African Health Sciences
Makerere University Medical School
Vol. 13, No. 1, 2013, pp. 78-81
Bioline Code: hs13012
Full paper language: English
Document type: Research Article
Document available free of charge
African Health Sciences, Vol. 13, No. 1, 2013, pp. 78-81
© Copyright 2012 - African Health Sciences
Effect of brief training on reliability and applicability of Global Assessment of functioning scale by Psychiatric clinical officers in Uganda|
Abbo, C; Okello, ES & Nakku, J
Background: The Global Assessment of Functioning (GAF) is the standard method and an essential tool for representing
a clinician's judgment of a patient's overall level of psychological, social and occupational functioning. As such, it is probably
the single most widely used method for assessing impairment among the patients with psychiatric illnesses.
Objective: To assess the effects of one-hour training on application of the GAF by Psychiatric Clinical Officers' in a
Method:Five Psychiatrists and five Psychiatric Clinical Officers (PCOs) or Assistant Medical Officers who hold a 2 year
diploma in Clinical Psychiatry were randomly selected to independently rate a video-recorded psychiatric interview according
to the DSM IV-TR. The PCOs were then offered a one-hour training on how to rate the GAF scale and asked to rate the
video case interview again. All ratings were assigned on the basis of past one year, at admission and current functioning.
Interclass correlations (ICC) were computed using two-way mixed models.
Results:The ICC between the psychiatrists and the PCOs before training in the past one year, at admission and current
functioning were +0.48, +0.51 and +0.59 respectively. After training, the ICC coefficients were +0.60, +0.82 and +0.83.
Conclusion:Brief training given to PCOs improved the applications of their ratings of GAF scale to acceptable levels.
There is need for formal training to this cadre of psychiatric practitioners in the use of the GAF.