The following basket of outcome measurements could be run alongside the Inclusion Web in order to gain a comprehensive picture of what is happening in each person’s life. People supporting participants would need training to use each of these scales, and research expertise would be necessary to analyse and interpret the findings. Other scales might be more suitable.
The Consumer Empowerment Scale
This is a measure developed by people who have used services in North America, but modified for use in the UK. It measures the extent to which mental health services provide information, choice and independence.
See Rogers, E.S.; Chamberlin, J.; Ellison, M.L. and Crean, T. (1997) A consumer-constructed scale to measure empowerment among users of mental health services Psychiatric Services 48, 1042-1047.
The Outcomes Star
This was developed for use amongst homeless people and the basic outline has been adopted in the Recovery Star for people with mental health issues.
Details from Triangle Consulting who have developed more than 20 versions for particular groups.
The Self-anchoring Self-esteem Scale
This has been modified for use by people with serious mental health problems to assess the effect of the service on individuals’ self-perceived status (Torrey, 2000).
See Carpenter, J. (2001) Applying the Cantril Methodology to study self esteem: psychometrics of the self-anchoring self esteem scale Journal of Nursing Measurement. Also Torrey, WC, Mueser, KT, McHugo, GH, Drake, RE (2000) Self esteem as an outcome measure in studies of vocational rehabiliation for adults with severe mental illness. Psychiatric Services,51,2,229-33.
The Modified Engulfment Scale
This measures the extent to which people with serious mental health problems see themselves in terms of their illness. Engulfment is related to ‘social adjustment’ and may well reduce as social roles increase. More recent work has preferred the term ‘illness identity’ to ‘engulfment’ as people respond to diagnosis in different ways.
For early work on this, see McCay, E. and Seeman, M. (1998) A scale to measure the impact of schizophrenic illness on an individual’s self-concept. Archives of Psychiatric Nursing XII, 1, 41-49.
The Warwick-Edinburgh Mental Wellbeing Scale
This measure explores the extent to which the person’s subjective wellbeing is improving over time.
Click here for more information.
Client Service Receipt Inventory
Cost-effectiveness of the service can be measured by monitoring changes in benefits, wages, national insurance contributions, and using the Client Service Receipt Inventory.
See the DIRUM library of service use inventories here.
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