Purpose
The BASIS-24 assesses outcomes of mental health treatment
The BASIS-24 assesses outcomes of mental health treatment
24
5-15 minutes
Adult
18 - 64
yearsInitially 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.
A fifth grade reading level is required to use the assessment.
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 |
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
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)
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
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
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)
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
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)
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:
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)
Readability analysis conducted
Created items were clear, concise, and simply written
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
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)
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.
We have reviewed more than 500 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others.