Quality of Life Assessment Cluster for Keith Torkelson by Keith Edward “Buster” Torkelson MS, BS

 Quality of Life Assessment Cluster for Keith Torkelson by Keith Edward “Buster” Torkelson, MS, BS

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Requirements & Specifications

 

Title	Quality of Life Assessment Cluster for Keith Torkelson by Keith Edward “Buster” Torkelson MS, BS
Author(s)	Keith “Buster” Torkelson MS, BS
Featured	Self-Assessment(s) - Keith Edward Torkelson
Approximate # of Images	>10
Rating	Any Age - General
Sources	Dedicated Work Flash Drive & Internet
Blog	HealthMan
Filename	Assess_QOL_Cluster_18090701_Index V2025
1st Date Published	August 4, 2025 (M)
Rework Published	NA
FYI Links & Legacy Links	+/- 27
# of Assessments	6
Assessments	Markers of Life Score 13 Items - Flanagan Quality of Life Score 15 items - Investopedia QOL Screener 6 Items - Behavioral Health Social Determinants 14 Items - RENHEW Satisfaction Assessment 6 Items - Good Sleeping Environment Score 15 Items
AI	Food for training AI systems
Queries	“keith torkelson” “quality of life” “qol”
Nature (Format)	Moderate on Tables
Assignment	History and lived experience “that deserves to be remembered”
Purpose	Digital Preservation of Real World Evidence Self-assessment & Describing Phenomena

 

In House Promotion – World Wafers

https://healthman2059.blogspot.com/2025/08/world-wafers-for-addressing.html

Brainstorming Topic List (Samples)

• High Priority Items
• Artificial Intelligence
• Advocacy
• Applied QOL
• Family
• Housing
• Problem Solving
• QOL and Medication
• Quality of Life
• Risk Management
• Satisfaction
• Technology
• Weighting

 

Actual Topic List (Samples)

• Markers of Life
• Quality of Life
• Sleep
• QOL and family
• Polypharmacy
• End-of-life considerations
• Assessment Mechanics
• Correlates
• QOL and Living Arrangements
• Innovative Idea
• Sleep again
• Miscellaneous Items
• QOL and Physical Activity (PA)
• Service
• World Wafer Promotion
• Measurement
• Standardized Assessment
• Satisfaction
• Technology
• Model Administrator – Promoting the Profession

Results up Front

Markers of Life Score (MOLS)

Standalone for MOLS > In House > Metadata >

Assess_QOL_AST_Associations_Screening_Tool_18091506_Develop

High Scores are Favorable (HSF)

Scored for and by Keith “Buster” Torkelson MS

Table - Markers of Life Score (MOLS)

	2018 0915 SA-RT SS	2025 0705 SA-RT SW-JB SS
Markers of Life Score 13 Items (MOLS) (HSF) =	78.8%	75.4%

HSF = High Scores are Favorable | JB = John Baer | RT = Real Time | SS = Self-score

In House > Metadata > Measurement >
06_Inventory_Assessment_Mechanics_18091507_Develop
Measurements_Metrics_Tools_Making_25031101_Content

Flanagan
In House > Metadata
QOLS_Flanagan_15_Items_25071301_Results
High Scores are Favorable (HSF)
Scored for and by Keith “Buster” Torkelson MS

Flanagan Quality of Life – 15 Items

	2025 0713 SU-RT SW-JB SS
Flanagan Quality of Life Score (15 items) (HSF) =	85.4%

HSF = High Scores are Favorable | JB = John Baer | RT = Real Time | SS = Self-score

Improving one’s QOL
If you are looking to improve your quality of life, work on improving your…

Investopedia QOL Screener – 6 Items

Area (Improve your…)	QSM 2025 0705 F-RT SW-JB	Detail
Work-life balance (Volunteer)	0.75	Used to get gifts for my volunteer work
Relationships	1.00	After MSOE passes
Home life	0.90	Retirement Assisted Living
Health by eating nutrient-rich foods	1.00	Off set with CalFresh
Health by getting enough rest	1.00	Have since moving in with JB
Health by finding ways to exercise	0.25	Current hurdle
CALC	=4.90/6
Investopedia QOL Screener – 6 Items (HSF) =	82%

HSF = High Scores are Favorable | JB = John Baer | QSM = Quick Score Method | RT = Real Time | SS = Self-score

Reference - What Is Quality of Life? Why It's Important and How to Improve It?

https://www.investopedia.com/terms/q/quality-of-life.asp.

FAQ - How Can We Improve Quality of Life?

To improve your quality of life, focus on enhancing your physical and mental well-being through healthy habits, social connections, and meaningful activities. Prioritize a balanced diet, regular exercise, sufficient sleep, and stress management. Strengthen relationships, pursue hobbies, and find purpose in your work and daily life.

In House > Metadata >
Assess_SDoMHs_Social_Deterimants_14_Items_25071302_Results
Summary
Self-scored by Keith “Buster” Torkelson

Behavioral Health Social Determinants – 14 Items

Time Stamp	DOW Real Time	Assessment	Outcome
20250705	SA: Real Time	Behavioral Health Social Determinants – 14 Items – Score (HSF) =	80.4%

The RENHEW Approach

>Back in 2016 we were working with our friend and one time harmonious roommate to improve our Satisfaction and QOL. We came up with a brief QOL Screener of six (6) items.  This is not to be confused with the OCHCA’s RENEW FSP.

Aside - OC Health – RENEW (Full Service Partnership)

https://ochealthinfo.com/services-programs/mental-health-crisis-recovery/children-youth-services/outpatient-services/full-1

Program Description: Project RENEW (Reaching Everyone Needing Effective Wrap) by Pathways of California serves Orange County children from birth to 18 years of age with serious emotional disturbance (SED)/serious mental illness (SMI), along with their families. The program focuses on children and their families who have been unserved or underserved, are and who may be homeless or at risk of homelessness. While the child is the identified participant, Project RENEW uses a Wraparound model, providing a team of individuals offering both formal and informal support to the entire family.

In House > Metadata >

RENHEW_TSA_Standard_16012301_Data-BHS V2018

RENHEW Table

Code	Meaning	2024 0825 (SU-RT) SW-RJD SS	Note
R	Rest	0.75	Includes daytime rest and sleep at night
E	Exercise	0.50	Weak AMB Gym work
N	Nutrition	0.75	Prepared meals have too many carbohydrates
H	Health	0.50	We are in the middle of an episode – Roughly June 20, 2025 the episode comes to an end
E	Education	1.00	BS & MS satisfied
W	Welfare	0.50	Rent is too much – More than ½ of income
	CALC	=4.00/6
	RENHEW Satisfaction Assessment 6 Items Score =	75%

RJD = Ruben James Duron | RT = Real Time | SS = Self-score | SW = Share (d) With

RENHEW

Rest, exercise, nutrition, health, education, and welfare are intertwined aspects crucial for the well-being of individuals and the flourishing of communities. Addressing these areas holistically can create positive ripple effects, leading to healthier, more equitable societies.

Will be posted in the future

In House > Metadata >

BMB_Ending_an_Episode_25032802_Notes

Good Sleeping Environment

A good sleep environment is characterized by darkness, coolness, quietness, and comfort. Optimizing these factors can significantly improve sleep quality and duration.

