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Uses of an empirically derived client typology based on level of functioning: Twelve years of the CCAR

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Abstract

The Colorado Client Assessment Record (CCAR) is a problem checklist and level of functioning rating instrument used to describe admissions to a public mental health system. A brief, non-technical summary of recent research and administrative applications involving this instrument is presented. A stable factor structure, generalizable to several diverse client populations, is reported. Scaling procedures for measuring these procedures and a client typology based on this scaling are described. The client typology is differentially related to the types of services received and the costs of treatment episodes. The typology is also used to understand differences in case mixes and lengths of stay at two state hospitals.

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References

  1. Overall, J, Gorham, D: The brief psychiatric rating scale.Psychological Reports 1962; 10: 799–812.

    Article  Google Scholar 

  2. Luborsky, L: The health-sickness rating scale: sample cases and rating forms.Bulletin of The Menninger Clinic 1975; 35:444–480.

    Google Scholar 

  3. Ellis RH, Wilson NZ, Foster M: Statewide treatment outcome assessment in Colorado: the Colorado client assessment record (CCAR).Community Mental Health Journal 1984; 20:72–89.

    Article  PubMed  CAS  Google Scholar 

  4. Glover RW, Wilson NZ:Definitions of Chronic, Critical and Serious. Denver, CO: Colorado Division of Mental Health, 1987.

    Google Scholar 

  5. Ellis RH: An empirical method for determining who is chronically mentally ill.Proceedings of the Annual WICHE Management Information Systems Conference, Boulder, CO: Western Interstate Conference on Higher Education, 1989.

    Google Scholar 

  6. Ellis RH:Bed Allocation in Colorado State Hospitals, Denver, CO: Colorado Division of Mental Health, 1984.

    Google Scholar 

  7. Reihman J, Wolford K, Knapp W, et al.: Treatment outcomes in a day treatment program.International Journal of Partial Hospitalization, 1983; 2:17–31.

    PubMed  CAS  Google Scholar 

  8. Pokorny LJ:Feasibility Assessment: The Inclusion of a Level of Functioning Measure in the Minimum Dataset of the Mental Health Statistics Improvement Program, Washington, DC: U.S. Department of Health and Human Services, 1986.

    Google Scholar 

  9. Shern DL:Innovative Community Programs and Types of Mentally Ill Individuals, Denver, CO: Colorado Division of Mental Health, 1986.

    Google Scholar 

  10. Shern DL:The Special Population Study of the Chronically Mentally Ill: Descriptive Analyses of Client Psycho-social Characteristics, Migration Patterns and Geographic Distribution Denver, CO: Denver Department of Health & Hospitals, 1983.

    Google Scholar 

  11. Stahler GJ: The factor structure of the Colorado level of functioning measure.Journal of Clinical Psychology 1981; 43:696–699.

    Google Scholar 

  12. Stahler GJ, Rapaport, H: Do therapists bias their ratings of patient functioning under peer review?Community Mental Health Journal 1986; 22:265–274.

    Article  PubMed  CAS  Google Scholar 

  13. Wackwitz, JH, Foster, F, Ellis, RH:Factor Analysis and Scaling of the Colorado Client Assessment Record (CCAR), Denver, CO: Colorado Division of Mental Health, 1990.

    Google Scholar 

  14. Wackwitz, JH, Foster, F, Ellis, RH:Factorial Invariance and Sensitivity to Group Differences of the Colorado Client Assessment Record (CCAR), Denver, CO: Colorado Division of Mental Health, 1990.

    Google Scholar 

  15. Wackwitz, JH, Foster F, Ellis, RH:An Empirically-Based Typology of Mentally Ill Persons, Denver, CO: Colorado Division of Mental Health, 1990.

    Google Scholar 

  16. Eysenck HJ: Superfactors P, E, & N in comprehensive factor space.Multivariate Behavioral Research 1978; 13:475–481.

    Article  Google Scholar 

  17. Wackwitz, JH, Horn, JL: On obtaining the best of factor scores within an ideal simple structure.Multivariate Behavioral Research 1971; 6:389–408.

    Article  Google Scholar 

  18. SPSS-X User’s Guide (3rd ed.). Chicago, IL: SPSS Inc., 1988.

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Author information

Authors and Affiliations

  1. Decision Support Services, Colorado Division of Mental Health, 3520 West Oxford Ave., 80236, Denver, CO

    Richard H. Ellis Ph.D. (Researcher)

  2. Rural Crisis Grant, Colorado Division of Mental Health, Colorado, USA

    John H. Wackwitz Ph.D. (Project Coordinator)

  3. Treatment Outcome Grant, Colorado Division of Mental Health, Colorado, USA

    Mark Foster M.S. (Research Analyst)

Authors
  1. Richard H. Ellis Ph.D.
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  2. John H. Wackwitz Ph.D.
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  3. Mark Foster M.S.
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Ellis, R.H., Wackwitz, J.H. & Foster, M. Uses of an empirically derived client typology based on level of functioning: Twelve years of the CCAR. The Journal of Mental Health Administration 18, 88–100 (1991). https://doi.org/10.1007/BF02518603

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  • DOI: https://doi.org/10.1007/BF02518603

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