PMID- 28691596 OWN - NLM STAT- MEDLINE DCOM- 20180813 LR - 20181202 IS - 1471-1788 (Electronic) IS - 1365-1501 (Linking) VI - 22 IP - 1 DP - 2018 Mar TI - The relationship between the INTERMED patient complexity instrument and Level of Care Utilisation System (LOCUS). PG - 80-82 LID - 10.1080/13651501.2017.1353635 [doi] AB - OBJECTIVE: To investigate the concurrent and criterion validity of two independently developed measurement instruments, INTERMED and LOCUS, designed to improve the treatment and clinical management of patients with complex symptom manifestations. METHODS: Participants (N = 66) were selected from hospital records based on the complexity of presenting symptoms, with tripartite diagnoses across biological, psychiatric and addiction domains. Biopsychosocial information from hospital records were submitted to INTERMED and LOCUS grids. In addition, Global Assessment of Functioning (GAF) ratings were gathered for statistical analyses. RESULTS: The product moment correlation between INTERMED and LOCUS was 0.609 (p = .01). Inverse zero-order correlations for INTERMED and LOCUS total score and GAF were obtained. However, only the beta weight for LOCUS and GAF was significant. An exploratory principal components analysis further illuminated areas of convergence between the instruments. CONCLUSIONS: INTERMED and LOCUS demonstrated shared variance. INTERMED appeared more sensitive to complex medical conditions and severe physiological reactions, whereas LOCUS findings are more strongly related to psychiatric symptoms. Implications are discussed. FAU - Thurber, Steven AU - Thurber S AD - a Psychiatry, Child and Adolescent Behavior Health Services , Minnesota Department of Human Services , Willmar , MN , USA. FAU - Wilson, Ann AU - Wilson A AD - b Department of Psychiatry , University of Minnesota, Minneapolis , MN , USA. FAU - Realmuto, George AU - Realmuto G AD - b Department of Psychiatry , University of Minnesota, Minneapolis , MN , USA. FAU - Specker, Sheila AU - Specker S AD - b Department of Psychiatry , University of Minnesota, Minneapolis , MN , USA. LA - eng PT - Journal Article DEP - 20170720 PL - England TA - Int J Psychiatry Clin Pract JT - International journal of psychiatry in clinical practice JID - 9709509 SB - IM MH - Adolescent MH - Adult MH - Community Mental Health Services/*statistics & numerical data MH - Female MH - Humans MH - Male MH - Mental Disorders/*diagnosis/*therapy MH - Middle Aged MH - Psychiatric Status Rating Scales/*statistics & numerical data MH - Psychometrics/*statistics & numerical data MH - *Severity of Illness Index MH - Young Adult OTO - NOTNLM OT - Adult psychiatry OT - biopsychosocial OT - clinical assessment OT - community mental health services EDAT- 2017/07/12 06:00 MHDA- 2018/08/14 06:00 CRDT- 2017/07/11 06:00 PHST- 2017/07/12 06:00 [pubmed] PHST- 2018/08/14 06:00 [medline] PHST- 2017/07/11 06:00 [entrez] AID - 10.1080/13651501.2017.1353635 [doi] PST - ppublish SO - Int J Psychiatry Clin Pract. 2018 Mar;22(1):80-82. doi: 10.1080/13651501.2017.1353635. Epub 2017 Jul 20.