Ohio Mental Health Consumer Outcomes System (OMHCOS)

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Abstract

The Ohio Mental Health Consumer Outcomes System (OMHCOS) is a comprehensive, multi-perspective instrument designed for the systematic measurement of outcomes within Ohio’s publicly-supported mental health system. Developed by the Ohio Department of Mental Health in 2004, this system utilizes three primary forms—Adult Consumer Form A, Adult Consumer Form B, and Provider Form A—to capture diverse domains of recovery and functioning. These domains include Quality of Life, Symptom Distress, Empowerment, and Community Functioning. OMHCOS serves as a vital tool for program evaluation, accountability, and quality improvement initiatives across the state of Ohio, ensuring that services effectively address the needs and goals of adult consumers.

Keywords

Mental health outcomes, program evaluation, consumer satisfaction, quality of life, symptom distress, empowerment, community functioning, Ohio Department of Mental Health

Authors

Ohio Department of Mental Health Office of Program Evaluation and Research

Purpose

The primary purpose of the OMHCOS is to provide a standardized, statewide approach to measuring outcomes for adult consumers receiving publicly-funded mental health services in Ohio. The instrument is designed to track changes in consumer status over time, thereby allowing the state and local agencies to evaluate the effectiveness of mental health services and programs.

By collecting data directly from consumers (Forms A and B) and service providers (Provider Form A), the system facilitates accountability, informs resource allocation, and supports data-driven decision-making aimed at enhancing the overall quality and efficacy of the mental healthcare infrastructure.

Construct

OMHCOS measures a broad range of constructs central to mental health recovery and community integration, categorized across its various forms:

  • Overall Quality of Life: Assesses consumer satisfaction across various life domains, including friendship, financial status, housing, and health.
  • Symptom Distress: Measures the extent to which psychiatric symptoms (e.g., nervousness, fear, loneliness, lack of interest) have distressed or bothered the consumer over the past seven days.
  • Overall Empowerment: Measured primarily in Consumer Form A, this construct includes subscales related to self-worth, self-efficacy, control over the future, community engagement (activism), and the ability to affect one’s environment.
  • Community Functioning (Provider Form A): This observational measure assesses the client’s objective functioning in areas such as social contact, social interaction, housing stability, activities of daily living, and engagement in meaningful activities (work, school, leisure).

Validity

While the source content does not explicitly provide details on external or construct validity (e.g., correlation with established measures), the internal consistency associated with the domain subscales suggests strong measurement integrity for the intended constructs. The use of multiple forms (consumer self-report and provider observation) enhances the ecological and face validity of the system, capturing outcomes from different perspectives critical for comprehensive evaluation.

Reliability

The OMHCOS demonstrates strong internal consistency and high temporal stability across its key scales. The reliability of the instrument’s main domains, as measured by Cronbach’s alpha, indicates that the items within each scale are highly correlated and measure the same underlying construct. Furthermore, the test-retest reliability suggests that the scale yields consistent results over short periods, making it suitable for tracking outcomes.

  • Adult Consumer Form A:
    • Making Decisions Empowerment Scale: alpha = .77
    • Quality of Life items: alpha = .86
    • Symptom Distress Scale: alpha = .93
  • Adult Consumer Form B:
    • Quality of Life items: alpha = .92
    • Symptom Distress Scale: alpha = .97
  • Provider Adult Form A:
    • Community Functioning Scale: alpha = .72
  • Test-Retest Reliability: High correlation observed for overall scores (1 week r=0.91; 2 week r=0.91), demonstrating excellent stability.

Factor Analysis

The structure of OMHCOS is empirically derived, organizing items into distinct domains and subscales, which implicitly reflects the underlying factor structure identified during development. The domains specified for the consumer forms (Quality of Life, Symptom Distress, and Empowerment) and the provider form (Community Functioning) indicate a multi-factorial model designed to capture the complexity of recovery.

For Adult Consumer Form A, specific subscales contributing to the Overall Empowerment domain include Self-Esteem/Self-efficacy, Power/Powerlessness, Community Activism and Autonomy, Optimism and Control Over the Future, and Righteous Anger. This detailed breakdown suggests a robust factor analysis was conducted to isolate these specific dimensions of consumer recovery experience.