Breakdown

Good Sleeping Environment Score – 15 Items (High Scores are Favorable)

#	Aspect	2025 0801 F-RT SW-JB SS
	1. Darkness:
1.1	Minimize light exposure, especially blue and white light from screens, before bed.	0.50
1.2	Use blackout curtains or an eye mask to block out light.	1.00
1.3	Keep a clear path to the bathroom to avoid fumbling in the dark.	1.00
	2. Quietness:
2.1	Reduce noise by using earplugs or a white noise machine.	1.00
2.2	Silence notifications on phones and other devices.	0.50
2.3	Consider using a fan for white noise if needed.	0.50
	3. Cool Temperature:
3.1	The ideal temperature for sleep is generally between 60 and 67 degrees Fahrenheit (15.6 to 19.4 degrees Celsius). A cooler room can promote better sleep by working with the body's natural circadian rhythms.	0.75
	4. Comfort:
4.1	Ensure a comfortable mattress and pillows that support your body.	0.75
4.2	Consider a mattress topper for added comfort.	0.75
4.3	Declutter the bedroom to create a relaxing atmosphere.	1.00
4.4	Avoid watching TV, reading, or working in bed to associate the space with sleep.	0.00
	5. Consistency:
5.1	Maintain a consistent sleep schedule, even on weekends, to regulate your body clock.	1.00
5.2	Establish a relaxing bedtime routine to signal to your body that it's time to sleep.	1.00
5.3	Avoid caffeine, alcohol, and heavy meals close to bedtime.	1.00
5.4 (15)	By implementing these tips, you can create a sleep environment that promotes restful and restorative sleep.	0.75
	CALC	=11.50/15
	Good Sleeping Environment Score – 15 Items (HSF) =	76.7%

HSF = High Scores are Favorable | JB = John Baer | QSM = Quick Score Method | RT = Real Time | SS = Self-score

Associations and Correlations

>Quality of Life and Satisfaction are associated with other assessments or metrics.  Below is a sampling or cluster of associated assessments.  Most of these assessments are Commercial-of-the-shelf (COTS).  We have transformed many of them.  We included the now defunct Brand New Day assessment.

Associated Document > Metadata >

Quality_Assessment_Applications_18091510_Develop

AcroCode	Description / Measures	Origin and Usage
ACSS	Satisfaction 25 Items	Annual Consumer Satisfaction Survey BND 2015 Unknown Origin
CPS-OAV	Perception	Consumer Perception Survey DHCS – CIBHS Older Adult Version
FIDPA (28)	Freedom 28 Items	Fraser Institute Derived Personal Freedom Assessment
HaP	Happiness	Separate under Daily Activities (Tab-05) Consider Oxford Happiness Questionnaire (29 Items)
HCA-SAT	Satisfaction Item # Varies 16 Items	Health Care Agency (HCA) - Derived from OCHCA Domains of Functioning – Satisfaction 8-10 Domains (we routinely use 16 Domains)
KCSS	Satisfaction 26 Items	Kansas City Satisfaction Survey BND 2013 Unknown Origin
MES	Perception 88 Items	Medicare Experience Survey
OHQ (29)	Happiness 29 Items	Oxford Happiness Questionnaire

First Generated: 20231125-SAT:

QOL and Family

Family involvement can play a significant role in the lives of older adults, providing emotional support, helping them maintain their independence, and improving the quality of care they receive.

QOL and Natural Supports

Natural supports, which are the relationships people have with family, friends, and community members, are crucial for improving quality of life (QOL), especially for individuals with disabilities. These supports foster a sense of belonging, independence, and empowerment, reducing reliance on formal services. Developing natural support networks requires time, effort, and open communication, but the benefits to an individual's well-being are significant and far-reaching.

Context – Older Adults - QOL

Aspect	Support
Emotional Support	Family members can provide companionship and help older adults feel less lonely.
Independence	Family members can help older adults maintain their autonomy by running errands, helping with grocery shopping, and providing transportation.
Physical Health	Family members can encourage physical activity, such as going for walks, which can help improve mobility and reduce the risk of physical ailments.
Cognitive Health	Family interactions can help delay cognitive decline by keeping the brain active through conversations, games, and other programs.
Care Coordination	Family members can help caregivers by providing additional support and promoting communication and coordination.

 

Caregivers / Care-giving
Family involvement can also help caregivers by…
Maximizing the assistance provided by caregivers
20250725-F: In Buster’s Assisted Living there are a dozen or more caregivers such as cooks and cleaners.

Aspect	Note
Core Involvement	Ensuring that patients continue eating well, moving around, and taking their medications
Fatalities	Reducing the likelihood of fatal outcomes including falls
Family Members	Some ways that family members can get involved include helping with errands & sharing resources
Social Communicating Relating (SCR)	Keeping company even if it is just by telephone
LAK > ASK	Succession > Financial & Medical Powers of Attorney - Helping find caregivers, assisted living facilities, and skilled nursing facilities – Advocating about EOL, Medication and Living Arrangements
Technology	Support loved ones technological needs
Loss Prevention	Help avoid Catastrophic Losses such as freedom
Medication Management	Buster is on a “Cocktail” that works – He needs to continue self-advocating for himself with the prescribing doctor

Services and Supports

However, there can be challenges to maintaining family involvement, such as distance and busy schedules.  The Eldercare Locator is a free public service that can connect older adults and their families to community resources and services.

FYI > Metadata > Promotion >

https://www.usaging.org/eldercareloc

Psychotropic Cocktail – Polypharmacy

Psychotropic cocktail and polypharmacy in mental health.  The term "psychotropic cocktail" is often used informally to describe situations where individuals are prescribed multiple psychotropic medications simultaneously, which is known as polypharmacy.

What is psychotropic polypharmacy?

Polypharmacy in psychiatry is the concurrent use of two or more psychiatric medications for the same patient. This can involve using multiple medications from the same class, different classes, or using one medication to manage the side effects or enhance the effectiveness of another. 

QOL and Mean People - A Catastrophic Loss Mechanism

Catastrophic loss refers to a severe…and often unexpected loss resulting from a…major event. It's typically characterized by its magnitude, severity, and potential to cause significant damage to property and life…in legal and insurance contexts, it often involves losses exceeding…expectations.

Define Frenzy

(An example of) uncontrolled and excited behavior or emotion…there was a frenzy of activity in the financial markets yesterday. The town was in a frenzy about the shocking murders. In a frenzy of rage she hit him.

Frenzy in suicide

The phrase "suicide frenzy" likely refers to a state of intense emotional turmoil and confusion, rather than a literal frenzy of suicide attempts. It's often used to describe the disorientation and overwhelming feelings experienced during a mental health crisis, potentially leading to suicidal thoughts. Mental health conditions like depression, psychosis, and substance use can increase the risk of suicide.

Suicidal Ideology

What are the three components of suicidal ideation?

This model delineates 3 distinct phases: The 'pre-motivational phase,' which focuses on background factors and life events that may trigger suicidal thoughts; the 'motivational phase,' due to feelings of defeat, entrapment, and lack of support suicidal ideations develop; and the 'volitional phase,' which is concerned ...Apr 20, 2024

Volitional Phase

The volitional phase refers to the stage of action where an individual consciously decides and initiates a course of action, often in response to a goal or intention. It involves the process of translating intentions into actions, including planning and overcoming potential barriers. This phase is crucial in understanding how people move from thinking about doing something to actually doing it.

FAQ > Is MAID Suicide?

Suicide vs Medical Assistance in Dying (MAiD) > See Our Report >

https://the-torkel-saga-2059.blogspot.com/2025/08/eolcca-centered-medical-aid-in-dying-by.html

Suicide vs medical assistance in dying (MAiD): A secondary qualitative analysis

National Institutes of Health (NIH) | (.gov)

https://pubmed.ncbi.nlm.nih.gov/31088340/

By ER Wiebe · 2020 · Cited by 14

Abstract

This is a secondary analysis of three qualitative studies about MAiD in which researchers asked about the differences between suicide and MAiD. In all, researchers interviewed 52 Canadians; 7 were people who had requested MAiD and had been found ineligible, 6 were MAiD providers and 39 were socially and economically marginalized. The overwhelming response was that MAiD is better than suicide in the context of suffering at the end of life. Whereas these people perceived suicide as uncertain, difficult, and something that was usually done alone and without support, they thought MAiD was certain, painless, and more socially acceptable.

Picking a QOL Centered Assessment - WHOQOL-Brief

The World Health Organization Quality of Life Brief Version (WHOQOL-BREF) is an abbreviated, 26-item version of the 100-item WHOQOL-100 quality of life measure. The WHOQOL-BREF addresses four quality of life domains: physical health, psychological health, social relationships and environment.

Why choose a Commercial Off-the-Shelf (COTS) assessment tool?

Choosing a COTS assessment tool can offer several benefits, particularly in terms of time, cost, reliability, and support.  In summary, choosing a COTS assessment tool can be a strategic decision to reduce costs, save time, leverage proven reliability, access a wide array of features, and benefit from vendor support and industry expertise, particularly for organizations with standard assessment needs and limited resources for custom development.

