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

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Update on CORESPR(UK) meeting 15.iii.09

• Chris Evans
• Nottinghamshire Healthcare NHS Trust

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History

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

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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

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History

• Rooted in SPR
• NIMH meeting
• MHF meeting

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History

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

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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

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Components

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

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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?
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CORE-OM its children (2)

• YP-CORE
• 13-18 age range
• 10 items
• Replaces teen-CORE
• LD-CORE
• Short
• Long
• SCORE
• Short
• Long

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CORE-OM its children (2)

• YP-CORE
• 13-18 age range
• 10 items
• Replaces teen-CORE
• LD-CORE
• Short
• Long
• SCORE
• Short
• Long

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CORE-OM its children (2)

• YP-CORE
• 13-18 age range
• 10 items
• Replaces teen-CORE
• LD-CORE
• Short
• Long
• SCORE
• Short
• Long

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SCORE
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CORE-OM its children (3)

• Translations
• Method
• Done
• CORE-OM derivative
• CORE-A CORE-Net
• Underway
• Planned
• Needed
• Stages of use

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Translations completed

1. Gujarati
2. Norwegian (Bokmal)
3. Italian
4. Slovak
5. Swedish
6. Icelandic
7. Albanian (Tosk)
8. Greek
9. Dutch
10. Danish
11. Portuguese
12. Brazilian
13. Croatian

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Translations ongoing
Welsh 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
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Components

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

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Components

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

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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

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Components

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

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Where now?

• UK/English
• International
• General

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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

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Where now?

• UK/English
• International 1
• Developing but
• money/time
• Cultures
• General

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Where now?

• UK/English
• International
• General
• New theories of change?
• New politics and partnership?
• New psychometrics of change?
• A New Deal?

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Thanks!

• chris_at_psyctc.org