What Is the Mayo-Portland Adaptability Inventory?
Designed to measure post-acute outcome, the Mayo-Portland Adaptability Inventory helps providers measure the progress of people with TBI and tailor appropriate treatment plans.
The Mayo-Portland Adaptability Inventory is something that I developed along with Muriel Lezak, and we have put it together actually over the last 15 or 20 years. We've gone through several iterations. We're now on the fourth version, and I think we're pretty close to getting it right after four revisions. It's really designed to be more sensitive to that higher level of recovery, the person who is still having considerable difficulty perhaps, but isn't worried--the basic things have been taken care of. They're able to feed themselves. They're able to function. Their eyes are open. Now the real issues are community--return to community and employment. And so, to get a good assessment at that level, we've developed the Mayo-Portland. It has three subscales that assess basic abilities--cognitive and physical abilities. The second subscale assesses adjustments-- emotional issues, interpersonal issues, and self-awareness. The third subscale assesses community reintegration-- or participation, as we're calling it these days-- back to work, independent living, use of transportation, money management-- those kinds of things. We've found it useful with that group of patients in treatment planning as well. It's a way for us to collate our evaluations of the patient and be fairly prescriptive. If you're having trouble with memory, what are we going to do to address that? If you're having trouble with depression, what are we going to do to address that? And again, the ultimate goal being to improve that participation and the next thing-- getting people back to their lives.
Posted on BrainLine November 1, 2012.
James Malec, PhD, is professor and research director in the Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine and the Rehabilitation Hospital of Indiana. He is a professor emeritus of psychology at the Mayo Clinic.
Produced by Victoria Tilney McDonough and Erica Queen, BrainLine, and Dan Edblom.