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

Update on CORE

SPR(UK) meeting 15.iii.09

Chris Evans

Nottinghamshire Healthcare NHS Trust

HistoryRooted in SPR:

NIMH meetingMHF meetingPilot work

Emergent idea:CORE-OMOQ

Official launch 1998

What is the CORE Outcome Measure?

34 items on two sides of A4tick box completionfive response levels (0 to 4)pan-theoretical (“CORE”)simple languagehand scorablecomputer scannableshort forms available

HistoryRooted in SPR:

NIMH meetingMHF meeting

HistoryRooted in SPR:

NIMH meetingMHF meetingPilot work

Emergent idea:CORE-OMOQ

Official launch 1998

RootsOrganisations

SPR, MHF, CPCT, Artemis Trust, NHS, CST, CIMS

PeopleMichael Barkham, Frank Margison, Janice Connell,

John Mellor-Clark, Kerry Audin …

MoneyMHF, CPCT, Artemis, NHS (Leeds), HEFC

GroupsResearchers, Therapists, users

ComponentsNot just a measure!MeasuresMoney

To fund itCopyleft

TheoryAttitudePeopleScanning & then ITSupport

CORE-OM & its children

Measure Purpose Items

CORE-OM Clinical 34

CORE-SFa/SFb Sessional use 18

GP-CORE Gen. population, surveys

14

CORE-10 Screening, sessional 10

CORE-5 Screening, sessional?

CORE-OM & its children (2)YP-CORE

13-18 age range10 itemsReplaces teen-CORE

LD-COREShortLong

SCOREShortLong

CORE-OM & its children (2)YP-CORE

13-18 age range10 itemsReplaces teen-CORE

LD-COREShortLong

SCOREShortLong

CORE-OM & its children (2)YP-CORE

13-18 age range10 itemsReplaces teen-CORE

LD-COREShortLong

SCOREShortLong

SCORE

CORE-OM & its children (3)Translations

MethodDone

CORE-OM & derivativeCORE-A & CORE-Net

UnderwayPlannedNeededStages of use

Translations completed1. Gujarati2. Norwegian (Bokmal)3. Italian4. Slovak5. Swedish6. Icelandic7. Albanian (Tosk)8. Greek9. Dutch10. Danish11. Portuguese12. Brazilian13. Croatian

Translations ongoingWelsh Sami

Serbian BSL

Bosnian Japanese

Spanish Somali

Catalan Arabic

“Other Spanish” Turkish

French Kurdish

Kannada Finnish

German Latvian

Czech Polish

Urdu Afrikaans

Punjabi Xhosa

Tamil Bengali

ComponentsNot just a measure!MeasuresMoney

To fund itCopyleft

TheoryAttitudePeopleScanning & then ITSupport

ComponentsNot just a measure!MeasuresMoney

To fund itCopyleft

TheoryAttitudePeopleScanning & then ITSupport

Theory & attitudeTheory:

Get out of the confidentiality closetEmbrace crude quantificationA core only, not a dimension“Outcome” = change

Attitude“Bottom up”ShareCompareCore only: complement itSupport each other

ComponentsNot just a measure!MeasuresMoney

To fund itCopyleft

TheoryAttitudePeopleScanning & then ITSupport

Where now?UK/EnglishInternationalGeneral

Where now?UK/English

Squeezed to the edge of IAPT but in the DoH MH PROM compendiumIncreasing research useMapped to the BDI-IIHuge datasets

Where now?UK/EnglishInternational 1

Developing but …… money/timeCultures

General

Where now?UK/EnglishInternationalGeneral

New theories of change?New politics and partnership?New psychometrics of change?A “New Deal”?

Thanks!

[email protected]