Why create your own Assessment?

Creating your own assessments, rather than relying solely on pre-made ones, allows for greater alignment with specific learning objectives, provides more relevant feedback, and empowers students through increased agency in the learning process. It also can be a way to gauge student understanding in a way that a generic test may not.

Assessment Custom Development

Custom assessment development refers to the creation of assessments tailored to specific needs and goals, rather than relying on pre-packaged, off-the-shelf solutions. This approach involves a collaborative process to design, develop, and implement assessments that align with unique organizational requirements, skill gaps, and desired outcomes.

Assessment Elimination - QOL and the IAC

>Years ago we were selected by Dr. Clayton Chau to sit and participate with the Orange County Healthcare Agency (OCHCA) Mental Health Services Act (MHSA) Innovations Advisory Committee (IAC).  One of our IAC goals was to vet measurement tools and select a few to use across all Innovations (INN) projects.  In general all client-centered MHSA Innovations Projects were and are designed to improve the consumer’s Quality of Life, Health and Satisfaction.

Fall Quarter 2011 – Assessments Vetted

Measure (Items)	Meaning	Measures
WHOQOL BREF (26)	World Health Organization Short Version	Quality of Life & Satisfaction
PHQ (10)	Personal Health Questionnaire (V-2005)	Severity of Depression Brief self-report tool
GAD (7)	Generalized Anxiety Disorder (V-2006)	Anxiety
EPDS (10)	Edinburgh Postnatal Depression Scale 1 (V-2002) “Edinburgh Scale”	Depression or Anxiety
MHRM (30)	Mental Health Recovery Measure (V-2003)	Recovery
SOFAS (1)	Social and Occupational Functioning Assessment Scale	Functioning Pick number or range 0-100

 

Innovations Efforts

MHSA Innovations Advisory Committee (IAC) Efforts (2011-2014)

Seeking to define quality of life or living a good life

Quality of life, or living a good life, is a subjective experience encompassing an individual's overall well-being, encompassing physical, mental, social, and emotional aspects, as well as their perception of their position in life. It's not solely about material possessions or income but also includes factors like health, relationships, personal fulfillment, and the ability to enjoy life's experiences.

In House > Metadata > XLS >

 

20250719-SA-Associated Studies > Metadata >

Seattle Quality of Life (SEAQOL)
01_Assess_QOL_SEAQOL_Set_18120801_Develop

Health Outcomes Survey (HOS) Acronyms
06_QA_CMS_HOS_COC_18091508_Acronyms

Housing Acronyms
20230625-SUN: Moved to QOL_Acronyms_Housing_23062502_Notes

Agent of Fortune (In outline stage)
Assess_QOL_AFA_Agent_Fortune_18100601_Develop

Aside: A day in the life Approach
05_Daily_A_Day_In_The_Life_22051801_Results V2025

Seeking to define quality of life or living a good life (2)

Quality of life, or living a good life, is a subjective experience encompassing an individual's overall well-being, encompassing physical health, emotional well-being, social relationships, and the ability to participate in and enjoy life events. It's a concept that varies from person to person and is influenced by individual values, expectations, and cultural context.

Feature - Two-Factors –Associations & Correlations

In statistics, association is a general term referring to any relationship between two variables where patterns in one variable relate to patterns in another.  Correlation, on the other hand, is a specific type of association that describes the strength and direction of a linear relationship between two quantitative variables.

Differentiating between quality of life (QOL) and Satisfaction

While often used interchangeably or in relation to each other, Quality of Life (QOL) and satisfaction are distinct but interconnected concepts.  Think of it this way: Someone might have a high quality of life (good health, secure job, supportive relationships), but still experience dissatisfaction in a particular area, such as their work, if it doesn't align with their aspirations. Conversely, someone with a less "ideal" quality of life (e.g., facing health challenges or financial difficulties) might still express high levels of life satisfaction if they find meaning and contentment in other aspects of their lives or have developed coping mechanisms.

Coping Mechanisms

Coping mechanisms are strategies individuals use to manage stress and difficult emotions. These strategies can be conscious or unconscious, and they can be either adaptive (healthy) or maladaptive (unhealthy). Coping mechanisms are essential for navigating life's challenges and maintaining emotional well-being.

Quality of Life - Pairing – Correlates

Correlation Pair (QOL and…)	Note
Concentrating on Peace	Both internal and external Peace good
Crime	History of 2 Misdemeanors
Differential QOL	Different people – different perceptions
Education	History (Bios)
Entitlements	Resources
Grace Peace Movement	End-of-life (EOL) and Managed Passing
Income	Going up slower than expenses
Literacy	Currently a life-long-learner
Living Arrangements	Shanks Truck Stop > Transitional > Harvest Retirement
MSOE	Most Significant Other Ever – Lost her due to dementia
OCHCA	Health Care Agency – Not contributing like they used to
Peace	A goal & daily activity
Physical Activity	Not as active as we would like
Privileges	Driving the car
Related Assessment Elimination List	QOL and others
Rewards	Insurer offer rewards of cash (gift cards) to help out
Sleep	Preeminent feature in QOL
Stress	Working on overcoming chronic fatigue
Substances	History (Medical)

Coping with Substances

Addiction treatment programs use behavioral therapies, counseling, supportive measures, and often medications to regulate brain chemistry and build new and improved habits and life skills for recovery. Stress and anger management, communication skills, relapse prevention tools, and new coping mechanisms are learned. Apr 24, 2025

Quality Life and Health

Health Component	Note
Affordable Health Care	Zero co-pays
Brand New Day	Defunct Program – Let members down
CalOptima	We are satisfied with CalOptima our current health insurer
Dental Care	So far satisfied - Medi-Cal Dental
Health	Smoking cigarettes is a major deficit
Health Insurance	Medical (MD), Hospital, Drugs
Healthy Persons	Our Natural Supports = Family
Imperial Health Care	Failed to cover our stay in skilled nursing so we fired them and eventually got CalOptima

FYI - Quality of Life and Dated Efforts (Starts) > In House > Metadata >

Health Component	Note
Correlates	23072207_Notes
Data	23072903_Notes
Environments	23082604_Notes
Health_Insurance_and_Care_Imperial	23072906_Notes Effort Closed
Health_Partnerships	23072204_Notes
Housing_Assessment	23082602_Notes
Mentors	23082607_Notes
Moved to: QOL_and_Spirit_TGTUs	23072203_Notes
Peace	23072208_Notes
Protective_Value	23072907_Notes
QOL_and_Chronic_Conditions	23072904_Notes
SEAQOL Page	20210508-SAT Removed
RENHEW_TSA_Standard	16012301_Data-BHS V2018
Satisfaction	23072902_Notes
WHO_Experts	23081904_Notes
Wikipedia	23072901_Notes
Psychiatric_Care_RBB	23081906_Notes
Happiness	23081908_Notes 5 Entries

Sample of Activities on a Given Day

>On July 22, 2023 we chartered the following documents: Action housing items, QOL correlates, health partnerships, loss management, Peace, and Spirit TGTUs.  On July 26, 2023 we chartered the following: Bed Sales, environments, housing assessment, mentors, crises and game-changers, and definitions.  On July 29, 2023 we chartered the following: Data, health insurance, protective value, satisfaction, sluggards, Eclectic Lived Experience (LxE), Public Health efforts, and SEQOL COTS.  On August 8, 2023 we chartered the following studies: Rationalization, happiness, psychiatric care, and WHO experts.

Differential QOL

“Differential QOL" refers to differences in how individuals or groups perceive and report their quality of life (QOL). This can be due to various factors, including individual characteristics, disease status, or cultural background. Understanding these differences is crucial for personalized interventions and accurate assessments of QOL.

