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KMID : 0897520200250010001
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Journal of Korean Association of Social Psychiatry
2020 Volume.25 No. 1 p.1 ~ p.18
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A Systemic Review of the Instruments to Assess Functional Level of People with Severe Mental Illness
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Seo Young-Eun
Song Byung-Ah
Han Chang-Hwan
Choi Jong-Hyuk
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Abstract
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Objectives : People with severe mental illness including schizophrenia have chronic difficulties with living in the community. And it has led to great socioeconomic burden in not only South Korea but also most of the developed countries. For those sake, it should be provided with comprehensive psychosocial interventions including psychopharmacotherapy. However, importance of psychosocial intervention in South Korea tends to be less emphasized than that of psychopharmacotherapy. For example, while assessment tools for clinical symptoms such as positive and negative syndrome scale (PANSS) are well known in South Korea, those for evaluating the functional outcomes are not. We researched assessment tools for daily functioning widely used in overseas and these psychometric properties.
Methods : We conducted a search of Google Scholar and Pubmed to identify related articles. We evaluated identified tools using criterion-based approach. The criteria were as follows: 1) is English literature published after 1980, 2) assesses the functional outcomes of people with severe mental illness comprehensively, 3) considers functioning in a contemporary way, 4) has been scientifically scrutinized as for psychometric properties. For the instruments selected based on the criteria, we conducted a search to find out Korean version of those.
Results : We identified 40 relevant tools, 11 of which satisfied our criteria: Heinrichs-Carpenter Quality of Life Scale (QLS), the University of California San Diego Performance based Skills Assessment (UPSA), Personal and Social Performance
Scale (PSP), Birchwood Social Functioning Scale (SFS), Health of the Nation Outcome Scales (HoNOS), Specific Levels
of Functioning Scale (SLOF), Independent Living Skills Survey (ILSS), Multnomah Community Ability Survey (MCAS),
Social Behavior Schedule (SBS), Life Skills Profile (LSP), Multidimensional Scale of Independent Functioning (MSIF). Of
these, only 6 instruments have Korean version and the numbers of the citations in Google Scholar were far less than those
of Korean version of clinical assessments like K-PANSS.
Conclusion : We identified 11 functional assessment tools widely used in mental health areas and related research. Eight of these got an acknowledgment as useful tools by American experts and research and development (RAND) panel. And rest of those are utilized frequently in mental health policies. For improving quality of psychosocial interventions in South Korea, it would be desirable that Korean version of major functional assessment tools should be developed.
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KEYWORD
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Schizophrenia, Functioning, Assessment
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