Instrument

Test Type: Standardized Outcome Measurement System (Self-report and Provider-report forms)

Format: Multi-part questionnaire utilizing 5-point Likert scales (e.g., Terrible to Very Pleased; Not at all to Extremely; Strongly Agree to Strongly Disagree) and categorical demographic questions.

Language Available: English (Original)

Population Group: Adult consumers (recipients of publicly-supported mental health services).

Age Group: Adults.

Population Details: Individuals engaged in the Ohio public mental health system.

Test Methodology: The system employs concurrent assessment using self-report data (Consumer Forms A and B) and observational data (Provider Form A) to obtain a holistic view of the consumer’s status, satisfaction, and functional outcomes over a specified period (typically the past 6 months or 7 days, depending on the section).

Keywords

Psychological assessment, outcomes measurement, quality of life, community mental health, public policy, psychometric properties, test-retest reliability

Authors

Author ORCID Identifier: Not provided in source content.

Affiliation Email addresses: [email protected] (Contact listed in source)

Correspondence Address: Ohio Department of Mental Health, Columbus, OH.

Permissions & Fee and Test Year

The OMHCOS was developed and revised by the Ohio Department of Mental Health, with significant data collected and published around 2004. As a state-mandated outcomes system, it is generally intended for use within the Ohio public mental health system. Permission inquiries should be directed to the Ohio Department of Mental Health Office of Program Evaluation and Research.

The instrument is publicly available. The original PDF can be downloaded here: https://www.power2u.org/downloads/pn-55.pdf

Reference’s

Items of the Ohio Mental Health Consumer Outcomes System (OMHCOS)

Adult Consumer Form A

Part 1

Below are some questions about how satisfied you are with various aspects of your life in the past 6 months. For each question‚ checkmark the answer that best describes how you feel.

How do you feel about:

1. The amount of friendship in your life?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

2. The amount of money you get?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

3. How comfortable and well-off you are financially?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

4. How much money you have to spend for fun?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

5. The amount of meaningful activity in your life (such as work‚ school‚ volunteer activity‚ leisure activity)?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

6. The amount of freedom you have?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

7. The way you and your family act toward each other?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased
  • Does not apply

8. Your personal safety?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

9. The neighborhood in which you live?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

10. Your housing/living arrangements?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

11. Your health in general?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

12. How often do you have the opportunity to spend time with people you really like?

  • Never
  • Seldom/rarely
  • Sometimes
  • Often
  • Always

Part 2

These next few items ask you about your health and medications within the past 6 months.

13. How often does your physical condition interfere with your day-to-day functioning?

  • Never
  • Seldom/rarely
  • Sometimes
  • Often
  • Always

14. Concerns about my medications (such as side effects‚ dosage‚ type of medication) are addressed:

  • Never
  • Seldom/rarely
  • Sometimes
  • Often
  • Always
  • Not applicable/no medications

The next two items deal with how you have been treated by other people.

15. I have been treated with dignity and respect at this agency.

  • Never
  • Seldom/rarely
  • Sometimes
  • Often
  • Always

16. How often do you feel threatened by people’s reactions to your mental health problems?

  • Never
  • Seldom/rarely
  • Sometimes
  • Often
  • Always

Part 3

The following questions ask you about how much you were distressed or bothered by some things during the last seven days.

Please mark the answer that best describes how you feel.

17. Nervousness or shakiness inside

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

18. Being suddenly scared for no reason

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

19. Feeling fearful

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

20. Feeling tense or keyed up

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

21. Spells of terror or panic

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

22. Feeling so restless you couldn’t sit still

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

23. Heavy feelings in arms or legs

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

24. Feeling afraid to go out of your home alone

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

25. Feeling of worthlessness

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

26. Feeling lonely even when you are with people

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

27. Feeling weak in parts of your body

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

28. Feeling blue

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

29. Feeling lonely

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

30. Feeling no interest in things

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

31. Feeling afraid in open spaces or on the streets

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

32. How often can you tell when mental or emotional problems are about to occur?

  • Never
  • Seldom/rarely
  • Sometimes
  • Often
  • Always

33. When you can tell‚ how often can you take care of the problems before they become worse?

  • Never
  • Seldom/rarely
  • Sometimes
  • Often
  • Always

Part 4

Below are several statements relating to one’s view about life and ha‎ving to make decisions. Please check the response that is closest to how you feel about the statement. Check the word or words that best describes how you feel now.