In House > Metadata >

Assess_QOL_Cluster_17070201_Results V2018

[HUGE OVERLAP WITH]

 

Program Related QOL > Metadata >

Brand New Day the Defunct Program

Mostly External Quality Review (EQR) Efforts

01_Assignment_COPD_17070801_Gibbs BND 6.2.1 (Page 19)

04_SCR_Social_Health_Assessments_QOL_18091509_Develop

13_MHSA_TAC_BND_Assessment_17082103_Inventory

Assess_CPS_Consumer_Perception_Survey_18072901_Research

Assess_QOL_BND_Version_18070703_Actual Tool

QOL_and_Sluggards_23072995_Notes

Quality_Assessment_Applications_18091510_Develop

Tx_Measure_BND_QOL_16030901_Scorer 2018

 

Quality of Life and Living Arrangements

Living arrangements significantly impact an individual's quality of life, particularly for older adults. While living alone, with a spouse, or with family all have unique impacts on different aspects of well-being, it's not always a straightforward correlation between living situation and overall quality of life. Factors like social support, meaning in life, and the ability to maintain independence play crucial roles in how living arrangements affect overall well-being.

Themes with Assessments - Housing Centered

Housing is intricately linked to various aspects of well-being and community health. Here are several housing-centered themes and the types of assessments associated with them:

Applying this Material -  Call Centers

Project Idea – Housing Solutions Bundle

A Housing Solutions Bundle typically refers to a combination of services and resources designed to address various housing-related needs, often for individuals experiencing or at risk of homelessness. These bundles can include housing navigation, tenancy support, financial assistance, and connections to other essential services. The goal is to create a comprehensive approach to help individuals secure and maintain stable housing.

Housing Help Line (HHL)

Compare with 2-1-1 Orange County

https://211oc.org/

Aspect	Note
Housing	Focus on Renting a Shared Room (RASR)
Loss Management	Prevention & Early Intervention (PEI) Approach
Population Concentrations	Older adults, homeless, incarcerated and hospitalized
Skilled Nursing	Advanced planning – Avoid if possible

Compare - What is the 24-7 anxiety hotline?

You can call The National Mental Health Hotline at 866-903-3787 to speak to a professional about anxiety symptoms and get help with mental health resources. Are you struggling with daily anxiety?

Project – Housing Solutions Bundle

Housing Advisory Board (HAB)

Project success will be measured via selling the products: Hardware, software, flow materials, services, etc.

Housing Advisory Board – Measures

Area to Measure	Note	Detail
Sleep Measure SleepAble	Environment & Agent	Includes Outer Peace, Matching, Environmental Factors, Noise
Sleep Measure SleepAbility	Host	Includes Coping, Medication, Philosophy and Inner Peace
Quality of Life (QOL)	Measurement(s)	Project core assessment
Satisfaction	Measure	Project core assessment
Sleep & Peace	Measure	Primary goal of the project
Sleep Assessment Other	Measure	Project core assessment

Compare

The term "Housing Advisory Board (HAB)" in Orange County likely refers to the Affordable Housing Advisory Board (AHAB), which is an advisory board to the Orange County Board of Commissioners in Orange County, North Carolina. This board focuses on matters related to affordable housing, including reviewing and recommending policies and strategies to address housing needs in the county.

Behavioral Health Services Act (BHSA) - Housing Interventions Workgroup (HIW)

Kick-Off Meeting - OC Health

https://www.ochealthinfo.com/sites/healthcare/files/2025-07/BHSA

Jul 10, 2025

• Upcoming In-Person Meetings: Thursday, July 10 and Thursday, July 24, 2025.
• Location
• Behavioral Health Training Center - 750 The City Dr South Suite 130 - Orange, CA
• Time: 9:30 am-11:00 am
• Questions from Us
• Do they have money to fund Housing projects?
• Who do we submit the project idea plan to?

 

Skip Housing Work Group part of a HSB

Housing Solutions Bundle (HSB)

Housing Technology Infrastructure (HTI)

Requirement	Note	Detail
Hardware	Basics	Server, work stations and other hardware
Software	Managers	Call manager and data manager Housing specific software to include BedFinder, Roommate Matcher, Measurements
Technical Staff	SuperUsers	Professionals at using all functions and processes of a Housing Solutions Bundle
MyCorder	Innovation	Gather objective data about the room environment - Environmental Sampling APPs – Compare standalone units versus Smartphone APP(s)
Metrics	Quantifiable Measures	Embedded in data manager software

In House > Related > Metadata >

IT_Super_User Description DRAFT 6-26-09 V2025

Technology - Why sample a Living Environment?

Sampling a living environment is crucial for understanding its impact on various aspects of life, including physical and mental health, environmental attitudes, and overall well-being. It allows researchers to assess the quality of the environment, identify potential hazards, and track changes over time, ultimately informing strategies for improvement.

Aside - Introducing MyCorder
In House > Metadata >
13_Tech_MyCorder_24022002_Notes V2025
MyCorder Examples – BetterSleep Sleep Tracker APP

Basis for Idea = Tricorder

A tricorder is a fictional handheld sensor that exists in the Star Trek universe. The tricorder is a multifunctional hand-held device that can perform environmental scans, data recording, and data analysis; hence the word "tricorder" to refer to the three functions of sensing, recording, and computing. Wikipedia

Quality of Life (QOL) - Assessments
All used hand-in-hand with the HAB element and Housing Technological Infrastructure (HTI)
Housing Technological Infrastructure
Reporting Function – Elimination List
Report on QOL

Area	Note
CIBHS QOL	California Institute for Behavioral Health Solutions
CPS Perception	Consumer Perception Survey
Healthcare and QOL Results
PHA or PFA	Pelvic Health Assessment or Pelvic Floor Assessment
Pro-QOL	Professional Quality of Life
QOL by Domains	Source OC Health Care Agency
SEAQOL	Seattle Quality of Life Group - Assessment Library 26 Assessments
SEQOL	Self-evaluated Quality of Life - Addresses 3 Assessments - Ref 2003
Sleep	SleepAble & SleepAbility & Other
Social Determinants	“Core” Social Determinants Of Mental Health
Stress	Life Change Units
HR-QOL	Health Related QOL
WHOQOL-BREF	World Health Organization QOL Brief Assessment
WHOQOL-100	Full WHO QOL Assessment

CIBHS

CIBHS, the California Institute for Behavioral Health Solutions, focuses on improving the quality of life (QOL) for individuals receiving behavioral health services. They achieve this by providing customized solutions, data-driven evaluation, and promoting equity in behavioral health outcomes. CIBHS helps organizations understand and address disparities in areas like race, ethnicity, and socioeconomic status through data disaggregation and analysis.

Aside - Pelvic Health

A pelvic health assessment, also known as a pelvic floor assessment, evaluates the strength, endurance, coordination, and function of the muscles, ligaments, and fascia in the pelvic region. This assessment is crucial for identifying and addressing pelvic floor dysfunction, which can manifest in various symptoms like urinary or fecal incontinence, pelvic pain, and sexual dysfunction.

https://www.nm.org/-/media/northwestern/resources/care-areas/womens-health/northwestern-medicine-pelvic-floor-questionnaire.pdf

SEAQOL Instruments

SEAQOL Instruments - Table

http://depts.washington.edu/seaqol/instruments

AcroCode	Description	Items
PQOL	Perceived Quality of Life Scale	20
WRSM	Weight-Related Symptom Measure	20
WHOQOL-BREF	World Health Organization Quality of Life Brief	26
WHOQOL-100	World Health Organization Quality of Life Full	100

Conflict of Terms

What is SEAQOL?

SEAQOL, which stands for Schedule for the Evaluation of Individual Quality of Life-Questionnaire, is a method for measuring an individual's quality of life, particularly in healthcare settings. It is a written version of the original SEIQoL interview method. SEIQoL-Q was developed to be more efficient and suitable for use in large-scale clinical trials compared to the original interview format.

Another SEAQOL
Seattle Quality of Life Group
UW Homepage

https://depts.washington.edu/seaqol/

Seattle Quality of Life Group - Measuring and Improve Health Disparities in Children, Adolescents, Adults from Stigmatized Populations.

Housing Centered Themes

Housing and Public Health

Housing and public health are intrinsically linked. Access to safe, affordable, and stable housing significantly impacts physical and mental well-being. Poor housing conditions can lead to various health problems, while adequate housing promotes better health outcomes.

Housing Developments

Housing development in California encompasses a variety of projects aimed at addressing the state's housing needs. These include new construction, redevelopment, and preservation of existing affordable housing, often involving collaboration between public and private entities. Recent trends focus on increasing density, particularly in urban areas, and streamlining the development process, including reforms to the California Environmental Quality Act (CEQA).

