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Development and interrater reliability of the UK Mental Health Triage Scale

Sands, Natisha, Elsom, Stephen, Colgate, Robert, Haylor, Helen and Prematunga, Roshani 2016, Development and interrater reliability of the UK Mental Health Triage Scale, International journal of mental health nursing, vol. 25, no. 4, pp. 330-336, doi: 10.1111/inm.12197.

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Title Development and interrater reliability of the UK Mental Health Triage Scale
Author(s) Sands, Natisha
Elsom, Stephen
Colgate, Robert
Haylor, Helen
Prematunga, Roshani
Journal name International journal of mental health nursing
Volume number 25
Issue number 4
Start page 330
End page 336
Total pages 7
Publisher Wiley
Place of publication London, Eng.
Publication date 2016-08
ISSN 1447-0349
Keyword(s) crisis care
mental health
psychiatric emergency
triage
triage scale
Summary Mental health triage scales are clinical tools used at point of entry to specialist mental health service to provide a systematic way of categorizing the urgency of clinical presentations, and determining an appropriate service response and an optimal timeframe for intervention. The aim of the present study was to test the interrater reliability of a mental health triage scale developed for use in UK mental health triage and crisis services. An interrater reliability study was undertaken. Triage clinicians from England and Wales (n = 66) used the UK Mental Health Triage Scale (UK MHTS) to rate the urgency of 21 validated mental health triage scenarios derived from real occasions of triage. Interrater reliability was calculated using Kendall's coefficient of concordance (w) and intraclass correlation coefficient (ICC) statistics. The average ICC was 0.997 (95% confidence interval (CI): 0.996-0.999 (F (20, 1300) = 394.762, P < 0.001). The single measure ICC was 0.856 (95% CI: 0.776-0.926 (F (20, 1300) = 394.762, P < 0.001). The overall Kendall's w was 0.88 (P < 0.001). The UK MHTS shows substantial levels of interrater reliability. Reliable mental health triage scales employed within effective mental health triage systems offer possibilities for not only improved patient outcomes and experiences, but also for efficient use of finite specialist mental health services.
Language eng
DOI 10.1111/inm.12197
Field of Research 1110 Nursing
1117 Public Health And Health Services
1701 Psychology
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2016, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution Non-Commercial No-Derivatives licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30082583

Document type: Journal Article
Collections: School of Nursing and Midwifery
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.