Home safety evaluation is an important issue within the context of current perspectives on accommodation for people with a serious mental illness who favour a more independent way of life.
Purpose.
This paper describes the development and content validation of the Évaluation de la sécurité à domicile et de la gestion des risques (ESGR), an occupational therapy assessment tool for people with a serious mental illness.
Method.
The ESGR was developed from scientific knowledge and clinical experience. Assessing content validity was done in two phases and involved the consultation of 11 experts.
Findings.
In its current form, the ESGR includes 67 items organized into three categories (environment, occupation, person).
Implications.
According to the experts consulted, there is a clinical interest in using the ESGR to support occupational therapists in the assessment of home safety for people with serious mental illness. The statements are clear and representative of the concept and the target audience.
AdamkiewiczG.ZotaA. R.FabianM. P.ChahineT.JulienR.SpenglerJ. D.LevyJ. I. (2011). Moving environmental justice indoors: Understanding structural influences on residential exposure patterns in low-income communities. American Journal of Public Health, 101, 238–245. doi:10.2105/ajph.2011.300119
2.
AllenC. K. (1992). Cognitive disabilities. KatzDans N. (dir.), Cognitive rehabilitation: Models for intervention in occupational therapy (pp. 1–21). Boston, MA: Andover Medical.
3.
AnemaetW. K.Moffa-TrotterM. E. (1999). Promoting safety and function through home assessments. Topics in Geriatric Rehabilitation, 15(1), 26–55.
4.
AubinG.StipE.GélinasI.RainvilleC.ChapparoC. (2009). Daily functioning and information processing strategies among persons with schizophrenia. Psychiatric Services, 60, 817–822. doi:10.1176/appi.ps.60.6.817.
5.
BakerJ.LovellK.HarrisN. (2006). How expert are the experts? An exploration of the concept of ‘expert’ within Delphi panel techniques. Nurse Researcher, 14(1), 59–70. doi:10.7748/nr2006.10.14.1.59.c6010
6.
BlassD. M.RyeR. M.RobbinsB. M.MinerM. M.HandelS.CarrollJ. L.Jr.RabinsP. V. (2006). Ethical issues in mobile psychiatric treatment with homebound elderly patients: The psychogeriatric assessment and treatment in city housing experience. Journal of The American Geriatrics Society, 54, 843–848. doi:10.1111/j.1532-5415.2006.00706.x
7.
BrayeS.OrrD.Preston-ShootM. (2011). Conceptualising and responding to self-neglect: The challenges for adult safeguarding. Journal of Adult Protection, 13, 182–193. doi:10.1108/14668201111177905
8.
BrowneG.CourtneyM. (2005). Housing, social support and people with schizophrenia: A grounded theory study. Issues in Mental Health Nursing, 26, 311–326. doi:10.1080/01612840590915694
9.
CamilloniL.FarchiS.ChiniF.Giorgi RossiP.BorgiaP.GuasticchiG. (2013). How socioeconomic status influences road traffic injuries and home injuries in Rome. International Journal of Injury Control & Safety Promotion, 20, 134–143. doi:10.1080/17457300.2012.692695
10.
ChiuT.OliverR. (2006). Factor analysis and construct validity of the SAFER-HOME. OTJR: Occupation, Participation and Health, 26, 132–142.
11.
ChiuT.OliverR.MarshallL.LettsL. (2001). Safety Assessment of Function and the Environment for Rehabilitation (SAFER) tool manual. Toronto, ON: COTA Comprehensive Rehabilitation and Mental Health Services.
12.
ClemsonL.FitzgeraldM. H.HeardR. (1999). Content validity of an assessment tool to identify home fall hazards: the Westmead Home Safety Assessment. British Journal of Occupational Therapy, 62, 171–179.
13.
CLSC Côte-des-Neiges. (2006). Grille d’évaluation de la sécurité des personnes souffrant de démence et vivant à domicile. Revue canadienne d’ergothérapie, 73, i–iv. doi:10.1177/000841740607300501
ContandriopoulosA. P.ChampagneF.PotvinL.DenisJ. L.BoyleP. (1990). Savoir préparer une recherche. La définir, la structurer, la financer. Montréal, QC: Presses de l’Université de Montréal.
17.
DayM. R. (2010). Self-neglect: A challenge and a dilemma. Archives of Psychiatric Nursing, 24, 73–75. doi:10.1016/j.apnu.2010.02.002
18.
DongX.GorbienM. (2005). Decision-making capacity: The core of self-neglect. Journal of Elder Abuse and Neglect, 17(3), 19–36. doi:10.1300/J084v17n03_02
19.
DuffyD.DoyleM.RyanT. (2004). Risk assessment and management in acute mental health care. HarrisonDans M.HowardD.MitchellD. (dirs.), Acute mental health nursing: From acute concerns to the capable practitioner (pp. 144–161). Thousand Oaks, CA: Sage.
20.
FängeA.IwarssonS. (1999). Physical housing environment: Development of a self-assessment instrument. Canadian Journal of Occupational Therapy, 66, 250–260. doi:10.1177/000841749906600507
21.