34. I can pretty much determine what will happen in my life.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

35. People are limited only by what they think is possible.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

36. People have more power if they join together as a group.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

37. Getting angry about something never helps.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

43. Making waves never gets you anywhere.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

44. People working together can have an effect on their community.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

45. I am often able to overcome barriers.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

46. I am generally optimistic about the future.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

47. When I make plans‚ I am almost certain to make them work.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

48. Getting angry about something is often the first step toward changing it.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

49. Usually I feel alone.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

54. You can’t fight city hall (authority).

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

55. I feel powerless most of the time.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

50. Experts are in the best position to decide what people should do or learn.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

51. I am able to do things as well as most other people.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

52. I generally accomplish what I set out to do.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

53. People should try to live their lives the way they want to.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

54. You can’t fight city hall (authority).

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

55. I feel powerless most of the time.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

56. When I am unsure about something‚ I usually go along with the rest of the group.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

57. I feel I am a person of worth‚ at least on an equal basis with others.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

58. People have a right to make their own decisions‚ even if they are bad ones.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

59. I feel I have a number of good qualities.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

60. Very often a problem can be solved by taking action.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

61. Working with others in my community can help to change things for the better.

  • Strongly agree
  • Agree
  • Disagree
  • Strongly disagree

Part 5

Please tell us some things about yourself.

62. What was the last school grade you completed?

  • Less than 1st grade
  • 1st grade
  • 2nd grade
  • 3rd grade
  • 4th grade
  • 5th grade
  • 6th grade
  • 7th grade
  • 8th grade
  • 9th grade
  • 10th grade
  • 11th grade
  • High school diploma/GED
  • Trade/Tech school
  • Some college
  • 2 yr college/Associate degree
  • Graduate school courses
  • 4 yr college/Undergraduate degree
  • Graduate degree
  • Post-graduate studies
  • Further special studies

63. Race (check all that apply):

  • White
  • Native American/Pacific Islander
  • Black/African-American
  • Hispanic/Latino
  • Asian
  • Other

64. What is your marital status?

  • Never married
  • Married
  • Separated
  • Divorced
  • Widowed
  • Living together

65. What is your current living situation?

  • Your own house/apartment
  • Friend’s home
  • Relative’s home
  • Supervised group living
  • Supervised apartment
  • Boarding home
  • Crisis residential
  • Child foster care
  • Adult foster care
  • Intermediate care facility
  • Skilled nursing facility
  • Respite care
  • MR intermediate care facility
  • Licensed MR facility
  • State MR institution
  • State MH institution
  • Hospital
  • Correctional facility
  • Homeless
  • Rest home
  • Other

66. What is your employment status?

  • Employed full time
  • Employed part time
  • Sheltered employment
  • Unemployed
  • Homemaker
  • Retired
  • Disabled
  • Inmate of institution

67. Are you in treatment because you want to be?

  • Yes
  • No

Adult Consumer Form B

Part 1

Below are some questions about how satisfied you are with various aspects of your life in the past 6 months. For each question‚ checkmark the answer that best describes how you feel.

How do you feel about:

1. The amount of friendship in your life?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

2. The amount of money you get?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

3. How comfortable and well-off you are financially?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

4. How much money you have to spend for fun?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

5. The amount of meaningful activity in your life (such as work‚ school‚ volunteer activity‚ leisure activity)?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

6. The amount of freedom you have?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

7. The way you and your family act toward each other?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased
  • Does not apply

8. Your personal safety?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

9. The neighborhood in which you live?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

10. Your housing/living arrangements?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

11. Your health in general?

  • Terrible
  • Mostly dissatisfied
  • Equally satisfied/dissatisfied
  • Mostly satisfied
  • Very pleased

12. How often do you have the opportunity to spend time with people you really like?

  • Never
  • Seldom/rarely
  • Sometimes
  • Often
  • Always

Part 2

These next few items ask you about your health and medications within the past 6 months.

13. How often does your physical condition interfere with your day-to-day functioning?

  • Never
  • Seldom/rarely
  • Sometimes
  • Often
  • Always

14. Concerns about my medications (such as side effects‚ dosage‚ type of medication) are addressed:

  • Never
  • Seldom/rarely
  • Sometimes
  • Often
  • Always
  • Not applicable/no medications

The next two items deal with how you have been treated by other people.

