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CAMHS dependency scoring: clarity and clinical relevance of the CAMHS-AID
Paul Abeles1, Eleri Holmes, Malli Wadge
1Booth Hall, Children's Hospital, Manchester. Paul.Abeles@CMMC.nhs.uk
Insights
The Child and Adolescent Mental Health Services (CAMHS) Accommodation Inpatient Dependency (CAMHS-AID) scale demonstrates good content and face validity. This tool aids in accurately assessing young people for CAMHS inpatient unit admission.
Area of Science:
- Child and Adolescent Psychiatry
- Mental Health Services Research
- Healthcare Quality Improvement
Background:
- Accurate assessment is crucial for appropriate placement in Child and Adolescent Mental Health Services (CAMHS) inpatient units.
- A dependency measure, the CAMHS Accommodation Inpatient Dependency (CAMHS-AID) scale, was developed to aid these placement decisions.
Purpose of the Study:
- To evaluate the content and face validity of the CAMHS-AID scale.
- To determine if the CAMHS-AID items are clear, understandable, and reflect clinical practice.
Main Methods:
- Eighty-six nursing staff rated the clarity and clinical relevance of CAMHS-AID items on a 5-point scale.
- Items were presented in a randomized order within booklets.
Main Results:
- Most nursing staff found CAMHS-AID items clear and reflective of clinical practice (scores of 4 or 5).
- Clinical relevance ratings showed more variance, with senior nurses more likely to rate items highly.
Conclusions:
- The CAMHS-AID scale exhibits strong content and face validity.
- Further research is ongoing to assess other validity and reliability aspects of this specialized scoring tool.
Aim:
A dependency measure (the CAMHS-AID) was developed in Birmingham and Manchester to support more accurate decisions about whether a young person can be accommodated on a child and adolescent mental health services (CAMHS) inpatient unit. This study aimed to test the content and face validity of the scale.
Method:
Eighty-six nursing staff were provided with booklets of the randomly ordered CAMHS-AID items and asked to rate the clarity of the items and how well they reflected clinical practice on a 5-point scale.
Results:
The majority of the items were given a score of four or five, indicating that the majority of the CAMHS nurses felt that the CAMHS-AID items were very clear and understandable and accurately reflected clinical practice. There was greater variance when rating the clinical relevance of the items; the higher the grade of nurse the more likely they were to rate the items a 5 for clinical relevance.
Conclusion:
The CAMHS-AID has good content and face validity. We are continuing to investigate other aspects of validity and reliability of this context specific dependency scoring tool.
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