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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.date.accessioned2017-09-29T13:16:44Z
dc.date.available2017-09-29T13:16:44Z
dc.date.issued2012
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.identifier.other10.1016/S0924-9338(12)74850-2
dc.identifier.urihttps://repository.nottinghamshirehealthcare.nhs.uk/handle/123456789/1949
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.description.urihttp://www.sciencedirect.com/science/article/pii/S0924933812748502
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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