Barker S, Barron N, McFarland B H, Bigelow D A
Network Behavioral Healthcare, Inc., Portland, Oregon 97202.
Community Ment Health J. 1994 Aug;30(4):363-83. doi: 10.1007/BF02207489.
The authors describe the development, reliability testing, and validation of a 17-item instrument that measures the level of functioning of chronically mentally ill persons living in the community. The Multnomah Community Ability Scale is designed to be completed by case managers. The instrument provides a measure of the consumer's severity of disability which can, in turn, be used to: (a) describe an agency's "case mix" of clients; (b) measure consumer progress; (c) assign clients to different levels of service; and (d) assist payors in determining reimbursement. The Multnomah Community Ability Scale is aimed specifically at persons with chronic mental illness, is sensitive to differences among individuals within this special population, and is quick and easy to complete. The scale's reliability and validity have been examined in detail. Inter-rater and test-retest reliability are good. Criterion variables such as length of psychiatric hospitalization and clinicians' global ratings correlated highly with scale scores. Finally, the instrument predicts subsequent state and local hospital admissions.
作者描述了一种17项工具的开发、可靠性测试和验证，该工具用于测量居住在社区中的慢性精神病患者的功能水平。《摩特诺玛社区能力量表》旨在由个案管理员填写。该工具提供了对消费者残疾严重程度的衡量，进而可用于：(a) 描述机构客户的 “病例组合”；(b) 衡量消费者的进展；(c) 将客户分配到不同的服务级别；以及 (d) 协助付款人确定报销金额。《摩特诺玛社区能力量表》专门针对慢性精神病患者，对这一特殊人群中个体间的差异敏感，且填写快速简便。该量表的可靠性和有效性已得到详细检验。评分者间信度和重测信度良好。诸如精神科住院时间和临床医生的整体评分等标准变量与量表得分高度相关。最后，该工具可预测随后的州立和地方医院入院情况。
