The community placement scale: An adaptation of the community competence scale for placement of the deinstitutionalized mentally ill

Abstract

The Community Placement Scale (CPS), an abbreviated form of the Community Competence Scale (Anderten, 1979) suitable for placement of deinstitutionalized mental patients in the community, was developed in a combined sample of 87 subjects placed in the community in California and Missouri. Although the Community Competence Scale has shown considerable promise as a placement instrument with the deinstitutionalized mentally ill, a briefer measure is needed in order to increase acceptance by both patients and professional staff. Other improvements sought were determining the acceptability of items to placement personnel nationwide, eliminating nondiscriminating items, and heightening internal consistency reliability of subscales. In a series of discriminant analyses, remaining subscales were used to predict community placement with minimal and maximal degrees of structure. From these analyses, a measure that consisted of 5 subscales and 41 items and required approximately 20 minutes to administer was selected. This short form has many similarities to and a few important differences from the previously published short form.

Using the Resident Assessment Instrument-Mental Health (RAI-MH) to Determine Levels of Care for Individuals with Serious Mental Illness

“…However, some placement instruments were not originally designed to be used specifically with the SMI population, 12,13 nor were they intended to facilitate the development of appropriate types of community residential options by mental health service providers. Moreover, the instruments vary in the degree of assessment difficulty and may require staff training for completion.…”

Cross-Cultural Validation of the St. Louis Inventory of Community Living Skills for Chinese Patients with Schizophrenia in Hong Kong.

“…The SLICLS-C could predict the patients' placement following discharge with an accuracy of up to 90%. The reported accuracy of community placement prediction of various instruments is as follows: 68% for MLC (Kramer et al, 1990); 71% for SLICLS (Fitz, 1999); 74% for Brief Inpatient Assessment Form (Becker & Banks, 1986); 76% for CFNA (Law, 1999); 84% for the Community Competence Scale (Searight, Oliver & Grisso, 1986); and 86% for the Community Placement Scale (Oliver & Dripps, 1988). Clearly, the SLICLS-C demonstrated superior predictive power with respect to community level of care.…”

The development of factor-based level of functioning scales from a level of care instrument

“…The identification of a scale based on com-munity living skills using different instruments and different samples of psychiatric patients suggest that this is a robust dimension of client level of functioning. The content of this scale is also similar to the content of a third instrument, the Community Competence Scale (Oliver, Dripps, & Grisso, 1988;Searight, Oliver, & Grisso, 1983). This instrument is a performance-based measure of community living skills that consists of items that involve diet, communication, transportation, math skills, emergencies, and money management.…”