.005). The convergent validity analysis revealed a positive significant correlation with another scale evaluating a distinct but theoretically related construct of family satisfaction with services (r = 0.41; p < 0.05). CONCLUSION: The Perception of Change Scale - Family Version has adequate reliability and construct and convergent validity. It can be used to evaluate treatment outcome in mental health services from the perspective of family caregivers, indicating targets to improve treatment.

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Supplemental Material for Initial Concurrent and Convergent Validity of the Perceived Access Inventory (PAI) for Mental Health Services

Psychological Services ◽

10.1037/ser0000504.supp ◽

2020 ◽

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Convergent Validity ◽

Perceived Access

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Risk-Need-Responsivity Meets Mental Health: Implementation Challenges in Probation Case Planning

Criminal Justice and Behavior ◽

10.1177/00938548211008491 ◽

2021 ◽

pp. 009385482110084

Author(s):

Gina M. Vincent ◽

Rachael T. Perrault ◽

Dara C. Drawbridge ◽

Gretchen O. Landry ◽

Thomas Grisso

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Intraclass Correlation ◽

Probation Officers ◽

Violence Risk ◽

Implementation Challenges ◽

Implementation Effort ◽

Case Planning ◽

Risk Need Responsivity

This study examined the feasibility of and fidelity to risk/needs assessment, mental health screening, and risk-need-responsivity (RNR)-based case planning within juvenile probation in two states. The researcher-guided implementation effort included the Massachusetts Youth Screening Instrument-2 (MAYSI-2), Structured Assessment of Violence Risk in Youth (SAVRY), and policies to prioritize criminogenic needs while using mental health services only when warranted. Data from 53 probation officers (POs) and 553 youths indicated three of five offices had high fidelity to administration and case planning policies. The interrater reliability ( n = 85; intraclass correlation coefficient [ICC][A, 1] = .92 [Northern state] and .80 [Southern state]) and predictive validity ( n = 455; Exp[B] = 1.83) of SAVRY risk ratings were significant. There was an overreliance on mental health services; 48% of youth received these referrals when only 20% screened as having mental health needs. Barriers to fidelity to RNR practices in some offices included assessments not being conducted before disposition, lack of service availability, and limited buy-in from a few stakeholders.

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The contribution of treatment outcome research to the reform of children’s mental health services: Multisystemic therapy as an example

The Journal of Mental Health Administration ◽

10.1007/bf02521330 ◽

1994 ◽

Vol 21 (3) ◽

pp. 229-239 ◽

Cited By ~ 18

Author(s):

Scott W. Henggeler ◽

Sonja K. Schoenwald ◽

Susan G. Pickrel ◽

Melisa D. Rowland ◽

Alberto B. Santos

Keyword(s):

Mental Health ◽

Treatment Outcome ◽

Mental Health Services ◽

Health Services ◽

Outcome Research ◽

Children’S Mental Health ◽

Multisystemic Therapy ◽

Children's Mental Health ◽

Children's Mental Health Services ◽

Children’S Mental Health Services

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The Japanese version of the questionnaire about the process of recovery: development and validity and reliability testing

BMC Psychiatry ◽

10.1186/s12888-017-1520-y ◽

2017 ◽

Vol 17 (1) ◽

Cited By ~ 6

Author(s):

Akiko Kanehara ◽

Risa Kotake ◽

Yuki Miyamoto ◽

Yousuke Kumakura ◽

Kentaro Morita ◽

...

Keyword(s):

Mental Health ◽

Factor Analysis ◽

Mental Health Services ◽

Health Services ◽

Internal Consistency ◽

Convergent Validity ◽

Short Form ◽

Japanese Version ◽

Internal Consistency Reliability ◽

Validity And Reliability

Abstract Background Personal recovery is increasingly recognised as an important outcome measure in mental health services. This study aimed to develop a Japanese version of the Questionnaire about the Process of Recovery (QPR-J) and test its validity and reliability. Methods The study comprised two stages that employed the cross-sectional and prospective cohort designs, respectively. We translated the questionnaire using a standard translation/back-translation method. Convergent validity was examined by calculating Pearson’s correlation coefficients with scores on the Recovery Assessment Scale (RAS) and the Short-Form-8 Health Survey (SF-8). An exploratory factor analysis (EFA) was conducted to examine factorial validity. We used intraclass correlation and Cronbach’s alpha to examine the test-retest and internal consistency reliability of the QPR-J’s 22-item full scale, 17-item intrapersonal and 5-item interpersonal subscales. We conducted an EFA along with a confirmatory factor analysis (CFA). Results Data were obtained from 197 users of mental health services (mean age: 42.0 years; 61.9% female; 49.2% diagnosed with schizophrenia). The QPR-J showed adequate convergent validity, exhibiting significant, positive correlations with the RAS and SF-8 scores. The QPR-J’s full version, subscales, showed excellent test-retest and internal consistency reliability, with the exception of acceptable but relatively low internal consistency reliability for the interpersonal subscale. Based on the results of the CFA and EFA, we adopted the factor structure extracted from the original 2-factor model based on the present CFA. Conclusion The QPR-J is an adequately valid and reliable measure of the process of recovery among Japanese users with mental health services.

