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How Do mental health paraprofessionals form judgments about patients? The development of a patient evaluation scale

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Abstract

Current trends in mental health imply increased use of mental health paraprofessionals in a variety of mental health settings. The present investigation was an attempt to explore the semantics of paraprofessional's judgments about patients. Psychiatric technicians in a public mental hospital were asked to make evaluative judgments about patients in their wards. In addition, they were asked to rate the patients on a 22-item scale concerned with specific behaviors or first-order inferences about behavior. The pattern of correlations as well as regression weights between evaluations and behavioral ratings were used to infer the “meanings”of the paraprofessionals evaluations of patients. Results indicated that most paraprofessionals tended to look for similar behaviors in making evaluations of patients. The semantic framework was simple and intelligible. Training uses of the research method were also discussed.

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Research for the paper was supported by NIMH grant No. 09-T-000011-01-0 awarded to Patton State Hospital, Dr. Abraham Kovitz, Principal Investigator. The authors wish to thank the staff of the Patton State Hospital (Patton, California) Mentally Ill Offender Program for their outstanding cooperation. We also wish to thank Dr. Abraham Kovitz, Director of Education and Training, for his invaluable aid. The present study took place in the context of a larger training program at Patton focusing on the Mentally Ill Offender Program.

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Goldman, R.D., Singer, R.D. How Do mental health paraprofessionals form judgments about patients? The development of a patient evaluation scale. Community Ment Health J 10, 319–331 (1974). https://doi.org/10.1007/BF01410778

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