Measuring Specific Mental Illness Diagnoses with Functional Impairment Workshop Summary (2016) / Chapter Skim
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1 Introduction
1 Introduction
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in their responsibilities to expand the collection of behavioral health data in several areas. The workshop was structured to bring together experts in the measurement of specific mental illness diagnoses in adults, related functional impairment, and health survey methods to facilitate discussion of measures and mechanisms most promising for expanding SAMHSA's data collections in this area.
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WORKSHOP FOCUS Neil Russell of SAMHSA described his agency's goals in exploring how to best measure and expand SAMHSA's data collection programs to include specific mental illness diagnoses with functional impairment and the inherent challenges in this effort. He first explained that the parameters of the expanded data collection are (1)
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With scores ranging from 1 to 100, the GAF scale is a measure of global functional impairment rather than functional impairment specific to an individual mental disorder.3 Russell described challenges SAMHSA faces in considering how to collect data on a wider range of disorders while factoring in impairments related to those disorders. The first challenge is measuring disorderspecific functional impairment when there are multiple disorders and medical conditions.
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He listed SAMSHA's main options for data collection, noting that some of these options could require guidance on implementing model-based estimation procedures: • Using the NSDUH, which would require a major redesign effort to incorporate the collection of data on specific mental health diagnoses with functional impairment. • Reinstating the MHSS to accommodate more disorders and func tional impairment, perhaps as was previously done by gathering data from small subsamples over time.
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Chapter 3 describes studies that have been conducted to estimate specific mental illness diagnoses with functional impairment, and instruments that are available for this purpose. Chapter 4 looks at existing data and data collection methods for measuring disorders, severity, and impairment, including the approaches used by the Global Burden of Disease study and the National Health Interview Survey, as well as the strengths and weaknesses of the administrative and other data sources available for potentially estimating the prevalence of mental disorders.
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The views contained in the report are those of individual workshop participants and do not necessarily represent the views of all workshop participants, the steering committee, or the National Academies of Sciences, Engineering, and Medicine.
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