Consumer Recovery Outcomes System (CROS 3.0)
Colorado Health Networks Partnership‚ 1997
Email: [email protected]
Consumer CROS 3.0 Questionnaire
Think about the services you receive from this agency:
If you are new to this agency‚ start at Question 6.
Very satisfied‚ Somewhat satisfied‚ Somewhat dissatisfied‚ Very dissatisfied
1. How do I feel about the amount of information I receive about my mental illness?
2. How do I feel about the choices I get about my care?
3. How do I feel about the amount of activities or groups I am offered to help me cope with my mental illness?
4. How do I feel about the help I get finding services I need in the community?
5. How do I feel about the availability of crisis services when I need them?
Think about your hopes for the future:
Believe strongly‚ Believe‚ Believe a little‚ Do not believe
6. I believe I will handle my daily problems.
7. I believe I will trust my thoughts and feelings.
8. I believe I will feel alert and alive.
9. I believe I will achieve goals I set for myself.
10.I believe my life will have meaning.
11.I believe I will have enjoyable experiences.
12.I believe I will recover from mental illness.
Think about things you do in your daily life:
All the time‚ Most of the time‚ Sometimes‚ Almost never
13.I plan and keep a daily routine on my own.
14.I concentrate and finish tasks that I start.
15.I make plans to do things with other people.
16.I manage my residence (for example‚ do chores‚ pay bills‚ keep my room/house clean).
17.I make my own decisions.
18.I take care of my personal appearance (for example‚ bathe‚ wear clean clothes).
19.I am involved in meaningful activity (for example‚ employment‚ school‚ volunteer work).
20.How much progress am I making in recovering from my mental illness? A great deal‚ Some‚ Very little‚ None at all
Think about how well you are coping:
Very well -never a problem‚ Fairly well -rarely a problem‚ Not so well -often a problem‚ Very poorly – always a problem
21.How well am I coping with feeling sad?
22.How well am I coping with feeling tense or anxious?
23.How well am I coping with feeling angry or hostile toward others?
24.How well am I coping with disturbing thoughts?
25.How well am I coping with difficulty sleeping?
26.How well am I coping with external stressors (for example‚ health problems‚ family conflicts‚ unemployment‚ tragedy in community)?
Think about how satisfied you are with your life:
27. How do I feel about the amount of freedom I have where I live?
Very satisfied‚ Somewhat satisfied‚ Somewhat dissatisfied‚ Very dissatisfied
27.How do I feel about having things to do that I enjoy (for example‚ going to the movies‚ sports events‚ hobbies)?
28.How do I feel about the way I spend my free time?
29.How do I feel about the amount of privacy I have where I live?
30.How do I feel about the amount of comfort and security I have where I live?
31.How do I feel about my access to health care?
32.How do I feel about the neighborhood and residence where I live?
33.How do I feel about my access to reliable transportation?
34.How do I feel about my relationships with family/significant others/friends?
35.I believe my use of alcohol or street drugs interferes with my recovery from mental illness. I do not use alcohol or street drugs. Believe strongly‚ Believe ‚ Believe a little‚ Do not believe
36.I take my psychiatric medication as prescribed. Psychiatric medication has not been prescribed for me. All the time‚ Most of the time‚ Sometimes‚ Almost never
37.I believe taking my psychiatric medication helps with my recovery from mental illness. Psychiatric medication has not been prescribed for me. Believe strongly‚ Believe‚ Believe a little‚ Do not believe
Did anyone help you complete this form? Yes ‚ No
Was this questionnaire translated into another language for you? Yes‚ No
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Staff CROS 3.0 Questionnaire
1. Current Assessment (DSM-IV) Primary… Secondary… Tertiary…
2. Last hospital discharge was: (Leave blank if never hospitalized) Within last 6 months‚ Within 6 months to 1 year ago‚ Over 1 year ago
3. Does the consumer have a representative payee? Yes‚ No
4. Is the consumer chronically homeless? Yes‚ No
5. Is the consumer new to this agency? Yes‚ No
Think about the consumer’s hopes for the future:
All the time‚ Most of the time‚ Sometimes‚ Almost never
6. To what extent does the consumer seem to believe he/she will handle daily problems?
7. To what extent does the consumer seem to believe he/she will trust his/her thoughts and feelings?
8. To what extent does the consumer seem to believe he/she will feel alert and alive?
9. To what extent does the consumer seem to believe he/she will achieve goals he/she sets?
10.To what extent does the consumer seem to believe his/her life will have meaning?
