Structured Strengths & Functional Skills Assessments

Health of the Nation Outcome Scales (HoNOS). HoNOS-12 is a questionnaire measuring the state of health of adults with mental disorders, composed of 12 items, related to clinical and psychosocial problems, covering four areas (subscales) of mental health: behavioural problems (H1-3), impairment (H4-5), symptomatic problems (H6-8) and social problems (H9-12).

The social subscale comprises four items relating to functioning: Item 9 (problems with relationships), Item 10 (problems with activities of daily living), Item 11 (problems with living conditions), and Item 12 (problems with occupation).

Wing, J. K., Beevor, A. S., Curtis, R. H., Park, S. B., Hadden, S. & Burns, A. (1998). Health of the Nation Outcome Scales (HoNOS). Research and development. British Journal of Psychiatry, 172, 11–18.

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The Independent Living Skills Survey (ILSS) is administered via 1 of 2 versions, an informant report form (ILSS-I) and a self-report form (ILSS-SR).

The ILSS-SR consists of 70 items assessing 10 domains of functioning: (a) Personal Hygiene, (b) Appearance and Care of Clothing, (c) Care of Personal Possessions and Living Space, (d) Food Preparation, (e) Care of Personal Health and Safety, (f) Money Management, (g) Transportation, (h) Leisure and Recreational Activities, (i) Job Seeking, and (j) Job Maintenance.

Wallace, C. J., Liberman, R. P., Taubert, R. & Wallace, J. (2000). The independent living skills survey: A comprehensive measure of the community functioning of severely and persistently mentally ill individuals. Schizophrenia Bulletin, 26, 3, 631–658.

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The Maryland Assessment of Social Competence (MASC), assesses social skill competence via social competence role-play, simulated social interactions that are videotaped.

Dickinson, D., Bellack, A. S., & Gold, J. M. (2007). Social/communication skills, cognition, and vocational functioning in schizophrenia. Schizophrenia Bulletin, 33, 5, 1213–1220 doi:10.1093/schbul/sbl067

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The Personal and Social Performance Scale (PSP) was developed as part of a package for planning and evaluating psychiatric rehabilitation. It is a 100-point, single item rating scale that yields a rating based on four main areas: socially useful activities, including work and study; personal and social relationships; self-care; and disturbing and aggressive behaviours.

Nafees, B., de Jonge, P. V. H., Stull, D., Pascoe, K., Price, M., Clarke, A. & Turkington, D. (2012). Reliability and validity of the Personal and Social Performance scale in patients with schizophrenia. Schizophrenia Research, 140, 1-3, 71-76.

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The Social Skills Performance Assessment (SSPA) is a role-play test designed to assess capacity to engage in everyday social skills. 

Individuals are required to engage in 2 separate 3-minute role-play scenarios. The individual is scored from 1 (low) to 5 (high) on the following factors: Interest/Disinterest, Fluency, Clarity, Focus, Affect, Negotiation Ability (i.e., ability to generate solutions and make compromises), Submission/Persistence (i.e., ability and willingness to stick firmly to the goal of reaching a solution), Overall Argument, and Social Appropriateness

Patterson. T. L., Moscona, S., McKibbin, C. L., Davidson, K. & Jeste, D. V. (2001). Social skills performance assessment among older patients with schizophrenia. Schizophrenia  Research, 48, 351–360.

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The UCSD Performance-Based Skills Assessment was developed in 2001 as a means of assessing basic everyday living skills in older people with schizophrenia.

The UCSD PSA consists of 5 subtests assessing the individual’s ability in the following domains: (a) Planning/ Organization (i.e., planning a trip to the beach/ zoo), (b) Finances (i.e., counting change; writing a check), (c) Communication (i.e., calling information to request a phone number; calling the doctor to reschedule an appointment), (d) Travel (i.e., reading a bus route map), and (e) Household (i.e., completing a shopping list; reading a recipe).

Patterson T. L., Goldman, S., McKibbin, C. L., Hughs, T. & Jeste, D. V. (2001). UCSD Performance-Based Skills Assessment: Development of a new measure of everyday functioning for severely mentally ill adults. Schizophrenia Bulletin, 27, 235–245.

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Brief UCSD Performance-Based Skills Assessment was introduced in 2007 as a time-sensitive alternative to the full version of the UPSA. Via factor analysis techniques, the UPSA-Brief consists of 2 of the original 5 subscales (i.e., Finance and Communications subscales) and, therefore, requires only 10–15 min to administer.Mausbach, B. T., Harvey, P. D., Goldman, S. R., Jeste, D. V. & Patterson, T. L. (2007). Development of a brief scale of everyday functioning in persons with serious mental illness. Schizophrenia Bulletin, 33,:1364–1372.  

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