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The relationship between the INTERMED patient complexity instrument and Level of Care Utilisation System (LOCUS).

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Title: The relationship between the INTERMED patient complexity instrument and Level of Care Utilisation System (LOCUS).
Authors: Thurber, Steven (AUTHOR), Wilson, Ann (AUTHOR), Realmuto, George (AUTHOR), Specker, Sheila (AUTHOR)
Source: International Journal of Psychiatry in Clinical Practice. Mar2018, Vol. 22 Issue 1, p80-82. 3p.
Subjects: Dual diagnosis, Medical needs assessment, Research evaluation, Comorbidity, Research methodology evaluation
Abstract: Objective:To investigate the concurrent and criterion validity of two independently developed measurement instruments, INTERMED and LOCUS, designed to improve the treatment and clinical management of patients with complex symptom manifestations. Methods:Participants (N = 66) were selected from hospital records based on the complexity of presenting symptoms, with tripartite diagnoses across biological, psychiatric and addiction domains. Biopsychosocial information from hospital records were submitted to INTERMED and LOCUS grids. In addition, Global Assessment of Functioning (GAF) ratings were gathered for statistical analyses. Results:The product moment correlation between INTERMED and LOCUS was 0.609 (p = .01). Inverse zero-order correlations for INTERMED and LOCUS total score and GAF were obtained. However, only the beta weight for LOCUS and GAF was significant. An exploratory principal components analysis further illuminated areas of convergence between the instruments. Conclusions:INTERMED and LOCUS demonstrated shared variance. INTERMED appeared more sensitive to complex medical conditions and severe physiological reactions, whereas LOCUS findings are more strongly related to psychiatric symptoms. Implications are discussed. [ABSTRACT FROM PUBLISHER]
Copyright of International Journal of Psychiatry in Clinical Practice is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The relationship between the INTERMED patient complexity instrument and Level of Care Utilisation System (LOCUS).
– Name: Author
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  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Thurber%2C+Steven%22">Thurber, Steven</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wilson%2C+Ann%22">Wilson, Ann</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Realmuto%2C+George%22">Realmuto, George</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Specker%2C+Sheila%22">Specker, Sheila</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Psychiatry+in+Clinical+Practice%22">International Journal of Psychiatry in Clinical Practice</searchLink>. Mar2018, Vol. 22 Issue 1, p80-82. 3p.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Dual+diagnosis%22">Dual diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+needs+assessment%22">Medical needs assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Research+evaluation%22">Research evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology+evaluation%22">Research methodology evaluation</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective:To investigate the concurrent and criterion validity of two independently developed measurement instruments, INTERMED and LOCUS, designed to improve the treatment and clinical management of patients with complex symptom manifestations. Methods:Participants (N = 66) were selected from hospital records based on the complexity of presenting symptoms, with tripartite diagnoses across biological, psychiatric and addiction domains. Biopsychosocial information from hospital records were submitted to INTERMED and LOCUS grids. In addition, Global Assessment of Functioning (GAF) ratings were gathered for statistical analyses. Results:The product moment correlation between INTERMED and LOCUS was 0.609 (p = .01). Inverse zero-order correlations for INTERMED and LOCUS total score and GAF were obtained. However, only the beta weight for LOCUS and GAF was significant. An exploratory principal components analysis further illuminated areas of convergence between the instruments. Conclusions:INTERMED and LOCUS demonstrated shared variance. INTERMED appeared more sensitive to complex medical conditions and severe physiological reactions, whereas LOCUS findings are more strongly related to psychiatric symptoms. Implications are discussed. [ABSTRACT FROM PUBLISHER]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of International Journal of Psychiatry in Clinical Practice is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=127588502
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        Value: 10.1080/13651501.2017.1353635
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        Text: English
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      – SubjectFull: Research evaluation
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              Text: Mar2018
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