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Behavior And Symptom Identification Scale

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Purpose

The BASIS-24 assesses outcomes of mental health treatment

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Instrument Details

Acronym BASIS-24

Assessment Type

Patient Reported Outcomes

Administration Mode

Paper & Pencil

Cost

Not Free

Actual Cost

$395.00

Cost Description

Cost per site using the assessment

Key Descriptions

  • 24 items compose 6 psychiatric and substance abuse subscales assessing symptoms over a one-week period:
    1) Depression/Functioning
    2) Interpersonal problems
    3) Psychotic symptoms
    4) Alcohol/Drug use
    5) Emotional lability
    6) Self-harm
  • Includes 12 demographic questions
  • Raw item scores range from 0 (no difficulty/symptoms never present) to 4 (extreme difficulty/symptoms always present)
  • Mean scores are calculated for each subscale and for the total score

Number of Items

24

Equipment Required

  • Paper or web-based manual

Time to Administer

5-15 minutes

Required Training

Training Course

Age Ranges

Adult

18 - 64

years

Instrument Reviewers

Initially reveiwed by Felicia Chew; updated by University of Illinois at Chicago Master of Science in Occupational Therapy students Kelly Rosenbaum, OTS; Sarah Smith, OTS; Mackenzie Hess, OTS.

ICF Domain

Participation
Environment

Measurement Domain

Activities of Daily Living
Cognition
Emotion

Considerations

A fifth grade reading level is required to use the assessment.

Mixed Populations

back to Populations

Standard Error of Measurement (SEM)

Inpatient Settings: (Eisen, Ranganathan, Seal, & Spiro, 2007; n = 1,397, majority age range 25-44 years, primary diagnoses: schizophrenia/schizoaffective disorder (25.1%), depression (25.4%) and alcohol/drug abuse disorder (26.9%))

  • SEM for entire Mental Health Program (n = 1,164): 70.3 change

BASIS-24 Subscales

SEM

Depression/Functioning

68.0

Interpersonal relationships

48.2

Self-harm

48.8

Emotional lability

54.0

Psychotic symptoms

38.8

Alcohol/Drug use

32.8

Overall mean

70.3

  • SEM for entire Substance Abuse Program (n = 233): 76.8 change

BASIS-24 Subscales

SEM

Depression/Functioning

77.2

Interpersonal relationships

47.2

Self-harm

36.1

Emotional lability

55.8

Psychotic symptoms

33.9

Alcohol/drug use

68.2

Overall mean

76.8

Outpatient Settings: (Eisen et al., 2007; n = 850; majority age range 25-44 years, primary diagnoses: depression (32.6%) and alcohol/drug abuse disorder (28.2%))

  • SEM for entire Mental Health Program (n = 593): 52.6 change

BASIS-24 Subscales

SEM

Depression/Functioning

52.3

Interpersonal relationships

36.3

Self-harm

27.8

Emotional lability

41.0

Psychotic symptoms

24.6

Alcohol/Drug use

21.4

Overall mean

52.6

  • SEM for entire Substance Abuse Program (n = 257): 48.3 change

BASIS-24 Subscales

SEM

Depression/Functioning

44.8

Interpersonal relationships

30.7

Self-harm

13.2

Emotional lability

34.6

Psychotic symptoms

21.8

Alcohol/Drug use

34.6

Overall mean

48.3

Minimal Detectable Change (MDC)

Inpatient and Outpatient Mental Health: (Cameron et al., 2007; n = 588, age range = 18-65 years, Scottish sample, primary diagnoses: depression (45%) and schizophrenia/schizoaffective disorder (28%))

  • MDC = .12 and a mean difference of .18 between groups

  • 90% power at 5% significance level to assess the scale’s responsiveness to change

Minimally Clinically Important Difference (MCID)

Inpatient Mental Health: (Eisen et al., 2007)

  • Clinically meaningful improvement on subscales and overall scores ranged from 8–54% based on RCI, 29–73% based on ES, and 33–75% based on SEM

