Elsevier

Evaluation and Program Planning

Volume 17, Issue 3, July–September 1994, Pages 261-269
Evaluation and Program Planning

Burden assessment scale for families of the seriously mentally ill

https://doi.org/10.1016/0149-7189(94)90004-3Get rights and content

Abstract

Although there are many scales of family burden that are available and in use, there is no accepted standard. This paper describes a scale developed to assess the burden of families with a seriously mentally ill member. The Burden Assessment Scale (BAS), consisting of 19 items, is shown to have excellent reliability. Use of the BAS in two separate studies reveals the scale to have a stable factor structure, whether it is self- or interviewer-administered. The scale differentiates between family samples with different levels of burden and is sensitive to changes over time. The BAS, which is brief, reliable, and valid, is a practical tool for use in program evaluation. faThe authors express their appreciation to the staff of the Club/University of Medicine & Dentistry of New Jersey, Bonnie Schorske/Family Liaison of the New Jersey Division of Mental Health and Hospitals, and the program directors and staff of the eight Intensive Family Support Services programs funded by the State of New Jersey. We also thank Dr. Carol Weiss for adapting the BAS for use with Spanish-speaking population.

References (48)

  • J. Grad et al.

    Mental illness and the family

    Lancet

    (1963)
  • J.H. Beard

    The rehabilitation services of Fountain House

  • D.E. Biegel et al.

    Role of race in family caregiving with persons with mental illness: Burden, support system, and use of self help

  • N. Carpentier et al.

    Burden of care of families not living with young schizophrenic relatives

    Hospital and Community Psychiatry

    (1992)
  • J. Clausen et al.

    Mental illness and the family

    Journal of Social Issues

    (1955)
  • J.A. Cook et al.

    Feelings of burden and criticalness among parents residing with chronically mentally ill offspring

    The Journal of Applied Social Sciences

    (1987)
  • C. Creer et al.

    The role of relatives

  • L.J. Cronbach

    Coefficient alpha and the internal structure tests

    Psychometrika

    (1951)
  • DMH&H (Division of Mental Health & Hospitals)

    Fiscal year 1991 frequency summaries, Unified Services Transaction Form

    (1991)
  • I. Falloon et al.

    Family management in the prevention of morbidity of schizophrenia: The adjustment of the family unit

    British Journal of Psychiatry

    (1985)
  • G. Fisher et al.

    Family response to mental illness: Developments since deinstitutionalization

  • H. Freeman et al.

    The mental patient comes home

    (1963)
  • H.H. Goldman

    Mental illness and family burden: A public health perspective

    Hospital & Community Psychiatry

    (1982)
  • J. Grad et al.

    The effects that patients have on their family in a community care and control psychiatric service—a two-year follow-up

    British Journal of Psychiatry

    (1968)
  • G. Gubman et al.

    Intensive family support services: A cooperative evaluation

    (1991)
  • A. Hatfield

    Psychological costs of schizophrenia to the family

    Social Work

    (1978)
  • A. Hatfield

    Family education in mental illness

    (1990)
  • M. Herz et al.

    Brief versus standard hospitalization: The families

    American Journal of Psychiatry

    (1976)
  • J. Hoenig et al.

    The schizophrenic patient in the community and his effect on the household

    International Journal of Social Psychology

    (1966)
  • A. Horwitz et al.

    Family management of labeled mental illness in a deinstitutionalized era: An exploratory study

    Perspectives on Social Problems

    (1992)
  • J.I. Kosberg et al.

    Components of burden: Interventive implications

    The Gerontologist

    (1989)
  • D.E. Kreisman et al.

    Family response to the mental illness of a relative: A review of the literature

    Schizophrenia Bulletin

    (1974)
  • J. Landeen et al.

    Needs of well siblings of persons with schizophrenia

    Hospital and Community Psychiatry

    (1992)
  • The authors express their appreciation to the staff of the Club/University of Medicine & Dentistry of New Jersey, Bonnie Schorske/Family Liaison of the New Jersey Division of Mental Health and Hospitals, and the program directors and staff of the eight Intensive Family Support Services programs funded by the State of New Jersey. We also thak Dr. Carol Weiss for adapting the BAS for use with Spanish-speaking population.

    View full text