Stiffman A R, Horwitz S M, Hoagwood K, Compton W, Cottler L, Bean D L, Narrow W E, Weisz J R
George Warren Brown School of Social Work, Washington University, St. Louis, MO 63130, USA.
J Am Acad Child Adolesc Psychiatry. 2000 Aug;39(8):1032-9. doi: 10.1097/00004583-200008000-00019.
To describe differences in parent-child responses to the Service Assessment for Children and Adolescents (SACA).
Studies were done at UCLA and Washington University based on service-using and community subjects drawn from community households or public school student lists, respectively. Results are presented for 145 adult-youth pairs in which the youth was 11 or older.
The SACA adult-youth correspondence for lifetime use of any services, inpatient services, outpatient services, and school services ranged from fair to excellent (kappa = 0.43-0.86, with most at 0.61 or greater). Similarly, the SACA showed a good to excellent correspondence for services that had been used in the preceding year (kappa = 0.45-0.77, with most greater than 0.50). The parent-youth correspondence for use of specific service settings in the above generic categories ranged from poor to excellent (kappa = 0.25-0.83, with half at 0.50 or greater).
The SACA has better adult-youth correspondence than any service use questionnaire with published data, indicating that both adult and youth reports are not needed for all research on mental health services. This is especially encouraging news for researchers working with high-risk youth populations, in which a parent figure is often not available.
描述父母与子女对儿童青少年服务评估（SACA）的反应差异。
分别在加州大学洛杉矶分校和华盛顿大学进行研究，研究对象分别是从社区家庭中抽取的使用服务的人群和从公立学校学生名单中抽取的社区人群。呈现了145对成年-青少年配对的结果，其中青少年年龄在11岁及以上。
SACA中关于终身使用任何服务、住院服务、门诊服务和学校服务的成人-青少年一致性从一般到优秀（kappa系数=0.43 - 0.86，大多数在0.61及以上）。同样，SACA在前一年使用的服务方面显示出良好到优秀的一致性（kappa系数=0.45 - 0.77，大多数大于0.50）。上述一般类别中特定服务场所使用情况的父母-青少年一致性从差到优秀（kappa系数=0.25 - 0.83，一半在0.50及以上）。
与任何已发表数据的服务使用问卷相比，SACA的成人-青少年一致性更好，这表明并非所有关于心理健康服务的研究都需要成人和青少年的报告。对于研究高危青少年人群的研究人员来说，这是特别鼓舞人心的消息，因为在这类人群中通常没有家长参与。
