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A community ability scale for chronically mentally ill consumers: Part II. Applications

S Barker1, N Barron, B H McFarland

  • 1Network Behavioral Healthcare, Inc., Portland, OR 97202.

Community Mental Health Journal
|October 1, 1994
PubMed
Summary
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The Multnomah Community Ability Scale (MCAS) efficiently measures functioning in chronically mentally ill individuals. Case managers can reliably use this scale for various community mental health applications.

Area of Science:

  • Psychiatry
  • Mental Health Services Research
  • Health Outcomes Measurement

Background:

  • Chronically mentally ill individuals living in the community require effective functional assessment tools.
  • Existing instruments may not adequately capture the nuances of functioning for this population.
  • Case managers need efficient and reliable measures to guide treatment and resource allocation.

Purpose of the Study:

  • To introduce and describe the Multnomah Community Ability Scale (MCAS) as an efficient instrument for measuring functioning.
  • To highlight the scale's utility for case managers working with chronically mentally ill consumers.
  • To explore the application of the MCAS in diverse community mental health contexts.

Main Methods:

  • Development of a 17-item instrument, the Multnomah Community Ability Scale (MCAS).

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  • Assessment of the scale's sensitivity to individual differences within the target population.
  • Evaluation of ease of completion and reliability after training community mental health program staff.

    • Main Results:

    • The MCAS is a 17-item instrument that efficiently measures functioning in chronically mentally ill individuals.
    • The scale demonstrates sensitivity to individual differences and is easy for case managers to complete.
    • Community mental health staff can be trained to use the MCAS reliably.

    Conclusions:

    • The Multnomah Community Ability Scale (MCAS) is a valuable tool for assessing functioning in community-based, chronically mentally ill populations.
    • The scale's reliability and ease of use support its implementation in clinical practice and program evaluation.
    • Potential applications include comparing urban and rural client severity and informing capitated payment systems for involuntary clients.