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The development and validation of the SOLES, a new scale measuring engagement with mental health services in people with psychosis

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O'Brien, Aileen, White, Sarah, Fahmy, Rana and Singh, Swaran P.. (2009) The development and validation of the SOLES, a new scale measuring engagement with mental health services in people with psychosis. Journal of Mental Health, Vol.18 (No.6). pp. 510-522. ISSN 0963-8237

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Official URL: http://dx.doi.org/10.3109/09638230902968225

Abstract

Background: No reliable and well-validated patient-rated scale exists for measuring engagement with mental health services. Alliance scales are often used as a proxy measure and most are clinician-rated. Aim: This study aimed to develop and validate the SOLES (Singh O'Brien Level of Engagement Scale), designed to measure engagement in people with psychosis. Method: The SOLES was developed in focus groups and validated in patients with psychosis. Reliability was tested using Cronbach's alpha and split-half reliability. Factor analysis was conducted. Concurrent validity (correlating SOLES scores with measures of alliance, insight and satisfaction), discriminant validity and predictive validity (whether SOLES predicts drop-out) were tested. Results: As some subjects had no keyworker two scales were developed, for with and without a keyworker; the SOLES 16 and SOLES 13. Both have good internal consistency, correlate with relevant scales and scores predict engagement. Conclusions: The SOLES is reliable, valid and is a potentially valuable research and clinical tool.

Item Type:	Journal Article
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Medicine > Warwick Medical School > Mental Health and Wellbeing Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Psychoses, Mentally ill -- Care -- Great Britain, Mentally ill -- Rating of, Mental health services
Journal or Publication Title:	Journal of Mental Health
Publisher:	Informa Healthcare
ISSN:	0963-8237
Date:	December 2009
Volume:	Vol.18
Number:	No.6
Number of Pages:	13
Page Range:	pp. 510-522
Identification Number:	10.3109/09638230902968225
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
References:	Bale, R., Catty, J., Watt, H., & Burns T. (2006) Measure of the therapeutic relationship in severe psychotic illness: a comparison of two scales. International Journal of Social Psychiatry, 52 (3), 256-266. Bindman, J., Johnson, S., Szmukler, G., Wright, S., Kuipers, E., Thornicroft, G., Bebbington, P. & Leese, M. (2000) Continuity of care and clinical outcome: a prospective cohort study. Soc Psychiatry Psychiatric Epidemiology 35, 242-7. Bowden, C. L., Schoenfeld, L. S. & Adams, R. L. (1980) A correlation between dropout status and improvement in a psychiatric clinic. Hospital and Community Psychiatry 31, 192-5. Burns T, F. M. (2002) Ingredients and standards (model fidelity). In Assertive outreach in mental health: a manual for practitioners Oxford university Press, Oxford. Gillespie, M., Smith J., Meaden A & Jones C (2004) Clients' engagement with assertive outreach services. Journal of Mental Health, 13, 439-452 Goodwin, I., Holmes, G., Cochrane, R. & Mason, O. (2003) The ability of adult mental health services to meet clients' attachment needs: the development and implementation of the Service Attachment Questionnaire. Psychological Psychotherapy 76, 145-61. Greenwood, N., Key, A., Burns, T., Bristow, M. & Sedgwick, P. (1999) Satisfaction with in-patient psychiatric services. Relationship to patient and treatment factors. British Journal of Psychiatry 174, 159-63. Hall, M., Meaden, A., Smith, J. & Jones, C. (2001) Brief report: the development and psychometric properties of an observer-rated measurement of engagement with mental health services. Journal of Mental Health 10, 457-465. Hellerstein, D. J., Rosenthal, R. N. & Miner, C. R. (2001) Integrating services for schizophrenia and substance abuse. Psychiatric Quarterly 72, 291-306. HMSO (2001) 2001 Census. Ethnic group and country of birth. London. Killaspy, H., Banerjee, S., King, M. & Lloyd, M. (2000) Prospective controlled study of psychiatric out-patient non-attendance. Characteristics and outcome. British Journal of Psychiatry 176, 160-5. Kirsh, B.,& Tate, E.(2006) Developing a comprehensive understanding of the workig alliance in the community. Qualitative Health Research, 16 (8), 1054-1074 Martin, D. J., Garske, J. P. & Davis, M. K. (2000) Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review. Journal of Consulting Clinical Psychology 68, 438-50. McEvoy, J. P., Freter, S., Everett, G., Geller, J. L., Appelbaum, P., Apperson, L. J. & Roth, L. (1989) Insight and the clinical outcome of schizophrenic patients. Journal of Nervous and Mental Disease 177, 48-51. Meaden, A., Nithsdale, V., Rose, C., Smith, J., & Jones, C. (2004) Is engagement associated with outcome in assertive outreach? Journal of Mental Health 13, 415-424. O'Brien, L. (2000) Nurse-clent relationships: The experience of community psychiatric nurses Journal of the Australian and New Zealand College os Mental Health Nurses, 9, 194. O'Connor, B. P. (2000) SPSS and SAS programs for determining the number of components using parallel analysis and Velicer's map test. Behavior Research Methods, Instruments and Computers 32, 396-402. Park, M. J., Tyrer, P., Elsworth, E., Fox, J., Ukoumunne, O. C. & MacDonald, A. (2002) The measurement of engagement in the homeless mentally ill: the Homeless Engagement and Acceptance Scale--HEAS. Psychological Medicine 32, 855-61. Priebe, S. & Gruyters, T. (1993) The role of the helping alliance in psychiatric community care. A prospective study. Journal of Nervous & Mental Disease 181, 552-7. Priebe, S., Watts, J., Chase, M & Matanov, A. (2005) Processes of disengagement and engagement in assertive outreach patients: qualitative study. British Journal of Psychiatry, 187, 438-443 Rothman, M.,Hedrick, S., Bulcroft, K. , Hickam, D. & Rubenstein, L. (1991) The validity of proxy-generated scores as measures of patient health status. Medical Care, 29(2) 115-124 Sainsbury's Centre for Mental Health (1998). Keys to engagement: review of people with severe mental illness who are hard to engage with services. Simmonds, S., Coid J., Joesph, P., Marriott, S., &Tyrer, P. (2001). Community mental health team management in severe mental illness: a systematic review. British Journal of Psychiatry, 178, 497-502. Tait, L., Birchwood, M. and Trower, P. (2003) Predicting engagement with services for psychosis: insight, symptoms and recovery style. British Journal of Psychiatry 182, 123-8 Tait, L., Birchwood, M., & Trower P. (2002). A new scale (SES) to measure engagement with community mental health services. Journal of Mental Health, 2, 191-198. Zwick, W., & Velicer, W. (1986). Comparison of fivew rules for determining the number of components to retain. Psychological Bulletin, 99, 432-442.
URI:	http://wrap.warwick.ac.uk/id/eprint/16844