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Update on CORE SPR(UK) meeting 15.iii.09

Update on CORE SPR(UK) meeting 15.iii.09. Chris Evans Nottinghamshire Healthcare NHS Trust. History. Rooted in SPR: NIMH meeting MHF meeting Pilot work Emergent idea: CORE-OM OQ Official launch 1998. What is the CORE Outcome Measure?. 34 items on two sides of A4 tick box completion

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Update on CORE SPR(UK) meeting 15.iii.09

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  1. Update on CORESPR(UK) meeting 15.iii.09 Chris Evans Nottinghamshire Healthcare NHS Trust

  2. History • Rooted in SPR: • NIMH meeting • MHF meeting • Pilot work • Emergent idea: • CORE-OM • OQ • Official launch 1998

  3. What is the CORE Outcome Measure? • 34 items on two sides of A4 • tick box completion • five response levels (0 to 4) • pan-theoretical (“CORE”) • simple language • hand scorable • computer scannable • short forms available

  4. History • Rooted in SPR: • NIMH meeting • MHF meeting

  5. History • Rooted in SPR: • NIMH meeting • MHF meeting • Pilot work • Emergent idea: • CORE-OM • OQ • Official launch 1998

  6. Roots • Organisations • SPR, MHF, CPCT, Artemis Trust, NHS, CST, CIMS • People • Michael Barkham, Frank Margison, Janice Connell, John Mellor-Clark, Kerry Audin … • Money • MHF, CPCT, Artemis, NHS (Leeds), HEFC • Groups • Researchers, Therapists, users

  7. Components • Not just a measure! • Measures • Money • To fund it • Copyleft • Theory • Attitude • People • Scanning & then IT • Support

  8. CORE-OM & its children

  9. CORE-OM & its children (2) • YP-CORE • 13-18 age range • 10 items • Replaces teen-CORE • LD-CORE • Short • Long • SCORE • Short • Long

  10. CORE-OM & its children (2) • YP-CORE • 13-18 age range • 10 items • Replaces teen-CORE • LD-CORE • Short • Long • SCORE • Short • Long

  11. CORE-OM & its children (2) • YP-CORE • 13-18 age range • 10 items • Replaces teen-CORE • LD-CORE • Short • Long • SCORE • Short • Long

  12. SCORE

  13. CORE-OM & its children (3) • Translations • Method • Done • CORE-OM & derivative • CORE-A & CORE-Net • Underway • Planned • Needed • Stages of use

  14. Translations completed • Gujarati • Norwegian (Bokmal) • Italian • Slovak • Swedish • Icelandic • Albanian (Tosk) • Greek • Dutch • Danish • Portuguese • Brazilian • Croatian

  15. Translations ongoing

  16. Components • Not just a measure! • Measures • Money • To fund it • Copyleft • Theory • Attitude • People • Scanning & then IT • Support

  17. Components • Not just a measure! • Measures • Money • To fund it • Copyleft • Theory • Attitude • People • Scanning & then IT • Support

  18. Theory & attitude • Theory: • Get out of the confidentiality closet • Embrace crude quantification • A core only, not a dimension • “Outcome” = change • Attitude • “Bottom up” • Share • Compare • Core only: complement it • Support each other

  19. Components • Not just a measure! • Measures • Money • To fund it • Copyleft • Theory • Attitude • People • Scanning & then IT • Support

  20. Where now? • UK/English • International • General

  21. Where now? • UK/English • Squeezed to the edge of IAPT • but in the DoH MH PROM compendium • Increasing research use • Mapped to the BDI-II • Huge datasets

  22. Where now? • UK/English • International 1 • Developing but … • … money/time • Cultures • General

  23. Where now? • UK/English • International • General • New theories of change? • New politics and partnership? • New psychometrics of change? • A “New Deal”?

  24. Thanks! chris@psyctc.org

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