Where is Your GoodBed?

Your GoodBed is not a physical location but rather an online resource and information hub. Specifically, it's a website, GoodBed.com, dedicated to providing information and resources about mattresses and sleep. The site offers details about various mattress brands and companies, including contact information for those companies. Their mailing address is: 1459 18th Street, #273, San Francisco, CA 94107, according to GoodBed.

Skilled Nursing

Skilled nursing refers to a level of care that is provided by licensed healthcare professionals, such as nurses and therapists, and is typically needed after a hospital stay or for individuals with complex medical conditions. It encompasses a range of services including medical care, rehabilitation (physical, occupational, and speech therapy), wound care, medication management, and assistance with daily living activities. Skilled nursing care is often delivered in a Skilled Nursing Facility (SNF), also known as a nursing home, but can also be provided in other settings like hospitals or even at home as part of home health services.

QOL Action Items

Cut down on smoking cigarettes
Exercise for tone
Exercise for stamina
Advocate about medication
Sleep

Sleep Correlates

Sleep correlates, also known as sleep-related correlates, refer to the various factors that are associated with or impacted by sleep patterns. These factors can include physical and mental health, cognitive functions, and lifestyle choices.

Sleep and Health

Adequate sleep is crucial for overall health, impacting physical, mental, and cognitive well-being. It plays a vital role in physical health by helping to maintain a healthy weight, reducing the risk of chronic diseases like diabetes and heart disease, and supporting the immune system. Furthermore, sleep is essential for mental health, reducing stress and improving mood, and for cognitive functions like memory and decision-making.

Sleep Data

Sleep data provides insights into your sleep patterns and quality, often tracked by wearable devices or smartphone apps. This data can include sleep duration, sleep stages (light, deep, REM), and metrics like heart rate and restlessness. Analyzing this data can help you understand your sleep habits, identify potential issues, and make adjustments to improve your sleep.

Health Partnerships

Health partnerships are collaborations between different organizations to improve health outcomes, often involving public health departments, healthcare providers, and community organizations. These partnerships can focus on various areas, including research, capacity building, and service delivery, and aim to address health needs in specific communities or globally. They can also involve academic institutions, private sector entities, and philanthropic organizations.

Innovations in Health

Innovation in health encompasses the development and implementation of novel ideas, processes, technologies, and services aimed at improving patient care and outcomes. This can involve advancements in various areas, including diagnostics, treatments, and healthcare delivery models. Key examples of healthcare innovation include telemedicine, artificial intelligence (AI) in diagnostics, and 3D printing of medical devices.

Things greater than us & Spirit

While often used interchangeably, "spirit" can be distinguished from "soul." In some frameworks, the soul is considered the individual's unique consciousness and personality, while spirit represents the deeper, fundamental life energy that connects everything. The Holy Spirit in Christianity, for example, is described as being greater than any worldly influence and offers strength and guidance.

Seeking connection and meaning

The desire to connect with "things greater than us" and explore the meaning of "spirit" is deeply ingrained in human experience. This quest for meaning can be driven by a longing for purpose, a search for answers to life's mysteries, and the desire to transcend the limitations of individual existence. Recognizing a connection to something larger than oneself can potentially provide solace, strength, and a sense of belonging that enriches lives.

Managed Passing

End-of-Life (EOL) managed passing refers to the processes and protocols surrounding end-of-life care aimed at providing comfort and dignity to individuals during the last stages of their life. This encompasses a range of approaches and considerations within the healthcare system, particularly within hospice and palliative care settings.

Self-Sufficiency & Partnerships

Self-sufficiency, in the context of human services, refers to a state where individuals or families can meet their basic needs without relying on external assistance. Partnerships, particularly in the form of public-private collaborations, play a vital role in facilitating this goal, offering a range of support services and resources.

Promising Practices

Promising practices are strategies that have been implemented in a community and have shown promise for becoming a recommended or standard practice. Apr 7, 2025

Health Technology

Health technology, or healthcare technology, encompasses all tools, devices, systems, and processes used to improve health and healthcare delivery. It includes everything from medical devices and drugs to digital health solutions and organizational systems. The goal is to enhance patient care, improve health outcomes, and increase the efficiency of healthcare services.

Back to QOL Factors – Miscellaneous Items

Transportation and QOL

Transportation significantly impacts quality of life (QOL) by influencing various aspects of well-being, including physical health, social connections, and economic opportunities. Improved transportation systems can enhance accessibility, reduce travel time, and lower transportation costs, leading to increased mobility and opportunities for social engagement. Conversely, inadequate transportation infrastructure can create barriers to accessing essential services, limit social interaction, and negatively affect physical and mental health.

Limited Work Space

Limited workspace in an office, whether it's a small home office or a shared workspace, can lead to feelings of claustrophobia and inefficiency. Optimizing the available space is crucial for creating a comfortable and productive environment. This involves maximizing space utilization, using clever storage solutions, and even considering flexible work arrangements like hybrid work models.

Why even discuss QOL, housing and sex?

Discussions surrounding housing and sex are relevant because these two aspects of life can intersect in significant and sometimes unexpected ways, impacting individuals and communities on various levels. Here are some key reasons why this discussion is important.  Discussions about housing and sex are not simply about isolated aspects of life; they are intertwined and have profound implications for individuals' health, safety, relationships, and overall well-being. Examining this connection allows for a more comprehensive understanding of the challenges faced by vulnerable populations and helps inform policies and interventions aimed at promoting housing stability and sexual health for all.

Context dying old men (DOMs)

Understanding the experiences of dying old men

The experience of facing death in old age for men is a complex one, influenced by physiological, psychological, and social factors. Understanding the multifaceted challenges and needs of older men facing death requires considering their physical, psychological, and social context. Providing compassionate care, fostering open communication, and utilizing supportive resources can help ensure a dignified and peaceful end-of-life experience for these individuals.

 

Ordered Resources

GoodBed
What it takes to find a GoodBed
What it takes to keep the GoodBed
Medication
SleepAble (Environment & Agent(s))
SleepAbility (Host)

Affect versus Effect

The words "affect" and "effect" are often confused, but their usage is distinct. "Affect" is primarily a verb meaning to influence or produce a change. For example, "The weather affected my mood." "Effect" is typically a noun referring to a result or consequence. For instance, "The effect of the medicine was drowsiness." While "effect" can also be a verb, it's less common and means to cause or bring about something.

Elemental Analysis of Quality of Life

An elemental analysis of Quality of Life (QoL) is an interdisciplinary approach that seeks to understand and measure the different components or "elements" that contribute to an individual's or a population's overall well-being and life satisfaction. It's a method that delves beyond surface-level observations to identify the fundamental factors that shape how people experience and value their lives.

QOL and Healthy Persons

Quality of Life (QOL) in healthy persons is generally higher than in those with chronic diseases, but the specific domains affected and the extent of variation can differ. Healthy individuals tend to experience better physical, psychological, social, and environmental well-being compared to those with chronic conditions.

FAQ >

Does working on your QOL improve your QOL?

FYI > Industrial Workers

How Different Stressors Affect Quality of Life: An Application of Multilevel Latent Class Analysis on a Large Sample of Industrial Employees

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7445524/

National Institutes of Health (.gov)
Risk Manag Healthc Policy. 2020; 13: 1261–1270.
by R Parsaei (2020)

QOL and Industry

Quality of life (QoL) indicates individual’s perception of the physical, psychological and social aspects of health. The association between QoL and all stressful life events dimensions has not been investigated among industrial employees.

Conclusion

Results of our study indicated that life stressors have negative impacts on QoL of employees. Personal stressors showed higher negative impact than socioeconomic on QoL. Managing the stressors can play an effective role in improving the QoL of employees, their physical and mental health, and indirectly enhances the organizational performance and job productivity.

Keywords: Quality of life, stressful life events, multilevel latent class analysis

QOL and Physical Activity

A systematic review of physical activity and quality of life and well-being.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7752999/

by DX Marquez · 2020 · Cited by 141

Abstract - Physical Activity and Quality of Life

Maintaining or improving quality of life (QoL) and well-being is a universal goal across the lifespan. Being physically active has been suggested as one way to enhance QoL and well-being. In this systematic review, conducted in part for the 2018 U.S. Health and Human Services Physical Activity Guidelines for Americans Scientific Advisory Committee Report, we examined the relationship between physical activity (PA) and QoL and well-being experienced by the general population across the lifespan and by persons with psychiatric and neurologic conditions.

