Reliability of the services assessment for children and adolescents

被引:160
作者
Horwitz, SM
Hoagwood, K
Stiffman, AR
Summerfeld, T
Weisz, JR
Costello, EJ
Rost, K
Bean, DL
Cottler, L
Leaf, PJ
Roper, M
Norquist, G
机构
[1] Yale Univ, Sch Med, Dept Epidemiol & Publ Hlth, New Haven, CT 06520 USA
[2] Yale Univ, Sch Med, Ctr Child Study, New Haven, CT 06520 USA
[3] Yale Univ, Inst Social & Policy, New Haven, CT 06520 USA
[4] NIMH, Child & Adolescent Mental Hlth Serv, Rockville, MD 20857 USA
[5] Washington Univ, George Warren Brown Sch Social Work, St Louis, MO 63130 USA
[6] Michigan State Univ, Dept Psychol, E Lansing, MI 48824 USA
[7] Univ Calif Los Angeles, Dept Psychol, Los Angeles, CA 90024 USA
[8] RAND Corp, Santa Monica, CA USA
[9] Duke Univ, Med Ctr, Dept Psychiat & Behav Sci, Chapel Hill, NC USA
[10] Univ Colorado, Dept Family Med, Denver, CO 80202 USA
[11] Washington Univ, Sch Med, Dept Psychiat, St Louis, MO 63110 USA
[12] Johns Hopkins Univ, Dept Mental Hyg, Baltimore, MD USA
[13] NIMH, Div Serv & Intervent Res, Bethesda, MD 20892 USA
关键词
D O I
10.1176/appi.ps.52.8.1088
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: This study examined the test-retest reliability of a new instrument, the Services Assessment for Children and Adolescents (SACA), for children's use of mental health services. Methods: A cross-sectional survey was undertaken at two sites. The St. Louis site used a volunteer sample recruited from mental health clinics and local schools. The Ventura County, California, site used a double-blind, community-based sample seeded with cases of service-using children. Participating families completed the SACA and were retested within four to 14 days. The reliability of service use items was calculated with use of the kappa statistic. Results: The SACA-Parent Version had excellent test-retest reliability for both lifetime service use and previous 12-month use. The SACA also had good to excellent reliability when administered to children aged 11 and older for lifetime and 12-month use. Reliability figures for children aged nine and ten years were considerably lower for lifetime and 12-month use. The younger children's responses suggested that they were confused about some questions. Conclusions: This study demonstrates that parents and older children can reliably report use of mental health services by using the SACA. The SACA can be used to collect currently unavailable information about use of mental health services.
引用
收藏
页码:1088 / 1094
页数:7
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