C3. Competency Assessment Instrument Measures

Developer

Chinman, Matthew, Ph.D. (MIRECC); Young, Alexander S., M.D., M.S.H.S. (MIRECC); Sandy Forquer (Comprehensive Neuroscience Inc.); Edward Knight (ValueOptions); Anita Miller (ValueOptions); Melissa Rowe (RAND)

IBHC Measure PDF
Purpose

The Competency Assessment Instrument measures 15 competencies needed to provide high quality care for those with severe and persistent mental illness (SPMI).

Date
June 2003
Relevant Submeasures

a.     Competency Assessment Instrument (CAI): the “Client Preferences” scale

b.     Competency Assessment Instrument (CAI): the “Community Resources” scale

c.     Competency Assessment Instrument (CAI): the “Evidence-Based Practice” scale

d.     Competency Assessment Instrument (CAI): the “Family Education” scale

e.     Competency Assessment Instrument (CAI): the “Goals” scale

f.      Competency Assessment Instrument (CAI): the “Holistic Approach” scale

g.     Competency Assessment Instrument (CAI): the “Intensive Case Management” scale

h.     Competency Assessment Instrument (CAI): the “Medication Management” scale

i.      Competency Assessment Instrument (CAI): the “Natural Supports” scale

j.      Competency Assessment Instrument (CAI): the “Rehabilitation” scale

k.     Competency Assessment Instrument (CAI): the “Skill Advocacy” scale

l.      Competency Assessment Instrument (CAI): the “Stigma” scale

m.   Competency Assessment Instrument (CAI): the “Stress scale

Format/Data Source

The CAI measures 15 provider competencies that were viewed as central to recovery-oriented care. Each competency is measured with its own scale, which is made of a combination of three to five Likert items. The instrument also collects demographic questions including race/ethnicity, gender, education level, job title, job duties, and number of years in mental health care. 

Development and Testing

The instrument was evaluated by health care providers who deliver services to SMI clients at several clinics within five publicly financed treatment organizations under a behavioral managed care company. Using the baseline and two-week data from the project, Chinman et al. conducted psychometric analyses on the 15 CAI scales and found most scales are reliable and valid.

Past or Validated Applications
  • Setting: Behavioral Health Care
  • Population: Clinicians
  • Level of evaluation. Individual or groups of health care professionals.
Notes

For more information on using this instrument, you should refer to the published articles:

Chinman M, Young AS, Rowe M, Forquer S, Knight E, Miller A. An instrument to assess competencies of providers treating severe mental illness. Ment Health Serv Res 2003; Jun;5(2):97-108.

Young AS, Forquer SL, Tran A, Starzynski M, Shatkin J. Identifying clinical competencies that support rehabilitation and empowerment in individuals with severe mental illness. J Behav Serv Res. 2000;27;321-3. PMID 10932445. 

Copyright/Licensing Statement

Copyright 2002 SSSSH. All rights reserved.

Relevant Functional Domains From the Integration Framework