The 12 Item W.H.O.D.A.S. as Primary Self Report Outcome Measure in a Correctional Community Treatment Center for Dually Diagnosed Patients

• Published in: Psychiatric quarterly 2015-06, Vol.86 (2), p.219-224
• Main Authors: Bastiaens, Leo, Galus, James, Goodlin, Michael
• Format: Article
• Language: English
• Subjects: Adult; Citizen participation; Community Mental Health Centers; Criminals; Diagnosis, Dual (Psychiatry); Disability Evaluation; Drug addiction; Drug therapy; Drug use; Female; Follow-Up Studies; Humans; Male; Medicine; Medicine & Public Health; Mental health; Middle Aged; Original Paper; Outcome Assessment (Health Care) - methods; Personal relationships; Post traumatic stress disorder; Prisoners; Psychiatric Status Rating Scales - standards; Psychiatrists; Psychiatry; Psychotherapy; Public Health; Rehabilitation; Self Report; Severity of Illness Index; Sociology; Substance abuse treatment; Substance use disorder; Substance-Related Disorders - therapy
• ISSN: 0033-2720; 1573-6709
• DOI: 10.1007/s11126-014-9322-6

The World Health Organization Disability Assessment Scale (WHODAS) is suggested as a measure of impairment in DSM-5. The measurement of impaired functioning is crucial in the rehabilitation of dually diagnosed, addiction and mental health, patients. This study is the first to look at the use of the 12 item self report WHODAS as the primary outcome in a community correctional treatment facility for dually diagnosed patients.100 (55 male; 73 white, 25 black, 2 hispanic) former inmates, age 36.1 ± 11.1, with psychiatric and addiction diagnoses were treated in an integrated program. The 12 item WHODAS was completed by the patients during the initial evaluation and repeated an average of 11.1 ± 2.7 weeks later. The Clinical Global Impression-Severity Scale (CGI) was completed at the same time by the psychiatrist, independently of the WHODAS. At initial assessment, the CGI showed moderate severity and the WHODAS showed severe disability. CGI and WHODAS were significantly correlated (R 0.48, p