11.To what extent does the consumer seem to believe he/she will have enjoyable experiences?
12.To what extent does the consumer seem to believe he/she will recover from mental illness?
Think about things the consumer does in his/her daily life:
13.How often does the consumer plan and keep a daily routine on his/her own?
14.How often does the consumer concentrate and finish tasks that he/she starts?
15.How often does the consumer make plans to do things with other people?
16.How often does the consumer manage his/her residence (for example‚ do chores‚ pay bills‚ keep his/her room/house clean)?
17.How often does the consumer make his/her own decisions?
18.How often does the consumer take care of his/her personal appearance (for example‚ bathe‚ wear clean clothes)?
19.How often is the consumer involved in meaningful activity (for example‚ employment‚ school‚ volunteer work)?
20.How much progress is the consumer making toward recovering from his/her mental illness?
Think about how well the consumer is coping:
Very well -never a problem‚ Fairly well -rarely a problem‚ Not so well -often a problem‚ Very poorly -always a problem
21.How well is the consumer coping with feeling sad?
22.How well is the consumer coping with feeling tense or anxious?
23.How well is the consumer coping with feeling angry or hostile toward others?
24.How well is the consumer coping with disturbing thoughts?
25.How well is the consumer coping with difficulty sleeping?
26.How well is the consumer coping with external stressors (health problems‚ family conflicts‚ unemployment‚ tragedy in community)?
Think about how satisfied the consumer is with his/her life:
Very satisfied‚ Somewhat satisfied‚ Somewhat dissatisfied‚ Very dissatisfied
27.How does the consumer feel about the amount of freedom he/she has where he/she lives?
28.How does the consumer feel about having things to do that he/she enjoys (for example‚ going to the movies‚ sports events‚ hobbies)?
29.How does the consumer feel about the way he/she spends his/her free time?
30.How does the consumer feel about the amount of privacy he/she has where he/she lives?
31.How does the consumer feel about the amount of comfort and security he/she has where he/she lives?
32.How does the consumer feel about his/her access to health care?
33.How does the consumer feel about the neighborhood and residence where he/she lives?
34.How does the consumer feel about his/her access to reliable transportation?
35.How does the consumer feel about his/her relationships with family/significant others/friends?
36.To what extent do you believe the consumer’s use of alcohol or street drugs interferes with his/her recovery from mental illness? The consumer does not use alcohol or street drugs. ○ Strongly believe‚ Believe‚ Believe a little‚ Do not believe
37.To what extent do you believe the consumer takes his/her psychiatric medication as prescribed? Psychiatric medication has not been prescribed for the consumer. ○ All the time‚ Most of the time‚ Sometimes‚ Almost never
38. To what extent do you believe the consumer’s psychiatric medication helps with his/her recovery from mental illness? Psychiatric medication has not been prescribed for the consumer. ○ Strongly believe‚ Believe‚ Believe a little‚ Do not believe
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VIP CROS 3.0 Questionnaire for …
Please indicate your relationship to the consumer:
○ Spouse/Significant Other ○ Other Relative ○ Residential Facility Staff ○ Parent/Step-parent ○ Friend ○ Other
Think about the consumer’s hopes for the future:
All the time‚ Most of the time‚ Sometimes‚ Almost never
1. To what extent does the consumer seem to believe he/she will handle daily problems?
2. To what extent does the consumer seem to believe he/she will trust his/her thoughts and feelings?
3. To what extent does the consumer seem to believe he/she will feel alert and alive?
4. To what extent does the consumer seem to believe he/she will achieve goals he/she sets?
5. To what extent does the consumer seem to believe his/her life will have meaning?
6. To what extent does the consumer seem to believe he/she will have enjoyable experiences?
7. To what extent does the consumer seem to believe he/she will recover from mental illness?
Think about things the consumer does in his/her daily life:
8. How often does the consumer plan and keep a daily routine on his/her own?
9. How often does the consumer concentrate and finish tasks that he/she starts?
10.How often does the consumer make plans to do things with other people?
11.How often does the consumer manage his/her residence (for example‚ do chores‚ pay bills‚ keep his/her room/house clean)?
12.How often does the consumer make his/her own decisions?
13.How often does the consumer take care of his/her personal appearance (for example‚ bathe‚ wear clean clothes)?
14.How often is the consumer involved in meaningful activity (for example‚ employment‚ school‚ volunteer work)?
