C3. Competency Assessment Instrument Measures

Relevant Functional Domains from the Integration Framework: 

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)

View the measure

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.

Sources: 

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.