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dc.contributor.authorBaliousis, Michael
dc.contributor.authorHuband, Nick
dc.contributor.authorDuggan, Conor
dc.contributor.authorMcCarthy, Lucy
dc.contributor.authorVollm, Birgit A.
dc.identifier.citationBaliousis, M., Huband, N., Duggan, C., McCarthy, L. & Vollm, B. A. (2012). Development and validation of a scale to evaluate treatment progress in secure mental health settings. In: Fiorillo, A., Frangou, S. & Heun, R., (Eds.) 20th European Congress of Psychiatry, 3-6 March 2012 Prague, Czech Republic. Paris: European Psychiatry, p.1.
dc.description.abstractIntroduction: Forensic Mental Health provision in secure healthcare is complex. The availability of a short and quantifiable, yet comprehensive instrument for summarising patient progress encompassing multi-professional clinical input would facilitate clinical decision-making. Objectives: To develop and validate a Progress Rating Scale (PRS) for use in secure healthcare to assess patient course in treatment. Aims: PRS items will reflect multi-professional clinical input. Measurement will be valid and reliable. Method: Scale items Development was undertaken at the Personality Disorder Service, Arnold Lodge Regional Secure Unit. Thematic analysis of 5 randomly selected archived treatment reviews resulted in a preliminary list of items. This scale was then piloted and refined via independent rating of further anonymised reports. Validation and further development To assess content validity, 3 independent raters applied the scale on archived treatment reviews of 12 randomly selected patients. Following examination of single-rating intra-class correlations (ICCs), items were revised to achieve greater content validity. Results: The domains of the scale were: Engagement, Behaviour, Mental State, Interactions with Peers and Staff, Insight, Supportive relationship, Employment, Leave, Violence/risk, Psychometric score and Final outcome (upon discharge). Initial inter-rater agreement ranged from fair to substantial (ICCs: 0.37-0.82). Following revisions, agreement improved ranging from moderate to substantial (ICCs: 0.63-0.92), the latter applying to most items. Conclusions: A scale for evaluating patient progress was developed based on multi-professional clinical input. The scale was refined to improve content validity. Internal consistency and factorial structure are under scrutiny and results will be available at the conference.
dc.subjectMedium security facilities
dc.subjectPersonality disorders
dc.subjectPsychiatric status rating scales
dc.titleDevelopment and validation of a scale to evaluate treatment progress in secure mental health settings
dc.typeConference Proceeding

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