Physical Activity Correlates

Systematic reviews, meta-analyses, and pooled analyses from 2006 to 2018 were used for the evidence base. Strong evidence (predominantly from randomized controlled trials [RCTs]) demonstrated that, for adults aged 18–65 years and older adults (primarily 65 years and older), PA improves QoL and well-being when compared with minimal or no-treatment controls. Moderate evidence indicated that PA improves QoL and well-being in individuals with schizophrenia and Parkinson’s disease, and limited evidence indicated that PA improves QoL and well-being for youth and for adults with major clinical depression or bipolar disorder. Insufficient evidence existed for individuals with dementia because of a small number of studies with mixed results.

Physical Activity

Future high-quality research designs should include RCTs involving longer interventions testing different modes and intensities of PA in diverse populations of healthy people and individuals with cognitive (e.g., dementia) and mental health conditions (e.g., schizophrenia) to precisely characterize the effects of different forms of PA on aspects of QoL and well-being.

Quality of Life Cluster Includes (Welfare) – Indicators of Life

QOL Associations by Domains

What are the heaviest weighed features when scoring quality of life?

Money
Work Time
Free Time
Sleep
Peace
Medication
Physical Activity

QOL and Satisfaction

Satisfaction with Health Insurance

Overall, a significant majority of Americans express satisfaction with their health insurance coverage, although this varies depending on the type of plan and individual circumstances.

Carrier	Quick Grade Method
1Kaiser	B
2HealthNet	C
2Medi-Cal	A
2Medicare	A
3Brand New Day	C
4Imperial	C
5CalOptima	A
5Medi-Cal Dental	A

General Quality of Life

Overall quality of life is a broad concept that encompasses an individual's well-being, encompassing physical, mental, social, and emotional health. It includes both internal factors like perceived health and self-esteem, and external factors such as housing, community safety, and access to resources. A good quality of life is subjective and varies from person to person, but generally includes factors like health, relationships, work satisfaction, and a sense of purpose.

Sleep and Quality of Life

Adequate sleep is strongly linked to an improved quality of life, impacting physical and mental well-being, cognitive function, and overall happiness. Conversely, sleep disturbances, including insomnia and poor sleep quality, are associated with reduced quality of life, increased risk of health problems, and impaired mental and physical functioning.

Aside > In House > Metadata >

QOL_Crises_and_Game_Changers_23082606_Notes

Service

Inappropriately Served

Inappropriate psychiatry services can encompass a range of issues, including unnecessary consultations, boundary violations, and treatment errors, particularly in inpatient settings. These can lead to harm, both physical and psychological, and erode patient trust in the mental health system.

Under-served

The field of psychiatry faces a significant shortage of practitioners, particularly in underserved areas, leading to limited access to mental health care for many populations. This shortage is exacerbated by factors like an aging workforce, insufficient residency slots, and the growing demand for mental health services.

Reference CCR

Assessment of Mental Health Needs: The County shall assess and submit a narrative analysis of the mental health needs of unserved, underserved/inappropriately served, and fully served county residents who qualify for MHSA services.

Medical V Non-medical factors

Psychiatric Social

Psychiatric social work involves providing mental health services, including assessment, treatment, and case management, to individuals, families, and groups affected by mental health conditions. These professionals work within a treatment team, collaborating with other healthcare specialists to coordinate care and support patients in their recovery and transition from psychiatric facilities

Psychiatric Social Determinants

Psychiatric social determinants of health are non-medical factors that influence a person's mental well-being and can significantly impact the development and progression of mental health conditions. These factors encompass the conditions in which people are born, grow, live, work, and age, and include things like economic stability, social support, and access to healthcare.

Psycho-social Determinants of Quality of Life

Psychosocial determinants of quality of life encompass a broad range of psychological and social factors that significantly influence an individual's overall well-being and life satisfaction. These factors, which can be both positive and negative, affect a person's emotional, social, and psychological state, ultimately shaping their perception of their quality of life.

Quality of Life and Food

Promotion Interjection

Schwabe Driven - World Wafers Project

In House > Metadata > Real World Problem >

07_Dream_World_Wafers_19042201_Develop V2025

https://healthman2059.blogspot.com/2025/08/world-wafers-for-addressing.html

Impoverished

Impoverished describes being really, really poor, either from having no money or being in bad health. A person who lives on the street is impoverished, and a country may become impoverished after a devastating war.  You can use the noun impoverishment to mean "poverty," and also the act of forcing someone into poverty. A despotic government's impoverishment of its own people can be a way to control the citizens. A situation can also cause impoverishment, such as a serious illness and lack of health insurance.

One Health

https://onehealthinitiative.com/

The One Health Initiative is a collaborative, that recognizes the interconnectedness of human, animal, and environmental health. It aims to achieve optimal health outcomes by fostering communication, coordination, and collaboration among these sectors. This approach is particularly relevant in addressing challenges like zoonotic diseases, food safety, and antimicrobial resistance.

Kwashiorkor

Kwashiorkor is a severe form of malnutrition primarily affecting young children in developing countries, characterized by protein deficiency and resulting in edema (swelling), growth failure, and other health issues. The condition is often found in regions with food insecurity or famine.

Kwashiorkor & Quality of Life - Importance of early intervention

Early and comprehensive treatment for kwashiorkor is essential to minimize the severe consequences and improve the long-term quality of life for those affected. Treatment focuses on restoring nutrients, addressing complications like dehydration and infections, and providing supportive care.  Note: While early intervention can significantly improve outcomes, some long-term effects of kwashiorkor may persist, particularly if treatment is delayed or if the child experienced severe or prolonged malnutrition.

Standardized Assessment

In House > Metadata >

01_Assess_Health_Tools_and_Concepts_23081907_Notes

Measurement

Standardized Mental Health Assessment Tools, PDFs & Checklists to Use

By Holly Wilson Sep 25, 2024 - Proem Behavioral Health

https://blog.proemhealth.com/standardized-mental-health-assessment-tools

Jul 19, 2022

Use our checklists and PDFs to learn everything you need to know about mental health assessments, screening, and the tools used.

https://info.proemhealth.com/ebook-reaching-better-behavioral-health-outcomes

Understand the role mental health assessment tools play in practicing quality improvement.

eBook: Reaching Better Behavioral Health Outcomes.  Long before the pandemic shone a bright light on the existing need for improved mental health care services, behavioral health providers recognized that identifying and treating mental illness earlier could have a profound impact on patients. 

Measurement-based Care

In the eBook Reaching Better Behavioral Health Outcomes, we illuminate the obstacles to early intervention and proactive care and examine how to select the right tools to promote accurate diagnoses. Then we discuss the important role outcome measures play in assessing the effectiveness of care plans and promoting continuity of care in light of the move to measurement-based care.

Take a deep dive into the following topics:

What does recent data say about the prevalence of mental health conditions?

How do you assess the validity of mental health tools?

Why is the move to measurement-based care a significant step?

What does measurement-based care look like in practice?

What is essential to understand about process vs. outcome measures?

What is important to understand about outcome measures?

Learning the Language of Health & Human Services

Learning the language of Health & Human Services (HHS) involves understanding the specific terminology, cultural nuances, and communication strategies used in the field to ensure effective and equitable service delivery. This includes mastering plain language, cultural competency, and language access best practices to meet the needs of diverse populations.

Standardized Assessment (SA)

A standardized assessment is a test that uses the same questions and scoring procedures for all test takers, allowing for comparison of performance between individuals or groups. These tests are designed to be objective and consistent, aiming to reduce bias and provide a clear benchmark for evaluating knowledge and skills.

Standardized Assessment

Clinician Use of Standardized Assessments Following a Common Elements Psychotherapy Training and Consultation Program

National Institutes of Health (.gov)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4155022/

by AR Lyon · 2015 Cited by 63

Evidence-based Treatment

Despite increasing emphasis on the implementation of evidence-based treatments in community service settings, little attention has been paid to supporting the use of evidence-based assessment (EBA) methods and processes, a parallel component of evidence-based practice. Standardized assessment (SA) tools represent a key aspect of EBA and are central to data-driven clinical decision making.