FaulknerA. (2012). The right to take risks. Journal of Adult Protection, 14, 287–296. doi:10.1108/14668201211286066
FlorioA. E.AllesW. F.StaffordG. T. (1979). Safety education (4e éd.). New York, NY: McGraw-Hill.
24.
ForchukC.NelsonG.HallB. (2006). “It’s important to be proud of the place you live in”: Housing problems and preferences of psychiatric survivors. Perspectives in Psychiatric Care, 42, 42–52. doi:10.1111/j.1744-6163.2006.00054.x
25.
FosseyE.HarveyC.PlantG.PantelisC. (2006). Occupational performance of people diagnosed with schizophrenia in supported housing and outreach programmes in Australia. British Journal of Occupational Therapy, 69, 409–419.
GrantJ. S.DavisL. L. (1997). Selection and use of content experts for instrument development. Research in Nursing & Health, 20, 269–274. doi:10.1002/(SICI)1098-240X(199706)20:3<269::AID-NUR9>3.0.CO;2-G
28.
HallidayG.BanerjeeS.PhilpotM.MacdonaldA. (2000). Community study of people who live in squalor. Lancet, 355, 882–886. doi:10.1016/S0140-6736(99)06250-9
29.
HébertM.Brasset-LatulippeA.Bourgault-CôtéS.MeilleurV.ChiuT. (2009). Protocole d’évaluation de la sécurité à domicile (PESAD) : version francophone du SAFER HOME v3. Francophonie d’Amérique, 28, 213–233. doi:10.7202/044990ar
KloosB.ShahS. (2009). A social ecological approach to investigating relationships between housing and adaptive functioning for persons with serious mental illness. American Journal of Community Psychology, 44, 316–326. doi:10.1007/s10464-009-9277-1
32.
LauderW.DavidsonG.AndersonI.BarclayA. (2005). Self-neglect: The role of judgements and applied ethics. Nursing Standard, 19(18), 45–51. doi:10.7748/ns2005.01.19.18.45.c3785
33.
LawM.PollockN.StewartD. (2004). Evidence-based occupational therapy: Concepts and strategies. New Zealand Journal of Occupational Therapy, 51, 14–22.
LeeS.WongY.-L.RothbardA. B. (2009). Factors associated with departure from supported independent living programs for persons with serious mental illness. Psychiatric Services, 60, 367–373, doi:10.1176/appi.ps.60.3.367
36.
LynnM. (1986). Determination and quantification of content validity. Nursing Research, 35, 382–385.
37.
MacknightC. (2001). La négligence de soi chez les aînés : abolir le mur de la solitude. La revue canadienne de la maladie d’Alzheimer, 4(4), 18–21.
38.
Martinez-AranA.VietaE.TorrentC.Sanchez-MorenoJ.GoikoleaJ. M.SalameroM.…Ayuso-MateosJ. L. (2007). Functional outcome in bipolar disorder: The role of clinical and cognitive factors. Bipolar Disorder, 9, 103–113. doi:10.1111/j.1399-5618.2007.00327.x
39.
MauriceP.LavoieM.Levaque CharronR.ChapdelaineA.Bélanger BonneauH.SvanströmL.…RomerC. (1998). Sécurité et promotion de la sécurité : aspects conceptuels et opérationnels. Télécharger àhttp://www.ki.se/csp/pdf/Publications/promotion_de_la_sec.pdf
40.
McGuireJ. (2004). Minimising harm in violence risk assessment: Practical solution to ethical problems?Health, Risk & Society, 6, 328–345. doi:10.1080/13698570412331323225
41.
McNultyM. C.FisherA. G. (2001). Validity of using the Assessment of Motor and Process Skills to estimate overall home safety in persons with psychiatric conditions. American Journal of Occupational Therapy, 55, 649–655. doi:10.5014/ajot.55.6.649
MorinP.DorvilH.RobertD. (2001). Le logement comme facteur d’intégration sociale pour les personnes classées malades mentales et déficientes intellectuelles. Nouvelles pratiques sociales, 14(1), 88–105. doi:10.7202/008321ar
45.
MullenP. (2003). Delphi: Myths and reality. Journal of Health Organization and Management, 17(1), 37–52.
46.
NaikA. D.TealC. R.PavlikV. N.DyerC. B.McCulloughL. B. (2008). Conceptual challenges and practical approaches to screening capacity for self-care and protection in vulnerable older adults. Journal of The American Geriatrics Society, 56, S266–S270. doi:10.1111/j.1532-5415.2008.01979.x
47.
NelsonG.MacnaughtonE.CaplanR.MacleodT.TownleyG.PiatM.…GoeringP. (2013). Follow-up implementation and fidelity evaluation of the mental health commission of Canada’s At Home/Chez Soi Project: Cross-site report. Télécharger àhttp://www.mentalhealthcommission.ca/Francais/node/13611?terminitial=23
48.
NelsonG.HallG. B.ForchukC. (2003). Current and preferred housing of psychiatric consumers/survivors. Canadian Journal of Community Mental Health, 22(1), 5–19.
