In Search of a Standardised, Comprehensive Assessment of Functioning

By Lutchman, Raksha; Thompson, Andrew et al. | New Zealand Journal of Occupational Therapy, March 2007 | Go to article overview

In Search of a Standardised, Comprehensive Assessment of Functioning


Lutchman, Raksha, Thompson, Andrew, Tait, Hemaima, Savage, Anne-Louise, Aitchison, Rachael, Ruru, Ripene, Mellsop, Graham, New Zealand Journal of Occupational Therapy


Abstract

As part of a national programme to provide mechanisms for quality improvement in the mental health sector, New Zealand has established the MH-Smart Programme. The programme aims to introduce the routine use of standardised assessments that, with repeated use, can reflect consumer changes, outcomes or results. This paper describes the process and rationale for assessing the suitability of measures of functioning. No ideal measure was found, but a provisional recommendation has emerged.

Key words

Functional skills, assessment, mental health, outcome measures

Lutchman, R., Thompson, A., Tait, H., Savage, A., Aitchison, R., Ruru, R. & Mellsop, G., (2007). In search of a standardised, comprehensive assessment of functioning. New Zealand Journal of Occupational Therapy 54(1) 33-38

**********

The New Zealand Ministry of Health piloted the routine use of outcome measures in the Casemix and Outcomes Study (CAOS) in July 2002 (Gaines et al. 2003; Eagar, Trauer & Mellsop, 2005), carried out under the Mental Health Research and Development Strategy. This has been succeeded by a programme MH-Smart, which seeks to nationally implement the routine use of standardised assessment measures. In common language these measures are frequently referred to as outcome scales (Mellsop & Wilson, 2006). Increasingly, outcome measurement is being recognised as an important area for service delivery and a part of Government policy. Using such measures can facilitate clinician/consumer discussion or partnership and consumer recovery planning, as well as team and service level quality improvement activities and national benchmarking activities. MH-Smart seeks ultimately to have five standardised measures of assessment (outcome scales).

These are likely to be:

* The Health Of Nations Outcome Scale (HoNOS) Family (CRU, 1996; Wing et al, 1998), reflecting particularly clinical presentation issues.

* A measure of functioning.

* A consumer rated outcome measure.

* A culturally informed (Maori) outcome measure

* A standardised outcome measure for drug and alcohol services.

The term 'functionality' is defined by the World Health Organisation (WHO, ICIDH-2, 2001) as an 'umbrella' term to cover an individuals' activities and participation. The MH-Smart Programme sought through tender, recommendation for measure(s) of functionality that could be routinely used in the New Zealand context of adult mental health services. The Waikato DHB team won the tender and provided the ministry with the recommendation. This brief report describes the process of reviewing the available measures.

In addition, the Ministry of Health required the recommendation process to examine the cultural acceptability of the instruments, their consistency with the recovery philosophy and compatibility with the HoNOS family at the same time as determining any overlap. The selected measures had to address wellness, medication management, personal cares, family/social involvement and activity. Each of the instruments were rated on whether they measured performance (which describes what an individual does in his/her environment) or capacity/potential (which describes an individual's ability to execute a task or action), or both.

Method

A national and international literature search on outcome measures and measures of adult functionality was conducted. Sources for the literature review were obtained from key word searches conducted on MEDLINE, PSYCHINFO, CINAHL, AMED and other relevant databases, as well as from citation lists, texts and other pertinent policy documents. Key informants from the MH Smart Team were consulted along with other mental health service providers.

Starting with scales already known to be used in New Zealand, a template of content areas, potential outcome domains and indicators which the concept of functionality should cover was developed in a systematic manner. …

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

In Search of a Standardised, Comprehensive Assessment of Functioning
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.