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Needs for care in psychiatric patients: a systematic review. I. General concepts and assessment measures. Needs for services

Epidemiologia e Psichiatria Sociale ◽

10.1017/s1121189x00007879 ◽

2000 ◽

Vol 9 (3) ◽

pp. 190-213 ◽

Cited By ~ 3

Author(s):

Antonio Lasalvia ◽

Benedetta Stefani ◽

Mirella Ruggeri

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Services ◽

General Population ◽

Health Services ◽

Mental Health Care ◽

Psychiatric Patients ◽

Assessment Tools ◽

Needs For Care ◽

Number Of Patients

SummaryObjective – In Italy, mental health care is in phase of reorganisation. In this frame the measurement of users' needs may be a useftil tool in planning individualised mental health service interventions and in their evaluation. Aims of the present study are (I) to highlight the basic concepts of 'needs for care' and give a brief description of the main needs assessment tools specifically developed for psychiatric patients; (II) to review studies assessing needs for mental health services in the general population; (III) to discuss the role played by the assessment of needs in planning mental health care. Methods – Studies published in the international literature from January 1980 to June 1999 were reviewed. The studies were located through a computerised search of the databases MEDLINE and PsycLit; in addition, the reference lists of the studies located through the computerised search and the content of main international psychiatric journals were manually scanned in order to avoid possible omissions. Studies assessing needs for services and studies assessing needs on individual level were separately reviewed. Both groups of studies, in turn, were divided in studies assessing needs for mental health care in the general population and in psychiatric patients. Results – Although most studies on needs for services used indirect methodologies and employed quite heterogeneous experimental design, they provide at large overlapping results. In the general population, about 60%- 70% of patients with anxiety, depression and other neurotic disorders and 30%-40% of psychotic patients do not receive any specialist mental health care, suggesting that the majority of subjects suffering from a psychiatric disorder do not receive the mental health care they need. Conclusions – Unmet needs for services show a higher frequency in patients with neurotic and depressive disorders, indicating a shortage in services delivery that should be taken into account both by psychiatrists and mental health planners. Moreover, the finding that a large number of patients suffering from psychotic disorders do not receive any kind of mental health care is of particular relevance for planning mental health services, since these subjects are usually the most problematic and difficult to treat.

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Referrer satisfaction with services provided at a national and specialist clinic for OCD and related disorders in children and adolescents

European Journal for Person Centered Healthcare ◽

10.5750/ejpch.v2i2.718 ◽

2014 ◽

Vol 2 (2) ◽

pp. 201

Author(s):

Doreen Hoerold ◽

Georgina Krebs ◽

Cynthia Turner ◽

Isobel Heyman

Keyword(s):

Mental Health ◽

Treatment Outcome ◽

Mental Health Services ◽

Health Services ◽

Outcome Measure ◽

Satisfaction Questionnaire ◽

After Care ◽

Co Morbidity ◽

Treatment Plans ◽

Satisfaction With Services

Rationale: Referrer satisfaction is an often-neglected outcome measure in mental health services and can inform service improvements. We examined referrer satisfaction with a specialist OCD service for young people.Method: An online satisfaction questionnaire, comprising 19 closed and one open-ended question, was sent to 155 referrers of whom 30 (19.4%) responded.Results: Satisfaction was high overall. However, higher levels of satisfaction were noted with respect to treatment plans as compared to treatment outcome. Referrers also made recommendations for service improvements, such as increased communication during treatment, recommendations for after-care, managing co-morbidity and improving patient engagement.Conclusions: Referrer satisfaction may be improved by addressing these aspects of the service.

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Domestic violence and severe psychiatric disorders: prevalence and interventions

Psychological Medicine ◽

10.1017/s0033291709991589 ◽

2009 ◽

Vol 40 (6) ◽

pp. 881-893 ◽

Cited By ~ 98

Author(s):

L. M. Howard ◽

K. Trevillion ◽

H. Khalifeh ◽

A. Woodall ◽

R. Agnew-Davies ◽

...