Outpatient Mental Health: (Eisen et al., 2007)

  • Clinically meaningful improvement on subscales and overall scores ranged from <1–24% for RCI, 13–43% for ES, and 13–53% for SEM (Eisen et al., 2007)

Cut-Off Scores

Inpatient and Outpatient Mental Health: (Tarescavage & Porath-Ben, 2014; systematic review)

  • 5-point scale; algorithm computes overall and domain scores

    • 0 = less frequent symptoms/difficulty

    • 4 = more frequent symptoms/difficulty

    • Six domain subscales: Depression and Functioning, Relationships, Self-Harm, Emotional Lability, Psychosis and Substance Abuse

Normative Data

Inpatient Mental Health: (Cameron et al., 2007)

  • A percentile table was constructed based on mean scores for the inpatient population and the general population. Percentiles range from 1 to >99, with corresponding scores for each population listed for comparison. The lower the score and the lower the percentile, the better the score is, which is counterintuitive. An excerpt of Table IV is listed below:

Percentile

Inpatient Sample

General Population

1

0.29

0.00

2

0.36

0.04

3

0.41

0.04

. . .

. . .

. . .

98

3.25

2.17

99

3.30

2.25

>99

3.46

2.88

Inpatient and Outpatient Mental Health: (Tarescavage & Porath-Ben, 2014; systematic review)

  • BASIS-24 lacks normative information in the standard scoring protocol

Test/Retest Reliability

Inpatient Mental Health: (Eisen, Normand, Belanger, Spiro, & Esch, 2004; n = 2656, all patients above 18 years old; all patients admitted for mental health or substance abuse treatment during data collection period, primary diagnoses: alcohol/drug abuse disorder (26.9%), depression (25.6) and schizophrenia/schizoaffective disorder (23.3%))

  • Excellent test-retest reliability (ICC = .81-.96)

Outpatient Mental Health: (Eisen et al., 2004; n = 3222, all patients above 18 years old; all patients admitted for mental health or substance abuse treatment during data collection period, primary diagnoses: depression (31% and alcohol/drug abuse disorder (28.6%))

  • Excellent test-retest reliability (ICC = .89-.96)

Internal Consistency

Inpatient Settings: (Eisen et al., 2004)

  • Adequate to Excellent: Cronbach's alpha ranges from 0.75-0.89

Outpatient Settings: (Eisen et al., 2004)

  • Adequate to Excellent: Cronbach's alpha ranges from 0.77-0.91

Criterion Validity (Predictive/Concurrent)

Concurrent Validity:

Inpatient and Outpatient Mental Health: (Eisen et al., 2006)

  • Excellent correlations of BASIS-24 summary score with other self-report mental health measures, including MCS, global mental health, and satisfaction with life ranged from r = .59 to .82 (Eisen, 2006; n = 5878, majority age range 25-34 years, White, African-American and Latino representation)

  • Poor to adequate correlations with BASIS-24 summary score with SF-PCS ranged from r = .07 to .45 (Eisen et al., 2006)

Inpatient and Outpatient Mental Health: (Cameron et al., 2007)

  • Good concurrent criterion validity between BASIS-24 and Brief Symptom Inventory (BSI)

Inpatient Mental Health: (Eisen et al., 2006)

  • Poor correlations between BASIS-24 overall scores and GAF ratings ranged from r = .03 to .11 for each ethnicity group

Outpatient Mental Health: (Eisen et al., 2006)

  • Poor correlations between BASIS-24 overall scores and GAF ratings ranged from r = .27 to .29 for each ethnicity group

Construct Validity

Construct Validity:

Inpatient Mental Health: (Eisen et. al, 2004)

  • Poor to excellent correlation between the BASIS-24 and the MCS (r = .15-.77)

  • Poor to excellent correlation between the BASIS-24 and global ratings of mental health (r = .12-.75)

  • Poor correlation between the BASIS-24 and the PCS (r = .01-.15)

  • Poor correlation between BASIS-24 and the comorbidity index (r = .15)

