An instrument to assess competencies of providers treating severe mental illness

Ment Health Serv Res. 2003 Jun;5(2):97-108. doi: 10.1023/a:1023281527952.


One approach to improving the quality of care for severe mental illnesses (SMI) such as schizophrenia is through the improvement of provider competencies; the attitudes, knowledge, and skills needed to deliver high-quality care. This paper describes a new instrument designed to measure such a set of competencies. A total of 341 providers of services to clients with SMI at 38 clinics within 5 publicly financed treatment organizations in 2 western states were asked to complete a paper-and-pencil survey including the new Competency Assessment Instrument (CAI: 15 scales, each assessing a particular provider competency), and additional measures used to establish validity (Recovery Attitude Questionnaire--7, Client Optimism Scale). Seventy-nine percent (N = 269) responded at baseline, 83% (N = 282) responded at 2 weeks. Ninety-seven percent of baseline respondents completed the survey at 2 weeks. Most CAI scales have good internal consistency (Cronbach's alphas = .52-.93), test-retest reliability (scales ranged from .42 to .78), and validity, and should be useful in efforts to improve care.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.
  • Validation Study

MeSH terms

  • Clinical Competence*
  • Employee Performance Appraisal / methods*
  • Female
  • Humans
  • Male
  • Managed Care Programs / standards
  • Mental Disorders / rehabilitation
  • Mental Disorders / therapy*
  • Mental Health Services / standards*
  • Psychotherapy / standards*
  • Quality Assurance, Health Care / methods
  • Self Efficacy
  • Surveys and Questionnaires*
  • United States
  • Workforce