Keyword(s):

Mental Health ◽

Domestic Violence ◽

Mental Health Services ◽

Health Services ◽

English Language ◽

Psychiatric Patients ◽

Lifetime Prevalence ◽

Detection Rates ◽

Increased Risk ◽

High Prevalence

BackgroundThe lifetime prevalence of domestic violence in women is 20–25%. There is increasing recognition of the increased vulnerability of psychiatric populations to domestic violence. We therefore aimed to review studies on the prevalence of, and the evidence for the effectiveness of interventions in, psychiatric patients experiencing domestic violence.MethodLiterature search using Medline, PsycINFO and EMBASE applying the following inclusion criteria: English-language papers, data provided on the prevalence of or interventions for domestic violence, adults in contact with mental health services.ResultsReported lifetime prevalence of severe domestic violence among psychiatric in-patients ranged from 30% to 60%. Lower rates are reported for men when prevalence is reported by gender. No controlled studies were identified. Low rates of detection of domestic violence occur in routine clinical practice and there is some evidence that, when routine enquiry is introduced into services, detection rates improve, but identification of domestic violence is rarely used in treatment planning. There is a lack of evidence on the effectiveness of routine enquiry in terms of morbidity and mortality, and there have been no studies investigating specific domestic violence interventions for psychiatric patients.ConclusionsThere is a high prevalence of domestic violence in psychiatric populations but the extent of the increased risk in psychiatric patients compared with other populations is not clear because of the limitations of the methodology used in the studies identified. There is also very limited evidence on how to address domestic violence with respect to the identification and provision of evidence-based interventions in mental health services.

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Robustness of Two Single-Item Self-Esteem Measures: Cross-Validation with a Measure of Stigma in a Sample of Psychiatric Patients

Perceptual and Motor Skills ◽

10.2466/pms.101.1.335-338 ◽

2005 ◽

Vol 101 (1) ◽

pp. 335-338 ◽

Cited By ~ 4

Author(s):

Christopher Bagley

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Cross Validation ◽

Psychiatric Patients ◽

Self Esteem ◽

Good Evidence ◽

Single Item ◽

Competing Models ◽

New Scoring

Robins' Single-item Self-esteem Inventory was compared with a single item from the Coopersmith Self-esteem. Although a new scoring format was used, there was good evidence of cross-validation in 83 current and former psychiatric patients who completed Harvey's adapted measure of stigma felt and experienced by users of mental health services. Scores on the two single-item self-esteem measures correlated .76 ( p<.001), .76 and .71 with scores on the longer scales from which they were taken, and .58 and .53, respectively, with Harvey's adapted stigma scale. Complex and perhaps competing models may explain links between felt stigma and poorer self-esteem in users of mental health services.

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Managing offenders with psychiatric disorders in general psychiatric services

New Oxford Textbook of Psychiatry ◽

10.1093/med/9780199696758.003.0269 ◽

2012 ◽

pp. 2009-2014

Author(s):

James R. P. Ogloff

Keyword(s):

Mental Health ◽

Mental Illness ◽

Mental Health Services ◽

Health Services ◽

Mentally Ill ◽

Psychiatric Patients ◽

Psychiatric Services ◽

Mentally Ill Offenders ◽

General Mental Health ◽

General Community

It has been shown that the prevalence of mental illness among those in the criminal justice system is significantly greater than that found in the general community. As presented in Chapter 11.4, for example, the per capita rate of psychotic illness in prisons is approximately 10 times greater than that found in the general community. Tragically, relatively few services exist that provide continuity of mental health care between gaols and the community. This produces a situation where individuals whose mental illness may have been identified and treated in gaol find themselves without services in the community. Typically, only when in crisis do they find their way into general psychiatric services either in community settings or in hospital. This situation has produced considerable stress on already taxed mental health services. Given the prevalence of offence histories among psychiatric patients, it is important for mental health professionals to be aware of the unique issues—and myths—that accompany patients with offence histories. At the outset it is important to emphasize that the duty of mental health services is to address mental health issues. That ought to be the focus of mental health services. As this chapter makes clear, though, for some patients, there is a relationship between the mental illness and offending and by addressing the mental illness, the risk of re-offending might well be reduced. Moreover, many of the ancillary issues that lead to relapse and destability in psychiatric patients also may lead to offending. Addressing these issues will both help provide long-term stability for patients and will help reduce their risk of offending. As a result, there is a need for general mental health services to acquire expertize to identify and manage patients with offending histories. This chapter will provide information about the relative risk of offending among psychiatric patients and the relationship (or lack thereof) of inpatient aggression and community-based violence and offending. A framework will be provided for assessing and treating patients with offending histories and issues using a typology of mentally ill offenders. The role of forensic mental health services in bolstering general psychiatric services, and in sometimes providing primary care for mentally ill offenders, will also be discussed.

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