CLINICAL HANDBOOK OF SCHIZOPHRENIA

142 II. ASSESSMENT AND DIAGNOSISclothing, personal hygiene, care of personal possessions, food preparation/storage, healthmaintenance, money management, transportation, leisure and community, job seeking, jobmaintenance, eating, and social relations. It is very useful for a thorough assessment of independentliving skills. Most of the scales are also present in the CASIG, though the CASIGtakes longer to administer, because it covers goals and other domains as well.Assessment of Motor and Process SkillsThe Assessment of Motor and Process Skills (AMPS; Fisher, 1993) is an observational assessmentused to measure the quality of a person’s activities of daily living (ADL) accordingto 16 motor and 20 process skills rated on effort, efficiency, safety, and independence.It involves having the person evaluated perform two or three personal or domestic tasksthat he or she has had prior experience performing (e.g., pouring a glass of juice, makinga bed, preparing eggs) from among a subset of culturally relevant and appropriately challengingtasks. The person chooses which tasks to perform. The AMPS is useful for clientswho are more difficult to assess verbally. The tasks are designed to assess daily livingskills, as well as motor skills, and some cognitive deficits. The AMPS is mostly recommendedfor settings that offer individually tailored occupational therapy treatments.Social CompetenceSocial Functioning ScaleThe Social Functioning Scale (SFS; Birchwood, Smith, Cochrane, Wetton, & Copestake,1990) assesses social competence with seven subscales: Withdrawal/Social Engagement,Interpersonal Communication, Independence–Performance, Independence–Competence,Recreation, Prosocial, and Employment/Occupation. A scoring scale is provided for eachsubscale and allows identification of problem areas. Each scale is rated in various ways(Likert scales, ratings from 0 to 100, yes–no answers, straight answers (e.g., number offriends?). It covers in detail many aspects of social competence and is designed to assesschange over time, particularly following clinical interventions, such as family therapy.The SFS offers the advantage of choice between two versions. The anchor points andscales might seem to some a bit confusing or questionable.Assessment of Interpersonal Problem Solving SkillsThe Assessment of Interpersonal Problem Solving Skills (AIPSS; Donahoe et al., 1990) assessesinterpersonal problem solving in a behavioral manner through role playing. Videotapedvignettes describe 10 problematic situations and three neutral ones. The client mustcorrectly solve the problem (when applicable) and is rated according to six aspects: (1)identifying whether there is a problem; (2) defining the problem; (3) processing the informationto generate a solution; (4) verbal content of the client’s response; (5) performancelevel of the role play according to verbal and nonverbal cues; and (6) overall quality ofthe role play. It is particularly useful for determining the need for or effects of a skillstraining intervention. The in vivo aspect of this assessment enables the clinician to observethe behaviors directly rather than simply relying on self-report.Vocational FunctioningMost vocational outcomes can be assessed without using specific questionnaires. Themost common vocational outcomes are whether or not the person is employed, whether