Measuring Quality of Care in Community Mental Health: Validation of Concordant Clinician and Client Quality-of-Care Scales

Lauren Luther; Sadaaki Fukui; Jennifer M Garabrant; Angela L Rollins; Gary Morse; Nancy Henry; Dawn Shimp; Timothy Gearhart; Michelle P Salyers

doi:10.1007/s11414-018-9601-3

Measuring Quality of Care in Community Mental Health: Validation of Concordant Clinician and Client Quality-of-Care Scales

J Behav Health Serv Res. 2019 Jan;46(1):64-79. doi: 10.1007/s11414-018-9601-3.

Authors

Lauren Luther^{1

2}, Sadaaki Fukui³, Jennifer M Garabrant^{4

5}, Angela L Rollins^{5

6}, Gary Morse^{7

8}, Nancy Henry^{4

5}, Dawn Shimp^{4

5}, Timothy Gearhart⁹, Michelle P Salyers^{4

5}

Affiliations

¹ Department of Psychology, Indiana University-Purdue University Indianapolis (IUPUI), 402 North Blackford Street, LD 124, Indianapolis, Indiana, 46220, USA. lutherl@iupui.edu.
² ACT Center of Indiana, 402 North Blackford Street, LD 124, Indianapolis, IN, 46220, USA. lutherl@iupui.edu.
³ Center for Mental Health Research and Innovation, University of Kansas School of Social Welfare, 1545 Lilac Lane, Twente Hall, Lawrence, KS, 66045, USA.
⁴ Department of Psychology, Indiana University-Purdue University Indianapolis (IUPUI), 402 North Blackford Street, LD 124, Indianapolis, Indiana, 46220, USA.
⁵ ACT Center of Indiana, 402 North Blackford Street, LD 124, Indianapolis, IN, 46220, USA.
⁶ Center for Health Information and Communication, Richard L. Roudebush Veterans Affairs Medical Center, 1481 W. 10th Street, 11-H Indianapolis, Indianapolis, Indiana, 46202, USA.
⁷ Places for People, Inc., 4130 Lindell Boulevard, St. Louis, MO, 63108, USA.
⁸ Department of Psychological Sciences, University of Missouri-St. Louis, One University Boulevard, 325 Stadler Hall, St. Louis, MO, 63121, USA.
⁹ Four County Counseling Center, 1015 Michigan Avenue, Logansport, IN, 46947, USA.

Abstract

Measuring quality of care can transform care, but few tools exist to measure quality from the client's perspective. The aim of this study was to create concordant clinician and client self-report quality-of-care scales in a sample of community mental health clinicians (n = 189) and clients (n = 469). The client scale had three distinct factors (Person-Centered Care, Negative Staff Interactions, and Inattentive Care), while the clinician scale had two: Person-Centered Care and Discordant Care. Both versions demonstrated adequate internal consistency and validity with measures related to satisfaction and the therapeutic relationship. These measures are promising, brief quality assessment tools.

Keywords: Community mental health; Person-centered care; Quality of care; Scale development.

Publication types

Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Validation Study

MeSH terms

Adult
Community Mental Health Services* / standards
Counselors
Female
Humans
Male
Middle Aged
Patient Satisfaction*
Patient-Centered Care
Professional-Patient Relations
Psychology, Medical / instrumentation*
Psychometrics
Quality Indicators, Health Care*
Quality of Health Care
Reproducibility of Results
Self Report
Surveys and Questionnaires / standards

Grants and funding

UL1 TR001108/TR/NCATS NIH HHS/United States