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Open Access 01-08-2009 | Original Paper

Psychometric Properties of an Assessment for Mental Health Recovery Programs

Authors: Dennis G. Fisher, David Pilon, Scott L. Hershberger, Grace L. Reynolds, Stephen C. LaMaster, Monica Davis

Published in: Community Mental Health Journal | Issue 4/2009

Abstract

The concept of recovery can be operationalized from either the point of view of the consumer, or from the perspective of the agency providing services. The Milestones of Recovery Scale (MORS) was created to capture aspects of recovery from the agency perspective. Evidence establishing the psychometric properties of the MORS was obtained in three efforts: Inter-rater reliability using staff at The Village, a multi-service organization serving the homeless mentally ill in Long Beach, California; inter-rater reliability was also obtained from Vinfen Corporation, a large provider of housing services to mentally ill persons in Boston, Massachusetts. A test–retest reliability study was conducted using staff rating of clients at The Village, and evidence for validity was obtained using the Level of Care Utilization System (LOCUS) as a validity measure. The intra-class correlation coefficient for the inter-rater reliability study was r = .85 (CI .81, .89) for The Village and r = .86 (CI .80, .90) for Vinfen Corporation; test–retest reliability was r = .85 (CI .81, .87); and validity coefficients for the LOCUS were at or above r = .49 for all subscales except one. There is sufficient evidence for the reliability and validity of the MORS.

Endicott, J., Spitzer, R. L., Fleiss, J. L., & Cohen, J. (1976). The global assessment scale. A procedure for measuring overall severity of psychiatric disturbance. Archives of General Psychiatry, 33(6), 766–771.PubMed

Falloon, I. R. H., Economou, M., Palli, A., Malm, U., Mizuno, M., Murakami, M., et al. (2005). The clinical strategies implementation scale to measure implementation of treatment in mental health services. Psychiatric Services, 56(12), 1584–1590.PubMedCrossRef

Greenberg, G. A., & Rosenheck, R. A. (2005). Using the GAF as a national mental health outcome measure in the Department of Veterans Affairs. Psychiatric Services, 56(4), 420–426.PubMedCrossRef

Hall, R. C. (1995). Global assessment of functioning. A modified scale. Psychosomatics, 36, 267–275.PubMed

Kidd, S. A., Styron, T. H., Carlson, S., & Hoge, M. (2004). Utilization management for residential programs. Administration and Policy in Mental Health, 31(6), 435–448.PubMedCrossRef

Littel, R. C., Milliken, G. A., Stroup, W. W., Wolfinger, R. D., & Schabenberger, O. (2006). SAS system for mixed models (2nd ed.). Cary, NC: SAS Institute, Inc.

McGlynn, E. A. (1996). Setting the context for measuring patient outcomes. New Directions for Mental Health Services, 71, 19–32.PubMedCrossRef

Moos, R. H., Nichol, A. C., & Moos, B. S. (2002). Global assessment of functioning ratings and the allocation and outcomes of mental health services. Psychiatric Services, 53(6), 730–737.PubMedCrossRef

Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric Theory. New York, NY: McGraw-Hill, Inc.

O’Hare, T., Sherrer, M. V., Connery, H. S., Thornton, J., LaButti, A., & Emrick, K. (2003). Further validation of the psycho-social well-being Scale (PSWS) with community clients. Community Mental Health Journal, 39(2), 115–129.PubMedCrossRef

Pilon, D., LaMaster, S., & Fisher, D. G. (2006). Knowing it when we see it: A proposed system for measuring recovery. Paper presented at the United States Psychiatric Rehabilitation Association Conference, Phoenix, AZ.

Resnick, S. G. (2005). Fidelity measurement, the CSI, and the current evidence base. Psychiatric Services, 56(12), 1592.PubMedCrossRef

Sirey, J. A., Meyers, B. S., Teresi, J. A., Bruce, M. L., Ramirez, M., Raue, P. J., et al. (2005). The cornell service index as a measure of health service use. Psychiatric Services, 56(12), 1564–1569.PubMedCrossRef

Sowers, W. (2005). Transforming systems of care: The American Association of Community Psychiatrists guidelines for recovery oriented services. Community Mental Health Journal, 41(6), 757–774.PubMedCrossRef

Sowers, W., George, C., & Thompson, K. (1999). Level of care utilization system for psychiatric and addiction services (LOCUS): A preliminary assessment of reliability and validity. Community Mental Health Journal, 35(6), 545–563.PubMedCrossRef

Sowers, W., Pumariega, A., Huffine, C., & Fallon, T. (2003). Level-of-care decision making in behavioral health services: The Locus and the Calocus. Psychiatric Services, 54(11), 1461–1463.PubMedCrossRef

Test, M. A., Greenberg, J. S., Long, J. D., Brekke, J. S., & Burke, S. S. (2005). Construct validity of a measure of subjective satisfaction with life of adults with serious mental illness. Psychiatric Services, 56(3), 292–300.PubMedCrossRef

Trauer, T., & Tobias, G. (2004). The Camberwell assessment of need and behaviour and symptom identification scale as routine outcome measures in a psychiatric disability rehabilitation and support service. Community Mental Health Journal, 40(3), 211–221.PubMedCrossRef

Uehara, E. S., Srebnik, D. S., & Smukler, M. (2003). Statistical and consensus-based strategies for grouping consumers in mental health level-of-care schemes. Administration and Policy in Mental Health, 30(4), 287–306.PubMedCrossRef

Title: Psychometric Properties of an Assessment for Mental Health Recovery Programs
Authors: Dennis G. Fisher
David Pilon
Scott L. Hershberger
Grace L. Reynolds
Stephen C. LaMaster
Monica Davis
Publication date: 01-08-2009
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 4/2009
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-009-9213-8

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