Validation of 28 and 15 item versions of the SCORE family assessment questionnaire with adult mental health service users

• Published in: Journal of family therapy 2017-02, Vol.39 (1), p.4-20
• Main Authors: O'Hanrahan, Kevin, Daly White, Megan, Carr, Alan, Cahill, Paul, Keenleyside, Mairi, Fitzhenry, Mark, Harte, Elizabeth, Hayes, Jennifer, Noonan, Hester, O'Shea, Helen, McCullagh, Avril, McGuinness, Shaun, Rodgers, Catherine, Whelan, Neal, Sheppard, Noel, Browne, Stephen
• Format: Article
• Language: English
• Subjects: Adjustment; Adolescents; adult mental health; Adults; Child abuse & neglect; Childhood; Children; Clinical assessment; Clinical outcomes; Evaluation; Families & family life; family assessment; Health services utilization; Hospitalization; Internet; Measures; Mental disorders; Mental health professionals; Mental health services; Quantitative psychology; Questionnaires; Relatives; Reliability; SCORE; Scores; Systemic therapy; Trauma; Validity
• ISSN: 0163-4445; 1467-6427
• DOI: 10.1111/1467-6427.12107

The SCORE (Systemic Clinical Outcome and Routine Evaluation) is a 40‐item questionnaire for completion by family members 12 years and older to assess outcome in systemic therapy. Twenty‐eight and 15‐item short versions of the SCORE have previously been validated with samples containing some families attending adult mental health services and some attending child and adolescent services; or samples containing families exclusively from child and adolescent services. This study aimed to investigate psychometric properties of two short versions of the SCORE with a sample drawn exclusively from adult mental health services. Data were collected from 199 service users attending inpatient and outpatient adult mental health services in the south‐east of Ireland. Both instruments had good internal consistency reliability. They also showed construct and criterion validity, correlating with measures of global functioning, service need, and childhood trauma. The 28 and 15‐item versions of the SCORE are brief psychometrically robust family assessment instruments which may be used to evaluate systemic therapy with adult mental health service users. Practitioner points Brief 15 and 28‐item versions of the SCORE may be used to assess family adjustment, monitor progress and assess outcome in adult mental health cases The SCORE‐28 is in the appendix to Cahill et al. (). The SCORE‐15 and a 29‐item version that contains items for both the SCORE‐28 and SCORE‐15 is in Fay et al. () A web‐based system for administering and scoring the SCORE‐15 and SCORE‐28 is available at this link: http://scorefamilyassessment.org/login.php 在成年心理健康服务使用者之中验证SCORE家庭评估问卷的28题和15题版本 SCORE（系统临床效果和常规评估）是一份40个问题的问卷, 由12岁及以上的家庭成员填写, 以评估系统治疗的疗效。SCORE的两个简短版, 28题版和15题版, 曾经在一些接受成年心理健康服务的家庭和一些接受儿童和青少年心理健康服务的家庭中得到验证；或者是仅参加儿童和青少年心理健康服务的家庭。该研究的目的在于通过一个全部接受成人心理健康服务的样本, 调查SCORE两个简短版的心理测量特性。数据来源于爱尔兰东南部199位成人心理健康住院和门诊服务的使用者。两种量表都显示出较好的内部一致性信度。它们也显示出概念和标准效度, 并与整体机能、服务需求、童年创伤的量表有相关性。SCORE的28题和15题版本是简短的、具有良好的心理测量特性的家庭评估工具, 可以用于评估成人心理健康服务使用者的系统治疗情况。 对实务工作者的启示 SCORE的简短版, 15题和28题版, 可以用于成人心理健康案例中的评估家庭适应度、监测进度和评估效果。 SCORE‐28可以在Cahill et al. (2010)的附录中找到。SCORE‐15, 以及另一个包含15题版和28题版问题的29题版可以在Fay et al. (2013)中找到。 SCORE‐15和28的使用和记分系统网络版在以下网址：http://scorefamilyassessment.org/login.php 关键词：家庭评估；SCORE；成人心理健康