The Development of an Individualized, Problem-Oriented Psychiatric Outcome Measure

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Abstract
The authors use the development of one individualized mental health outcome measure, the Major Problem Rating System, to examine psychometric problems for instruments tailored to individual patients. A 280-item computer interview taken by the patient at the outset of treatment solves some reliability and validity problems by standardizing the menu from which a unique set ofproblems is derived Follow-up improvement ratings are made only for baseline-identifiedproblems. Decisions in the design of an individualized measure, testretest reliability, patterns of internal relationships among subscales, and external relationships with other outcome measures are provided.

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