15. I have been treated with dignity and respect at this agency.

  • Never
  • Seldom/rarely
  • Sometimes
  • Often
  • Always

16. How often do you feel worried by people’s reactions to the problems that brought you to the agency?

  • Never
  • Seldom/rarely
  • Sometimes
  • Often
  • Always

Part 3

The following questions ask you about how much you were distressed or bothered by some things during the last seven days.

Please mark the answer that best describes how you feel.

During the past 7 days‚ about how much were you distressed or bothered by:

17. Nervousness or shakiness inside

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

18. Being suddenly scared for no reason

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

19. Feeling fearful

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

20. Feeling tense or keyed up

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

21. Spells of terror or panic

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

22. Feeling so restless you couldn’t sit still

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

23. Heavy feelings in arms or legs

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

24. Feeling afraid to go out of your home alone

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

25. Feeling of worthlessness

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

26. Feeling lonely even when you are with people

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

27. Feeling weak in parts of your body

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

28. Feeling blue

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

29. Feeling lonely

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

30. Feeling no interest in things

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

31. Feeling afraid in open spaces or on the streets

  • Not at all
  • A little bit
  • Some
  • Quite a bit
  • Extremely

32. How often can you tell when mental or emotional problems are about to occur?

  • Never
  • Seldom/rarely
  • Sometimes
  • Often
  • Always

33. When you can tell‚ how often can you take care of the problems before they become worse?

  • Never
  • Seldom/rarely
  • Sometimes
  • Often
  • Always

Part 4

Please tell us some things about yourself.

34. What was the last school grade you completed?

  • Less than 1st grade
  • 1st grade
  • 2nd grade
  • 3rd grade
  • 4th grade
  • 5th grade
  • 6th grade
  • 7th grade
  • 8th grade
  • 9th grade
  • 10th grade
  • 11th grade
  • High school diploma/GED
  • Trade/Tech school
  • Some college
  • 2 yr college/Associate degree
  • Graduate school courses
  • 4 yr college/Undergraduate degree
  • Graduate degree
  • Post-graduate studies
  • Further special studies

35. Race (check all that apply):

  • White
  • Native American/Pacific Islander
  • Black/African-American
  • Hispanic/Latino
  • Asian
  • Other

36. What is your marital status?

  • Never married
  • Married
  • Separated
  • Divorced
  • Widowed
  • Living together

37. What is your current living situation?

Your own house/apartment

  • Friend’s home
  • Relative’s home
  • Supervised group living
  • Supervised apartment
  • Boarding home
  • Crisis residential
  • Child foster care
  • Adult foster care
  • Intermediate care facility
  • Skilled nursing facility
  • Respite care
  • MR intermediate care facility
  • Licensed MR facility
  • State MR institution
  • State MH institution
  • Hospital
  • Correctional facility
  • Homeless
  • Rest home
  • Other

38. What is your employment status?

  • Employed full time
  • Employed part time
  • Sheltered employment
  • Unemployed
  • Homemaker
  • Retired
  • Disabled
  • Inmate of institution

39. Are you in treatment because you want to be?

  • Yes
  • No

Ohio Mental Health Consumer Outcomes System

Provider Form A

Please circle the appropriate response for each statement that corresponds with the client’s highest level of functioning in the past 6 months.

1. Does the client initiate non-professional social contact or respond to others’ initiation of social contact?

Withdrawn/isolated‚ Minimal contact‚ Moderate contact‚ Optimal contact‚ Unsure

2. How effectively does this client interact with others? NOTE: “Effectively” refers to how successfully and appropriately the client behaves in social settings (i.e.‚ how well she/he minimizes interpersonal friction‚ meets personal needs‚ achieves personal goals in socially appropriate manner).

Very ineffectively‚ Ineffectively‚ Mixed or dubious effectiveness‚ Effectively‚ Very Effectively Unsure

4. Please rate the client’s housing stability

Moved very frequently. Moved often‚ Moved a few times‚ Moved once‚ Did not move‚ Unsure

3. How effective is the client’s social support network in helping the client meet his/her needs?

NOTE: A support network may consist of interested family‚ friends‚ acquaintances‚ coworkers‚ peers‚ or social clubs‚ etc.