49.
NikolovaR.CarignanM.MoscovitzN.DemersL. (2004). The Psychogeriatric and Risk Behavior Assessment Scale (PARBAS): A new measure for use with older adults living in the community. Archives of Gerontology and Geriatrics, 39, 187–200. doi:10.1016/j.archger.2004.03.003
50.
Organisation mondiale de la santé. (2001). Rapport sur la santé dans le monde, 2001. La santé mentale : Nouvelle conception, nouveaux espoirs. Télécharger àhttp://www.who.int/whr/2001/en/whr01_fr.pdf
51.
PetryK.MaesB.VlaskampC. (2007). Operationalizing quality of life for people with profound multiple disabilities: A Delphi study. Journal of Intellectual Disability Research, 51, 334–349. doi:10.1111/j.1365-2788.2006.00882.x
52.
PiatM.BoyerR.CloutierS.FleuryM.-J.LesageA. (2012). Les conditions d’hébergement favorables au rétablissement : perspective des usagers et usagères. Revue canadienne de santé mentale communautaire, 31(1), 67–85.
53.
PiatM.LesageA.DorvilH.BoyerR.CoutureA.BloomD. (2008). Les préférences résidentielles des personnes souffrant de troubles mentaux graves : une étude descriptive. Santé mentale au Québec, 33, 247–269. doi:10.7202/019677ar
54.
PolatajkoH. J.TownsendE. A.CraikJ. (2013). Le Modèle canadien du rendement et de l’engagement occupationnels (MCREO). TownsendDans E. A.PolatajkoH. J.Faciliter l’occupation : l’avancement d’une vision de l’ergothérapie en matière de santé, bien-être et justice à travers l’occupation (p. 27). Ottawa, ON: CAOT Publications ACE.
55.
PolitD. F.BeckC. T. (2006). The content validity index: Are you sure you know what’s being reported? Critique and recommendations. Research in Nursing and Health, 29, 489–497. doi:10.1002/nur.20147
56.
PolitD. F.BeckC. T.OwenS. V. (2007). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing and Health, 30, 459–467. doi:10.1002/nur.20199
57.
Poulin de CourvalL.GélinasI.GauthierS.DaytonD.LiuL.RossignolM.…DastoorD. (2006). Reliability and validity of the Safety Assessment Scale for people with dementia living at home. Canadian Journal of Occupational Therapy, 73, 67–75. doi:10.1177/000841740607300201
RobnettR. H.HopkinsV.KimballJ. D. (2002). The SAFE AT HOME: A quick home safety assessment. Physical & Occupational Therapy in Geriatrics, 20(3/4), 77–92. doi:10.1080/J148v20n03_06
60.
RubioD. M.Berg-WegerM.TebbS. S.LeeE. S.RauchS. (2003). Objectifying content validity: Conducting a content validity study in social work research. Social Work Research, 27, 94–104. doi:10.1093/swr/27.2.94
61.
RussellC.FitzgeraldM. H.WilliamsonP.ManorD.WhybrowS. (2002). Independence as a practice issue in occupational therapy: The safety clause. American Journal of Occupational Therapy, 56, 369–379. doi:10.5014/ajot.56.4.369
62.
SanfordJ. A.PynoosJ.TejralA.BrowneA. (2002). Development of a comprehensive assessment for delivery of home modifications. Physical & Occupational Therapy in Geriatric, 20(2), 43–55. doi:0.1080/J148v20n02_03
StreinerD. L.NormanG. R. (2008). Health measurement scales. A practical guide to their development and use (4e éd.). Oxford, UK: Oxford University Press.
65.
TanzmanB. (1993). An overview of surveys of mental health consumers’ preferences for housing and support services. Hospital and Community Psychiatry, 44, 450–455.
66.
TittertonM. (2004). Risk and risk taking in health and social welfare. London, UK: Jessica Kingsley.
67.
TorkeA. M.SachsG. A. (2008). Self-neglect and resistance to intervention: Ethical challenges for clinicians. Journal of General Internal Medicine, 23, 1926–1927. doi:10.1007/s11606-008-0807-6
68.
TsaiJ.StroupS. T.RosenheckR. A. (2011). Housing arrangements among a national sample of adults with chronic schizophrenia living in the United States: A descriptive study. Journal of Community Psychology, 39, 76–88. doi:10.1002/jcop.20418
69.
Van der MarenJ. M. (1995). Méthodes de recherche pour l’éducation. Montréal, QC: Les Presses de l’Université de Montréal.
70.
WaltzC. F.SticklandO. L.LenzE. R. (2010). Measurement in nursing and health research (4e éd.). New York, NY: Springer.
71.
WhitleyR.HarrisM.DrakeR. E. (2008). Safety and security in small-scale recovery housing for people with severe mental illness: An inner-city case study. Psychiatric Services, 59, 165–169.
WrightP. A.KloosB. (2007). Housing environment and mental health outcomes: A levels of analysis perspective. Journal of Environnementale Psychology, 27(1), 79–89. doi:10.1016/j.jenvp.2006.12.001
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