Is it possible to measure social and occupational functioning in a CMHT?

Rowland, Jeremy P; Yeeles, Ksenija; Anderson, Catriona; Catalão, Raquel; Morley, Helen; Molodynski, Andrew

doi:10.1002/pnp.348

Cited by 2 publications

(5 citation statements)

References 12 publications

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“…The mini-ICF-APP severity cut-off points we propose for the mini-ICF-APP are roughly comparable with the values reported in previous studies [16–18, 21, 36]. A direct contrast is however not possible, since the approach to severity assessment differs; with either different gradings of severity [36]; gross allocation of severity grades to mini-ICF-APP values [16, 18]; or the use of psychosocial attributes of severity [17, 21]. Our findings regarding the percentage change are in line with previous findings using the mini-ICF-APP to assess the effectiveness of treatment [14].…”

Section: Discussionsupporting

confidence: 88%

Assessing the severity of functional impairment of psychiatric disorders: equipercentile linking the mini-ICF-APP and CGI

Egger

Weniger

Müller

et al. 2019

Health Qual Life Outcomes

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BackgroundThe assessment of functioning and impairment due to psychiatric illness has been acknowledged to be crucial for research and practice. This led to the development of the mini-ICF-APP, which provides a reliable and time-efficient measure of functioning and impairment. Although its use is increasing, it remains unclear how it reflects severity and how change might be interpreted from a clinical perspective.MethodsIn a clinical sample of 3067 individuals hospitalized for mental health treatment, we used an equipercentile approach to link the mini-ICF-APP with the Clinical Global Impression scale (CGI) at admission and discharge. We linked the mini-ICF-APP sum score to the CGI-S scale and the mini-ICF-APP proportional change between admission and discharge to the CGI-I scale.ResultsThe mini-ICF-APP and CGI scales showed a Spearman correlation of 0.50 (p < .000). CGI-S: “borderline-ill” corresponded to a mini-ICF-APP score 1–2; “mildly-ill” to 3–7; “moderately-ill” to 8–15; “markedly-ill” to 16–24; “severely-ill” to 25–37; and “extremely-ill” to a score ≥ 38. The Spearman correlation between the percentage change of mini-ICF-APP sum score and the CGI-I was 0.32 (p > .000); “no-change” in the CGI-I corresponded to an increase or decrease of 2%; “minimally-improved” to a mini-ICF-APP reduction of 3–30%; “much-improved” to a reduction of 31–63%; “very-much-improved” to a reduction of ≥64% “minimally-worse” to an increase of 3–34% “much-worse” to an increase of 35–67%; and finally “very-much-worse” with an increase of ≥68%.ConclusionsOur findings improve understanding of the clinical meaning of the mini-ICF-APP sum score and percentage change in patients hospitalized for treatment.

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Section: Discussionsupporting

confidence: 88%

Assessing the severity of functional impairment of psychiatric disorders: equipercentile linking the mini-ICF-APP and CGI

Egger

Weniger

Müller

et al. 2019

Health Qual Life Outcomes

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“…For example, "mobility and traveling" usually did not pose any problems for them, whereas "close (intimate) dyadic relationships" were most frequently assessed as difficult and limiting/restricting. The above-mentioned premises point to the feasibility of the scale in clinical applications, as indicated by Rowland et al [16] based on a thorough pilot study in relation to the tasks of the British Community Mental Health Center.…”

Section: Discussionmentioning

confidence: 96%

“…Wyliczone przesłanki wskazują na praktyczność skali w zastosowaniu klinicznym, na co na podstawie starannego badania pilotażowego wskazują Rowland i wsp. [16] w odniesieniu do zadań brytyjskich CMHC (Community Mental Health Centre).…”

Section: Dyskusjaunclassified

“…Limitations on activity according to the Mini-ICF-APP correlated with poorer work productivity (Endicott Work Productivity Scale -EWPS), greater severity of symptoms according to BPRS, poorer occupational functioning according to SOFAS and PSP and, although to a lesser extent, with a poorer social outcome index (according to Social Outcome Index -SIX). A different study carried out by Rowland et al [16] revealed that the Mini-ICF-APP may be a useful tool with which to assess the need for and to target employment-related support, which may be useful in the practice of a local community mental health centre.…”

Section: Introductionmentioning

confidence: 99%

“…W innym badaniu Rowland i wsp. [16] dowodzili, że Mini-ICF-APP może być użytecznym narzędziem do wspierania zatrudnienia, przydatnym w praktyce lokalnego, środowiskowego centrum zdrowia psychicznego.…”

Section: Introductionunclassified

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Psychometric evaluation of the polish version of the MINI-ICF-APP – a concise measure of limitations on activity and restrictions on participation according to the international classification of functioning, disability and health (ICF) – in people with mental disorders

Wciórka¹,

Anczewska²,

Jahołkowski³

et al. 2018

ppn

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Purpose: The Mini-ICF-APP is a simple, practical tool measuring activity limitations and participation restrictions in mental disorders according to the principles and categories of the International Classification of Functioning, Disability and Health (ICF). The aim of the study was to determine the basic psychometric properties of the Polish language version of the Mini-ICF-APP. Method: A total of 58 patients in the early stages of recovery were included. Each of them was independently assessed by three clinicians with varied professional backgrounds (psychiatrists, psychologists and other therapists) using the Mini-ICF-APP and measures of psychopathology (Brief Psychiatric Rating Scale-BPRS) and level of psychosocial functioning (Global Assessment of Functioning Scale-GAF; Personal and Social Performance Scale-PSP). Feasibility, reliability (internal consistency and inter-rater agreement), and validity (content, criterion and construct) were analysed. Results: Feasibility was concluded on the basis of positive feedback from clinicians, diversity of distribution and good item performance. Internal consistency was high, both when analysed jointly and separately for particular groups of clinicians. Measures of inter-rater agreement reached high values for the scale and were significant for each item. Criterion validity was indicated by high correlations with the GAF and the PSP, and slightly weaker with the BPRS. The construct validity of the Mini-ICF-APP was inferred

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Is it possible to measure social and occupational functioning in a CMHT?

Cited by 2 publications

References 12 publications

Assessing the severity of functional impairment of psychiatric disorders: equipercentile linking the mini-ICF-APP and CGI

Assessing the severity of functional impairment of psychiatric disorders: equipercentile linking the mini-ICF-APP and CGI

Psychometric evaluation of the polish version of the MINI-ICF-APP – a concise measure of limitations on activity and restrictions on participation according to the international classification of functioning, disability and health (ICF) – in people with mental disorders

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