Outpatient Mental Health: (Eisen et. al, 2004)

  • Poor to excellent correlation between the BASIS-24 and the MCS (r = .15-.77)

  • Poor to excellent correlation between the BASIS-24 and global ratings of mental health (r = .12-.75)

  • Poor correlation between the BASIS-24 and the PCS (r = .06-.28)

  • Moderate correlation between the BASIS-24 and the comorbidity index (r = .27)

  • Poor correlation between the BASIS-24 and the GAF (r = -.25)

Content Validity

  • “More than 50 measures of general and mental health status, psychiatric symptoms, substance abuse, social/community functioning, and quality of life were reviewed to identify the optimal range of question stems, response options, wording, and content. Feedback was obtained from 75 researchers, administrators, clinicians, and consumers about the length of the instrument, items that seemed confusing or difficult to answer, the appropriateness of response options, time frame, domains covered, and sensitivity to different racial and cultural groups” (Eisen et al., 2004, p. 1231).
  • Readability analysis conducted

  • Created items were clear, concise, and simply written

Floor/Ceiling Effects

Inpatient Settings: (Eisen et al., 2004)

  • Adequate floor effects of 5% occurred and adequate ceiling effects found

Outpatient Settings: (Eisen et al., 2004)

  • Adequate floor effects of 5% occurred and adequate ceiling effects of 7% found in the depression and functioning domain

Responsiveness

Inpatient Setting (Eisen et al., 2007)

  • Inpatient mental health effect size = 0.92

  • Inpatient substance abuse effect size = 1.1

Outpatient Setting (Eisen et al., 2007)

  • Outpatient mental health effect size = 0.44

  • Outpatient substance abuse effect size = 0.33

Scores were assessed at two time points, 3 months apart. Paired t-tests on the samples indicated significant change from the first-time point to the second time point. Effect size for change of the BASIS-24 was 0.56. Compared to the BSI (effect size = 0.48), BASIS-24 is slightly more responsive to change. (Cameron et al., 2007)

Bibliography

Cameron, I. M., Cunningham, L., Crawford, J. R., Eagles, J. M., Eisen, S. V., Lawton, K., Naji, S. A., Hamilton, R. J. (2007). Psychometric properties of the BASIS-24 (Behavior and Symptom Identification Scale-Revised) mental health outcome measure. International Journal of Psychiatry in Clinical Practice 11(1): 36-43. 

Eisen, S. V., Gerena, M., Ranganathan, G., Esch, D., Idiculla, T. (2006). Reliability and validity of the BASIS-24 mental health survey for Whites, African-Americans, and Latinos. Journal of Behavioral Health Services & Research 33(3): 304-323.

Eisen, S. V., Normand, S. L., Belanger, A. J., Spiro III, A., & Esch, D. (2004). The Revised Behavior and Symptom Identification Scale (BASIS-R): Reliability and validity. Medical Care, 42(12), 1230-1241.

Eisen, S. V., Ranganathan, G., Seal, P., Spiro, A. (2007). Measuring clinically meaningful change following mental health treatment. Journal of Behavioral Health Services & Research 34(3): 272- 289.

Eisen, S. V., Wilcox, M., Leff, H. S., Schaefer, E., & Culhane, M. A. (1999). Assessing behavioral health outcomes in outpatient programs: Reliability and validity of the BASIS-32. The Journal of Behavioral Health Services & Research, 26(1), 5-17.

Jerrell, J. M. (2005). Behavior and Symptom Identification Scale 32: Sensitivity to change over time. The Journal of Behavioral Health Services & Research, 32(3), 341-346.

Maruish, M. E. (Ed.). (2004). The Use of Psychological Testing for Treatment Planning and Outcomes Assessment. Volume 3: Instruments for Adults. Routledge. 

Tarescavage, A. M. & Porath-Ben, Y. S. (2014). Psychotherapeutic outcome measures: A critical review for practitioners. Journal of Clinical Psychology 70(9): 808-830.