15.How much progress is the consumer making toward recovering from his/her mental illness?
Think about how well the consumer is coping:
Very well -never a problem‚ Fairly well -rarely a problem‚ Not so well -often a problem‚ Very poorly -always a problem
16.How well is the consumer coping with feeling sad?
17.How well is the consumer coping with feeling tense or anxious?
18.How well is the consumer coping with feeling angry or hostile toward others?
19.How well is the consumer coping with disturbing thoughts?
20.How well is the consumer coping with difficulty sleeping?
21.How well is the consumer coping with external stressors (health problems‚ family conflicts‚ unemployment‚ tragedy in community)?
Think about how satisfied the consumer is with his/her life:
Very satisfied‚ Somewhat satisfied‚ Somewhat dissatisfied‚ Very dissatisfied
22. How does the consumer feel about the amount of freedom he/she has where he/she lives?
23. How does the consumer feel about having things to do that he/she enjoys (for example‚ going to the movies‚ sports events‚ hobbies)?
24. How does the consumer feel about the way he/she spends his/her free time?
25. How does the consumer feel about the amount of privacy he/she has where he/she lives?
26. How does the consumer feel about the amount of comfort and security he/she has where he/she lives?
27. How does the consumer feel about his/her access to health care?
28. How does the consumer feel about the neighborhood and residence where he/she lives?
29. How does the consumer feel about his/her access to reliable transportation?
30. How does the consumer feel about his/her relationships with family/significant others/friends?
31. To what extent do you believe the consumer’s use of alcohol or street drugs interferes with his/her recovery from mental illness? The consumer does not use alcohol or street drugs. ○ Strongly believe‚ Believe‚ Believe a little‚ Do not believe
32. To what extent do you believe the consumer takes his/her psychiatric medication as prescribed? Psychiatric medication has not been prescribed for the consumer. ○ All the time‚ Most of the time‚ Sometimes‚ Almost never
33. To what extent do you believe the consumer’s psychiatric medication helps with his/her recovery from mental illness? Psychiatric medication has not been prescribed for the consumer. Strongly believe‚ Believe‚ Believe a little‚ Do not believe
Consumer Version: Hope for the Future (alpha 0.90 and r=.70)‚ Daily Functioning (alpha 0.83 and r=.69)‚ Coping with Clinical Symptoms (alpha 0.86 and r=.76)‚ and Quality of Life (alpha 0.84and r=.75)‚ Treatment Satisfaction (alpha 0.79 and r=.74)
Staff Version and VIP Version: Hope for the Future (alpha 0.89 and r=.80)‚ Daily Functioning (alpha 0.86 and r=.89)‚ Coping with Clinical Symptoms (alpha 0.85 and r=.79)‚ and Quality of Life (alpha 0.89 and r=.87)
This instrument can be found at: https://www.power2u.org/downloads/pn-55.pdf & http://www.crosllc.com/CROS3.0manuscript-090204.pdf
Becker‚ M.‚ Diamond‚ R.‚ & Sainfort‚ F. (1993). A new patient focused index for measuring quality of life in persons with severe and persistent mental illness. Quality of Life Research‚ 2‚ 239-251.
Bloom‚ B.L.‚ & Miller‚ A. (2004). The Consumer Recovery Outcomes System (CROS 3.0): Assessing clinical status and progress in persons with severe and persistent mental illness. Unpublished manuscript retrieved October 13‚ 2005 from the CROS LLC Web site: http://www.crosllc.com/CROS3.0manuscript-090204.pdf
Eisen‚ S.V. (1996). Behavior and symptom identification scale (BASIS-32). In L.I. Sederer & B. Dickey‚ (Eds.)‚ Outcome assessment in clinical practice (pp. 65-69). Baltimore: Williams &Wilkins.
Faustman‚ W.O. (1994). Brief psychiatric rating scale. In M.E. Maruish (Ed.)‚ The use of psychological testing for treatment planning and outcome assessment (pp. 371-401). Hillsdale: N.J.‚ Lawrence Erlbaum.
Miller‚ L.S. & Faurstman‚ W.O. (1996). Brief psychiatric rating scale (BPRS). In L.I. Sederer & B. Dickey (Eds.)‚ Outcome assessment in clinical practice (pp. 105-109) Baltimore: Williams & Wilkins.
Overall J.E.‚ & Gorham‚ D.R. (1962). The brief psychiatric rating scale. Psychological Reports‚ 10‚ 799-812.