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    MBT Adherence and Competence Scale - Scoring Template - Addendum

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    Diogo Oliveira
    This document provides scoring guidelines for the MBT Adherence and Competence Scale. It describes how to rate clinicians on frequency, extensiveness, quality of delivery, adjustments to scores, and adherence. Scores can be adjusted up or down from an initial "adequate" rating of 4 based on these factors. The final score is determined by calculating an adherence score and adjusting it based on ratings for quality absence.

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    MBT Adherence and Competence Scale - Scoring Template - Addendum

    Uploaded by

    Diogo Oliveira
    24 views2 pages
    This document provides scoring guidelines for the MBT Adherence and Competence Scale. It describes how to rate clinicians on frequency, extensiveness, quality of delivery, adjustments to scores, and adherence. Scores can be adjusted up or down from an initial "adequate" rating of 4 based on these factors. The final score is determined by calculating an adherence score and adjusting it based on ratings for quality absence.

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    This document provides scoring guidelines for the MBT Adherence and Competence Scale. It describes how to rate clinicians on frequency, extensiveness, quality of delivery, adjustments to scores, and adherence. Scores can be adjusted up or down from an initial "adequate" rating of 4 based on these factors. The final score is determined by calculating an adherence score and adjusting it based on ratings for quality absence.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    24 views2 pages

    MBT Adherence and Competence Scale - Scoring Template - Addendum

    Uploaded by

    Diogo Oliveira
    This document provides scoring guidelines for the MBT Adherence and Competence Scale. It describes how to rate clinicians on frequency, extensiveness, quality of delivery, adjustments to scores, and adherence. Scores can be adjusted up or down from an initial "adequate" rating of 4 based on these factors. The final score is determined by calculating an adherence score and adjusting it based on ratings for quality absence.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    MBT Adherence and Competence Scale – Scoring Template -

    Addendum

    FREQUENCY (F)
    = Amount of time and attention devoted by the clinician to a particular technical or
    stylistic intervention
     Scored for each item/intervention
    1 2 3 4 5 6 7
    Not at all A little Infrequently Somewhat Quite a Considerable Extensively
    bit

    EXTENSIVENESS (E)
    = Number of items within the domain; variance in use of the range of items
     Scored within the domain
    1 2 3 4 5 6 7
    Not at all A little Infrequently Somewhat Quite a Considerable Extensively
    bit

    UNADJUSTED DOMAIN SCORE


    = (single) composite raw domain score; overall judgment based on F & E
     Starting point = 4: Practitioner is “adequate” until proven otherwise (“good enough”
    therapist)
     Adjust above or below the bar based on F & E
    9 Not done at all / not rateable
    1 2 3 4 5 6 7
    Very poor poor acceptable adequate good very good excellent

    QUALITY HOW SCORE


    = How intervention is delivered, taking into account frequency, extensiveness,
    appropriateness, timing and context
    !!! Quality/skill level ≠ effectiveness of intervention
    -1 -0.5 0 +0.5 +1
    Harm/poor poor acceptable/adequate good excellent

    ADJUSTED DOMAIN SCORE


    = unadjusted domain score +/- quality how score
    9 Not done at all / not rateable
    1 2 3 4 5 6 7
    Very poor poor acceptable adequate good very good excellent

    1 MBT Adherence and Competence Scale – Scoring Template -


    Addendum
    Anna Freud National Centre for Children and Familes

    QUALITY ABSENCE SCORE


    Absence = Interventions/domain not delivered when expected / should be according to
    the model/manual
     Added/subtracted when calculating final score (Exception: non-mentalizing modes)
    -1 -0.5 0 +0.5
    Harm Poor Acceptable Marked, active,
    appropriate avoidance

    ADHERENCE SCORE
    = Domain total score (sum of scores rateable domains) / number of rateable domains

    FINAL SCORE
    = Adherence score +/- quality absence score
     An adherence rating of 3.5-4.5 is adherent and competent

    1 2 3 4 5 6 7
    Very poor poor acceptable adequate good very good excellent

    2 MBT Adherence and Competence Scale – Scoring Template - Addendum

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