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Abstract

Objective:

Given psychiatry's need to implement measurement-based care, the study examined whether direct-care staff could reliably administer brief positive and negative symptom instruments to track symptom changes and inform clinical decision making.

Methods:

Raters (82 case managers) were assessed at baseline. Training was provided for individuals not meeting reliability criteria. These individuals were reassessed to determine the effect of training. In addition, rater drift was assessed for raters judged to be reliable at baseline.

Results:

Seventy-seven percent of direct-care staff met criteria for reliability either at baseline or after they received additional training.

Conclusions:

A majority of direct-care staff can be trained to reliability on brief scales of positive and negative symptoms that can be used to guide clinical decision making. (Psychiatric Services 62:558–560, 2011)

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Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Cover: The Lee Shore, by Edward Hopper, 1941. Oil on canvas, 28 × 43 inches. Private collection. Photo © Art Resource, New York.
Psychiatric Services
Pages: 558 - 560
PubMed: 21532087

History

Published online: 1 May 2011
Published in print: May 2011

Authors

Details

Dawn I. Velligan, Ph.D. [email protected]
Prof. Velligan, Ms. Castillo, and Dr. Miller are affiliated with the Department of Psychiatry, University of Texas Health Science Center, 7703 Floyd Curl Dr., MSC 7797, San Antonio, TX 78229-3900 (e-mail: [email protected]).
Linda Lopez, M.A., L.P.C.I.
Ms. Lopez, Ms. Manaugh, and Dr. Milam are with the Center for Health Care Services, San Antonio.
Desirée A. Castillo, B.S. [email protected]
Prof. Velligan, Ms. Castillo, and Dr. Miller are affiliated with the Department of Psychiatry, University of Texas Health Science Center, 7703 Floyd Curl Dr., MSC 7797, San Antonio, TX 78229-3900 (e-mail: [email protected]).
A. Camis Milam, M.D.
Ms. Lopez, Ms. Manaugh, and Dr. Milam are with the Center for Health Care Services, San Antonio.
Alexander L. Miller, M.D. [email protected]
Prof. Velligan, Ms. Castillo, and Dr. Miller are affiliated with the Department of Psychiatry, University of Texas Health Science Center, 7703 Floyd Curl Dr., MSC 7797, San Antonio, TX 78229-3900 (e-mail: [email protected]).

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