Very ineffective‚ Ineffective‚ Mixed or dubious effectiveness‚ Effective‚ Very Effective‚  Unsure

5. Has the client been forced/compelled to move from his/her living arrangements?

Yes‚ No‚ Unsure

6. How well does the client perform independently in the following day-to-day living activities?

1=Task is not completed‚ 2=Someone other than the client completes task‚ 3=Client needs extensive supervision or assistance‚ 4= Client needs some supervision or assistance‚ 5=Client acts independently‚ ?=Unsure or not applicable

A. Personal hygiene 1 2 3 4 5 ?

B. Dressing appropriately 1 2 3 4 5 ?

C. Obtaining regular nutrition 1 2 3 4 5 ?

D. Using public transportation 1 2 3 4 5 ?

E. Shopping 1 2 3 4 5 ?

F. Doing laundry 1 2 3 4 5 ?

G. Housekeeping 1 2 3 4 5 ?

H. Managing money 1 2 3 4 5 ?

7. To what extent has the client engaged in the following meaningful activities?

1=Almost Never (<1x / mo.)‚ 2= Seldom (<1x / week)‚ 3= Sometimes (1-2x / week)‚ 4= Often (3-4x / week)‚ 5= Almost always (>5x / week)‚ ?= Unsure or not applicable

A. Work 1 2 3 4 5 ?

B. School 1 2 3 4 5 ?

C. Volunteer activity 1 2 3 4 5 ?

D. Parenting 1 2 3 4 5 ?

E. Homemaking 1 2 3 4 5 ?

F. Leisure activity 1 2 3 4 5 ?

8. Of the roles listed above‚ in general how well is the client performing in his/her primary role?

Extremely poorly‚ Poorly‚ Satisfactorily‚ Well‚ Extremely well‚ Unsure

9. How frequently is the client’s functioning compromised by addictive or compulsive behaviors (e.g.‚ alcohol abuse‚ drug abuse‚ gambling)?

Almost always (>5x / week)‚ Often (3-4x / week)‚ Sometimes (1-2x / week)‚ Seldom (<1x / week)‚ Almost never (<1x / month)‚ Unsure

10. Has the client abided by the law sufficiently to avoid incarceration and/or criminal justice system involvement?

No‚ Yes‚ Unsure

11. Has the client attempted to or actually physically harmed someone?

Yes‚ No‚ Unsure

12. Has the client been a victim of:

a) rape Yes‚ No‚ Unsure

b) assault Yes‚ No‚ Unsure

c) threats Yes‚ No‚ Unsure

d) exploitation Yes‚ No‚ Unsure

e) harassment Yes‚ No‚ Unsure

f) suicide attempt Yes‚ No‚ Unsure

g) other type of harm to self  Yes‚ No‚ Unsure

h) hate crimes Yes‚ No‚ Unsure

i) theft‚ robbery‚ vandalism Yes‚ No‚ Unsure

Cite this article

Mohammed looti (2025). Ohio Mental Health Consumer Outcomes System (OMHCOS). Psychological Scales & Instruments Database. Retrieved from https://db.arabpsychology.com/scales/ohio-mental-health-consumer-outcomes-system-omhcos/

Mohammed looti. "Ohio Mental Health Consumer Outcomes System (OMHCOS)." Psychological Scales & Instruments Database, 15 Oct. 2025, https://db.arabpsychology.com/scales/ohio-mental-health-consumer-outcomes-system-omhcos/.

Mohammed looti. "Ohio Mental Health Consumer Outcomes System (OMHCOS)." Psychological Scales & Instruments Database, 2025. https://db.arabpsychology.com/scales/ohio-mental-health-consumer-outcomes-system-omhcos/.

Mohammed looti (2025) 'Ohio Mental Health Consumer Outcomes System (OMHCOS)', Psychological Scales & Instruments Database. Available at: https://db.arabpsychology.com/scales/ohio-mental-health-consumer-outcomes-system-omhcos/.

[1] Mohammed looti, "Ohio Mental Health Consumer Outcomes System (OMHCOS)," Psychological Scales & Instruments Database, vol. X, no. Y, ص Z-Z, October, 2025.

Mohammed looti. Ohio Mental Health Consumer Outcomes System (OMHCOS). Psychological Scales & Instruments Database. 2025;vol(issue):pages.

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