SUPERVISION RATING SCALE (SRS)
Variable 297
date of last revision: 01/01/05
DEFINITION:
The Supervision Rating Scale is used to rate the amount of supervision that the person with brain injury actually receives by choosing one of the thirteen categories below. This rating is determined by the interviewer with information from the person with TBI and/or others at the time of the follow-up evaluation. "Supervision" means that someone is responsible for being with the person with brain injury. For more information, see: Introduction to SRS (COMBI) (http://www.tbims.org/combi/srs/index.html).

A copy of the SRS data collection form is available at: SRS Rating Form (COMBI) (http://www.tbims.org/combi/srs/srsrat.html).
CODE:
Level 1 - INDEPENDENT
01 - The person with brain injury lives alone or independently. Other persons can live with the person with brain injury, but they cannot take responsibility for supervision (for example, a child or elderly person). *If person is independent and living with one or more other adults, code "1".

02 - The person with brain injury is unsupervised overnight. The person with brain injury lives with one or more persons who could be responsible for supervision (for example, a spouse or roommate), but they are all sometimes absent overnight.

Level 2 - OVERNIGHT SUPERVISION
03 - The person with brain injury is only supervised overnight. One or more supervising persons are always present overnight but they are all sometimes absent for the rest of the day.

Level 3 - PART-TIME SUPERVISION
04 - The person with brain injury is supervised overnight and part-time during waking hours, but is allowed on independent outings. One or more supervising persons are always present overnight and are also present during part of waking hours every day. However, the person with brain injury is sometimes allowed to leave the residence without being accompanied by someone who is responsible for supervision.

05 - The person with brain injury is supervised overnight and part-time during waking hours, but unsupervised during working hours. Supervising persons are all sometimes absent for enough time for them to work full-time outside the home.

06 - The person with brain injury is supervised overnight and during most waking hours. Supervising persons are all sometimes absent for periods longer than one hour, but less than the time needed to hold a full-time job away from home.

07 - The person with brain injury is supervised overnight and during almost all waking hours. Supervising persons are all sometimes absent for periods shorter than one hour.

Level 4 - FULL-TIME INDIRECT SUPERVISION
08 - The person with brain injury is under full-time indirect supervision. At least one supervising person is always present, but the supervising person does not check on the person with brain injury more than once every 30 minutes.

09 - Same as #8 plus requires overnight safety precautions (for example, a deadbolt on outside door).

Level 5 - FULL-TIME DIRECT SUPERVISION
10 - The person with brain injury is under full-time direct supervision. At least one supervising person is always present and the supervising person checks on the person with brain injury more than once every thirty minutes.

11 - The person with brain injury lives in a setting in which the exits are physically controlled by others (for example, a locked ward).

12 - Same as #11 plus a supervising person is designated to provide full-time line-of-sight supervision (for example, an escape watch or suicide watch).

13 - The person with brain injury is in physical restraints.

OTHER CODES
00 - Variable did not exist (cases prior to 4/1/98).
99 - Unknown

CHARACTERS:
2 numeric
NOTE:
For more information see:
Frequently Asked Questions for SRS (COMBI) (http://www.tbims.org/combi/srs/srsfaq.html)
Properties of SRS (COMBI) (http://www.tbims.org/combi/srs/srsprop.html)
SOURCE:
Boake, C. Supervision Rating Scale: A measure of functional outcome from brain injury. Archives of Physical Medicine and Rehabilitation. 1996;77(8):765-772. For an abstract, see: PubMed link to Boake et. al (1996) (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=8702369)
EXAMPLE:
The patient is supervised overnight and during the day, however his spouse works full-time outside the home during the day.

05

Traumatic Brain Injury Model System National Database Live Syllabus V10.3
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