On Demand Grand Rounds: The Adaptive Measurement of Mental Health Disorders and Suicide Risk
This presentation was originally reviewed on April 5, 2022, and broadcast live online on April 6, 2022, from 12:00 PM – 1:00 PM ET.
The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.
Mental health measurement has been based primarily on subjective judgment and classical test theory. Impairment is determined by a total score, requiring that all respondents be administered the same items. An alternative is adaptive testing in which different individuals may receive different scale items that are targeted to their specific impairment level. Using multidimensional item response theory, we have developed adaptive depression, anxiety, mania, PTSD, psychosis, ADHD, substance abuse, suicidality, and social determinants of health tests for adults, and depression, anxiety, mania, ADHD, conduct disorder, oppositional defiant disorder, suicidality and substance use disorder for children and adolescents. The shift in paradigm is from small fixed-length tests with questionable psychometric properties to large item banks from which an optimal small subset of items is adaptively drawn for each individual, targeted to their level of impairment. Results to date reveal remarkable increases in precision of measurement and dramatic decreases in patient burden. For example, depressive severity can be measured using an average of only 10 items in 2 minutes anywhere on the planet from a bank of 400 items, yet maintains a correlation of r = 0.95 with the 400 item scores. Applications in emergency departments and primary care centers, community settings, child welfare systems, college mental health screening, judicial systems, and epidemiologic studies are widespread. The focus of today’s presentation is on the adaptive measurement of mental health disorders and suicide risk.
This activity is intended for physicians, nurses, psychologists, social workers, counselors and other mental health professionals.
At the conclusion of this activity, attendees will be able to:
- Demonstrate a conceptual understanding of Item Response Theory.
- Discuss the aspects of adaptive testing and their uses.
- Identify Mental Health CATs for a given patient, matched to that patient’s level of severity.
Sheppard Pratt is dedicated to improving quality of life through mental health, special education, and addiction services for children, adolescents, adults and older adults. Our patient-centered treatment approach, combined with our legacy of clinical excellence, sets us apart from other health systems on both a local and national level. We have been ranked among the nation’s top psychiatric hospitals for 24 consecutive years by U. S. News & World Report. Founded in 1853 by philanthropist Moses Sheppard, Sheppard Pratt Health System still abides by its Quaker traditions and values.
Sheppard Pratt regularly hosts renowned speakers from across the country at our headquarters in Towson. We provide educational opportunities on subjects including psychiatric disorders, issues of behavioral health, systems-based change, mental and somatic co-morbidities, psychiatric effects on health and health outcomes, advances in neurobiology, and clinical developments in concepts underlying drug treatment of psychiatric disorders. We are accredited by the Accreditation Council of Continuing Medical Education, the Maryland Nurses’ Association, the Maryland Board of Psychology, the Maryland Board of Social Work, and the National Board of Certified Counselors.
Sheppard Pratt’s Professional Education Program is pleased to provide Wednesdays at Sheppard Pratt free of charge as a public service to the mental health community. Your tax-deductible donations will help maintain the outstanding quality of this service.
Please send your contributions to:
Sheppard Pratt Professional Education Program
Wednesdays Lecture Fund
6501 North Charles Street, Baltimore, Maryland 21204
Professional Education Program: 410.938.4593
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There is no commercial support for this activity.
About the speaker
Robert D. Gibbons is the Blum-Riese Professor and a Pritzker Scholar at the University of Chicago. He has appointments in the Departments of Medicine, Public Health Sciences and Comparative Human Development. He also directs the Center for Health Statistics. Professor Gibbons is a Fellow of the American Statistical Association, the International Statistical Institute, and the Royal Statistical Society, and a member of the National Academy of Medicine of the National Academy of Sciences. He has authored more than 300 peer-reviewed scientific papers and five books. His statistical work spans the areas of longitudinal data analysis, item response theory, environmental statistics and drug safety and has led to thousands of applications in the biological and social sciences. Professor Gibbons has received life-time achievement awards from the American Statistical Association, the American Public Health Association and Harvard University. He is a founder of the Mental Health Statistics section of the American Statistical Association.
Sheppard Pratt holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. In accord with Sheppard Pratt's Disclosure Policy, as well as standards of the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association (AMA), all planners, reviewers, speakers and persons in control of content have been asked to disclose any relationship he /she has with any entity producing, selling, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt, and if there will be discussion of any products, services or off-label uses of product(s) during this presentation.
Robert D. Gibbons, PhD, reports that he receives founder shares of stock for Adaptive Testing Technologies. He will be discussing the the science underlying the CAT-MH. He will not be discussing any off-label uses of pharmaceuticals.
Event Planners/Reviewers Disclosures: The following event planners and/or reviewers are reported as having no financial interest, arrangement or affiliation with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months: Todd Peters, MD, Deepak Prabhakar, MD, Briana Riemer, MD, Louis Marino, MD, Ehsan Syed, MD, Devi Bhuyan, PhD, Faith Dickerson, PhD, Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Laura Webb, RN-BC, MSN, Bruce Boxer, PhD, MBA, MA, MSN, RN, NPD-BC, NEA-BC, MCHES, CPHQ, Stacey Garnett, RN, MSN, Heather Billings, RN, Lisa Illum, MLIS, MEd, and Jennifer Tornabene.
Psychologist Statement: Sheppard Pratt is authorized by the State Board of Examiners of Psychologists as a sponsor of continuing education. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CE activity. Sheppard Pratt designates this educational activity for a maximum of 1.0 contact hours for Psychologists.
Social Worker Statement: Sheppard Pratt is authorized by the Board of Social Work Examiners of Maryland to offer continuing education for Social Workers. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CE activity. This activity is approved for 1.0 contact hours in Category II credits for Social Workers.
Counselor Statement: Sheppard Pratt has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5098. Programs that do not qualify for NBCC credit are clearly identified. Sheppard Pratt is solely responsible for all aspects of the program. This activity is available for 1.0 NBCC clock hours.
- 1.00 ACEP NBCC clock hours
- 1.00 Category II credits for Social Workers
- 1.00 Psychologists
- 1.00 Participation
ON DEMAND WEBINAR: FOR BEST RESULTS WATCH USING GOOGLE CHROME
Grand Rounds: The Adaptive Measurement of Mental Health Disorders and Suicide Risk
Robert D. Gibbons, PhD
Blum-Riese Professor of Biostatistics
Psychiatrist-in-Chief and Chair of Psychiatry, Children’s Hospital of Philadelphia (CHOP)
University of Chicago
Originally reviewed April 5, 2022.
Originally broadcast live April 6, 2022, from 12:00 PM – 1:00 PM ET
Enduring Activity Credit Expiration Date: December 25, 2025.
Activity Time: One-hour webinar lecture with a 15-minute evaluation process. Total Time: 1:15.
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