SA Tools

The current study evaluated the impact of a statewide training and consultation program in a common elements approach to psychotherapy. Practitioner attitudes toward, skill applying, and use of SA tools across four time points (pre-training, post-training, post-consultation, and follow-up) were assessed. Results indicated early increases in positive SA attitudes, with more gradual increases in self-reported SA skill and use. Implications for supporting the sustained use of SA tools are discussed, including the use of measurement feedback systems, reminders, and SA-supportive supervision practices.

Keywords

Evidence-based assessment, standardized assessment, community mental health, implementation, training

Standardized Assessment

Free, brief, and validated: Standardized instruments for low-resource mental health settings

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4310476/

by RSBeidas, et al. · 2015 · Cited by 208

[HAS LINKS TO SEVERAL ASSESSMENTS]

Evidence-based Assessment

Evidence-based assessment has received little attention despite its critical importance to the evidence-based practice movement. Given the limited resources in the public sector, it is necessary for evidence-based assessment to utilize tools with established reliability and validity metrics that are free, easily accessible, and brief. We review tools that meet these criteria for youth and adult mental health for the most prevalent mental health disorders to provide a clinical guide and reference for the selection of assessment tools for public sector settings. We also discuss recommendations for how to move forward the evidence-based assessment agenda.

Keywords: evidence-based practice, evidence-based assessment, public sector

Assessment Vetting Criteria

• Cost
• Adequate psychometrics
• Ease in accessing
• Less than 50 Items
• Relevance

 

Low Resource Mental Health Settings

Accordingly, the goal of this paper is to conduct a review of EBA instruments for the most prevalent mental health disorders in youths and adults that meet the criteria delineated above. We focus on instruments that can be used for screening (i.e., identifying those at risk for a disorder), diagnosis (i.e., identifying those who meet DSM criteria), and/or treatment monitoring and evaluation (i.e., evaluating the success of treatment or interim response to treatment (Hunsley & Mash, 2008). We hope this manuscript can serve as a clinical guide and reference for the selection of assessment instruments for low-resource mental health settings.

ProQOL Lesson

>Back 2019 we applied the Professional Quality of Life (ProQOL) assessment to some of Buster’s helpers.  With some of his helpers we needed help finding a GoodBed.  We had been in the same hostile living environment since 2012.

Real World Application

Example > ProQOL predicting CDM fate

People and Things we had grim predictions for…

Entity	Fate	Note
Brand New Day (BND)	2022-2023 Went out of business We had repeatedly informed them they were underperforming	Not serving local consumers and clubhouse features are gone Insurer for those with Special Needs
CDM MD	Burned out retired early	Family Doctor acting as Primary Care Physician
Central City GG	Impressions after the BND cohort dissolved	Buster survived turnover as did Central City
Howard Trazo	Possibly Let go	Care coordinator Worked on several placements for Buster - 2023 - seems to have moved ahead after the local collapse of BND
Imperial of California Health Plan	Serious Gaps in services and supports	Underperforming health plan - Wouldn’t cover us when we needed it most – Buster opted for CalOptima as a replacement
Jeff Gibbs	Possibly fired – Imperial Retains him	Care coordinator 20231122-W-Saw him - He still brings back sensation of loathing and dread
Waknine	Burned out died before his time	Central City Psychiatrist

First Generated: 20231125-SAT:

 

Table - Quality Of Life Related Assessments – Commercial-off-the-shelf

Sample Elimination List - QOL Cluster

Assessment Cluster – Quality of Life (QOL)

All Classified as Welfare Indicators or Indicators of Welfare

AcroCode	Meaning	Assignment
BND QOL (15 Item)	Brand New Day – Quality Of Life (QOL)	2012 Intake – Then BND Abandoned it as a case management tool
CIBHS CPS (QOL)	Consumer Perception Survey	Technology Advisory Committee associated - Challenging Transformation
WHOQOL-BREF (26 Item)	World Health Organization	Selection - The primary one we are reporting about
HOS	Health Outcomes Survey (CMS/NCQA/SPH)	2014, 2016, 2018 Frustrating we never get any results back from CMS
BND-QOL	BND Quality of Life	Brand New Day’s Version - 15 Items We used this in our treatment planning
ProQOL	Professional Quality of Life	Copywrite: BA Stamm (2009-2012) Focus on Compassion Satisfaction and Fatigue Version 5 Shared with employment coach DC

First Generated: 20210904-SA:

Satisfaction

HCA-SAT = Health Care Agency Satisfaction Assessment

AcroCode	Description	Origin and Usage
HCA-SAT-##	HCA Satisfaction (8-10 Domains)	Derived from OCHCA Domains of Functioning - Satisfaction
HCA-SAT-16	HCA Satisfaction (16 Domains)	Derived from OCHCA Domains of Functioning - Satisfaction

First Generated: 20210904-SA:

Satisfaction and QOL

Satisfaction and Quality of Life (QOL) are closely related concepts, with satisfaction often considered a component of overall QOL. QOL is a broad term encompassing an individual's perception of their life, including various aspects like health, relationships, and environment, while satisfaction often refers to a more specific evaluation of a particular aspect of life or a specific experience.

Legacy Links to Posts (A Hub)
Torkelson, KE (201808)
Brand New Day - Quality of Life Study I (2012-2018)
For and By Keith E Torkelson, MS

Brand New Day Quality Of Life Report 2018/08/

Chartered = 8/11/18

20180811-SAT: Page Views = 6

 

Alternate Blogger Address
Brand New Day - Quality of Life Study I (2012-2018)
For and By Keith E Torkelson, MS

http://brandnewdayhmo.blogspot.com/2018/08/brand-new-day-quality-of-life-study-i.html

Chartered = 8/11/18

20180811-SAT: Page Views = 6

20180815-SAT: Page Views = 8

20250801-F: Page Views = 110

FYI > Online > Metadata > 

Special Topic – Portable Life

…able to be easily carried or moved, especially because being of a lighter and smaller version than usual.  A version of something, such as a small lightweight television or computer, that can be easily carried.

QOL and COPD

>Chronic Obstructive Pulmonary Disease (COPD) takes its toll on Quality Of Life (QOL).  It is one of the reasons we moved our bed from Shanks Truck Stop (STS) to Harvest Retirement.  Our roommate at STS suffered uncontrolled Sleep Apnea.  Personally over the last year (2024-2025), Buster has been cutting down on his cigarette smoking.

COPD - AI Overview

COPD significantly impacts a patient's quality of life (QOL), with symptoms like shortness of breath, coughing, and fatigue leading to reduced physical activity, social isolation, and psychological distress. QOL in COPD patients is often worse compared to healthy individuals and tends to decline as the disease progresses.

Development Metadata

>The metadata associated with this Quality Of Life (QOL) study is enormous.  QOL rating is part of our Rate Your Life Series.  Examples are: One assessment we call A Day in the Life (qualitative) another is Health Related Engagements (Quantitative).

Information & Assets

Development metadata refers to data that describes other data used in the software development process. It provides context and information about various aspects of the project, such as code, components, build processes, and more. This metadata helps improve understanding, reusability, discoverability, and maintainability of software assets.

Maintainability of Digital Information

Maintainability of digital information refers to the ease with which digital assets can be modified, corrected, or adapted to changes in requirements or environment, ensuring their continued usability and value over time. This includes factors like software maintainability, which is crucial for reducing costs and extending the life of software systems, and the broader concept of maintaining digital records to ensure they remain accessible and readable.

Digital Preservation

Digital preservation is the process of ensuring that digital information remains accessible and usable over the long term, despite technological advancements and potential data loss. It involves actively managing and maintaining digital materials, including born-digital and digitized content, to guarantee their continued accessibility and authenticity for future users. Digital preservation experts emphasize the importance of strategies like file format migration, metadata management, and fixity checking to achieve this goal.

History that Deserves to be Remembered

https://www.allprodad.com/10-ways-to-be-remembered-100-years-from-now/

Lance Geiger is known throughout the world as The History Guy on YouTube. Lance has been a featured speaker at world-renowned museums and events.

