Client-Practitioner Agreement in the Assessment of Severely Psychiatrically Disabled Persons' Functional Skills

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The relationship between practitioners' ratings of psychiatrically disabled patients' functional skills and the clients' own ratings of their functional skills was examined. Principal-axis factor analysis with varimax rotation of practitioners' and clients' ratings yielded two distinct factors for client self-report items and practitioner-rated global assessment items. Intercorrelations among various combinations of factor scores indicated a moderate degree of agreement between corresponding client and practitioner factors.We suggest that researchers consider clients' self-reports of functional skills and practitioners' ratings of functional skills as different sources of client information. The implications for clinicians is that client-practitioner agreement may not be very strong and that the treatment/rehabilitation process must develop strategies to check for and maximize agreement prior to treatment planning.

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