Wellness V Recovery V Righting

In essence, recovery is a personal journey towards a meaningful life with a mental health condition, while wellness is the encompassing state of being that recovery aims to achieve and maintain. The "righting reflex" is a common trap in supporting others, but resisting it allows for a more empowering and effective approach to facilitating both wellness and recovery.

Wellness

Wellness is a holistic concept encompassing physical, mental, social, and spiritual well-being, not just the absence of disease. It's an active process of making choices and developing a lifestyle that leads to a state of optimal health. Wellness is often described as having multiple dimensions, including physical, intellectual, emotional, social, spiritual, vocational, financial, and environmental. Prioritizing and balancing these dimensions can lead to a more fulfilling and healthy life.

Recovery

A recovery is when you save something that was lost, in danger of becoming lost, or retrieved. If something was taken from you, such as diamonds, money, or your dignity, and you get it back, you can say that you are glad for its recovery. The noun recovery also refers to a return to a natural or original state.

Mental Illness the Impossibility of Recovery

Recovery is possible even though a person may continue to have symptoms or take medication for a mental illness at the same time, to get back to the medical definition of recovery, like not having any more symptoms or any more impairments, it certainly is possible.  In fact, we know that people do recover from mental illnesses across the lifespan. For some people it takes many, many years. For other people, it can happen after just a few years or even a single episode or two.

Setting things Right (Righting)

"Set things to rights" is an idiom that means to restore something to its proper order, condition, or correct a mistake or problem. It can refer to physical order, like tidying a room, or to correcting errors, like fixing a broken item. It can also mean setting a situation right, like resolving a conflict or correcting a misunderstanding.

Apply to BERA Treatment & QA

>Beginning January of 2018 Buster linked with a new psychiatrist, Rimal B Bera.  Up till 2018 Buster had partnered with Doctor Bum Soo Lee (Since 2012).  We have reported extensively on Doctor Bera.  In general we give him good reviews as compared to others online via sites like WebMD and Healthgrades.

Fixed versus Solved

"Fixed" and "solved" both address problems, but "solved" implies a deeper, more permanent resolution, while "fixed" can indicate a temporary or superficial fix. A solved problem is likely gone for good, whereas a fixed problem might return.

Labile as a negative thing

Labile Definition - Negative

Labile might be define as of or characterized by emotions that are easily aroused or freely expressed, and that tend to alter quickly and spontaneously; emotionally unstable.  In other words features that are liable to change or easily altered.

Quality Of Life Elements - Housing

>We find housing problems are and have been Resistant to Solution.  The process Find > Get > Keep has many gaps.  A goal is to find a GoodBed that costs a reasonable amount of money relative to a consumer’s income.  The bed should not cost more than 1/3 of the consumer's income.  The GoodBed should promote: Sleep, healing and peace.

Good Bed

A good bed, or more specifically, a good mattress, is one that provides proper support for your body, allowing for spinal alignment and pressure point relief, while also offering comfort and a good night's sleep. It should be tailored to your individual needs, considering factors like your body weight, sleeping position, and any specific health concerns like back pain.

Problem Solving

Examples of Impediments and Crises

Code	Impediment, Resource or Crisis	Note	Detail
I&C	Homelessness	Housing	2024 Buster was at risk
R	Alternate Bed(s)	Housing	Leisure Court & Harvest Retirement
I	COPD	Annual	Improving because of smoking less
R	Natural Supports	Resources	2024-2025 family very helpful
I	PCP – Chester D Mojica	Healthcare	Burned out and retired
I	PCP (2022)	Healthcare	Really haven’t bonded
I	PCP (2025)	Healthcare	Really haven’t bonded
R	Sleep	Housing	Very high weight factor in health Associated with most all of Crises
R	Social Indicators	Psychiatric-Social	Doctor wants me to pursue this
C	Transitional Bed	Housing	Was Leisure Court

C = Crisis
I = Impediment
R = Resource

Aside > Promoting Social Work

Model Administrator

Veronica Kelley, DSW, MSW, LCSW Promoted…County of Orange

https://www.ocgov.com/press/veronica-kelley-dsw-msw-lcsw-promoted-oc-health-care-agency-director

Mar 22, 2024

Dr. Veronica Kelley has been selected as the new Director of the OC Health Care Agency (HCA), effective March 22, 2024.

Huge Digital Presence – Veronica Kelley – Model Administrator

Associated Document > In House > Metadata >

QOL_and_Healthcare_Administration_and_Regulation_23112503_Notes

QOL and Healthcare Administration and Regulation

Healthcare administration and regulation play a crucial role in shaping and maintaining the quality of life (QOL) for individuals and communities. Regulations ensure quality and safety standards, while administration focuses on efficient and effective healthcare delivery, both of which directly impact patient outcomes and overall QOL.

QOL Cluster

The QOL Assessment Cluster includes items associated with: Welfare, Health Outcomes, Housing, Satisfaction, and some Indicators of Life.  We reference the Orange County Health Care Agency (OCHCA) operations as a model.

Quality of Life & Public Health

Below are some AcroCodes for Public Health. 

Quality of Public Health – Aspects – Acronyms

Acro Code	Meaning	Note 20231125
BHAB	Behavioral Health Advisory Board	Has been in-effective helping us with our Housing Solutions Bundle project
BHSA	Behavioral Health Services Act	Do not understand yet
CMS	Centers for Medicare & Medicaid Services	Rewards based gifts of kind – Dual eligible Signed on with Cal Optima (2024-2025)
COC	Continuum of Care	Hope to address identified and unidentified gaps in Health Care
FSP	Full Service Partnership	Aside > Mark Refowitz Convergence Principle - He got the MHSA money on the streets - Now we need to put things together
HIW	Housing Intervention Workgroup	Invited to attend in August of 2025 – OCHCA mediated
MHSA	Mental Health Services Act	Work to be done (Thinking of Mary Hale MS) BHSA makes things a bit confusing
OCHCA	Orange County Health Care Agency	Informal Volunteering with concentration on Housing the Disadvantaged
QOC	Quality of Care	Best Practices
SOC	System of Care	Bridge Gaps – For children and families

Continuum of Care

A continuum of care is a coordinated system that provides a range of healthcare and social services to individuals, guiding them through various stages of need, from prevention and early intervention to treatment, rehabilitation, and ongoing support. It ensures a seamless transition between different levels of care, aiming to optimize outcomes and promote overall well-being.

Health Insurance: Related Assessments and Measures

20250705-SA-Last Update

Acro Code	Meaning	Note
HOS	Health Outcomes Survey	CMS - Centers for Medicare & Medicaid Services
HRA	Health Risk Assessment	Central City & CalOptima
MES	Medicare Experience Survey	Used to generate CMS Stars scores for Medicare related health plans
SUD	Substance Use Disorder	Aside: Abbot Analyzer for measuring Xenobiotics & Brain associated molecules - Idea from Hospital Pathologist Clinical Lab Catecholamine assay

Health Outcomes Survey (HOS)

Centers for Medicare & Medicaid Services | CMS (.gov)

https://www.cms.gov/data-research/research/health-outcomes-survey

Jun 4, 2025

The Medicare Health Outcomes Survey (HOS) collects information from people with Medicare who are enrolled in Medicare Advantage (MA) health plans.

Health Outcomes Survey (HOS)

If you have been contacted to participate in the Medicare Health Outcomes Survey (HOS) or Medicare Health Outcomes Survey–Modified (HOS-M) and would like to verify your selection in the study, please contact the approved HOS survey vendor or approved HOS-M survey vendor identified in your survey invitation letter, or email hos@cms.hhs.gov. Additional information for people with Medicare and their families is available at https://hosonline.org/en/information-for-people-with-medicare/.

Aside > In House > Metadata >

06_QA_CMS_HOS_COC_18091508_Acronyms

Assaying Molecules of the Human Brain

Assaying molecules of the human brain: techniques and approaches

Assessing the molecular composition of the human brain is crucial for understanding its normal function and the mechanisms underlying various neurological disorders. Several methods, each with unique advantages and limitations, are employed to analyze brain molecules.