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对被监禁青少年的紧急风险和服务需求进行筛查:比较MAYSI-2和Voice DISC-IV。

Screening for emergent risk and service needs among incarcerated youth: comparing MAYSI-2 and Voice DISC-IV.

作者信息

Wasserman Gail A, McReynolds Larkin S, Ko Susan J, Katz Laura M, Cauffman Elizabeth, Haxton William, Lucas Christopher P

机构信息

Center for Promotion of Mental Health in Juvenile Justice, Division of Child Psychiatry, Columbia University/New York State Psychiatric Institute, NYC, NY 10032, USA.

出版信息

J Am Acad Child Adolesc Psychiatry. 2004 May;43(5):629-39. doi: 10.1097/00004583-200405000-00017.

Abstract

OBJECTIVE

To examine associations between the Massachusetts Youth Screening Instrument-Second Version (MAYSI-2) and Diagnostic Interview Schedule for Children-Present State Voice Version (DISC-IV) and the extent to which they overlap in identifying youths with mental health concerns.

METHOD

Among 325 New Jersey and South Carolina correctional youths, associations were examined using receiver operating characteristic analyses and logistic regression (binomial and multinomial).

RESULTS

MAYSI-2 subscales generally mapped best onto homotypic DISC-IV disorders; however, many subscales mapped almost as well onto heterotypic disorders. Alcohol/Drug Use and Suicide Ideation, respectively, identified youths reporting substance disorder and recent attempt; other subscales did not identify parallel DISC-IV disorders as well.

CONCLUSIONS

MAYSI-2 identifies some DISC-IV disorders better than others. Lack of overlap may result from MAYSI-2's combining diagnostic constructs into single subscales. Substantial percentages of disordered youths were not identified by corresponding subscales. In systems with multiple avenues of referral, the MAYSI-2 is a useful intake screen, but its utility as the sole means for identifying diagnoses for treatment purposes is limited. The authors differentiate between screening for emergent risk and service needs, recommending best practices for a comprehensive approach to mental health assessment among justice youth.

摘要

目的

研究马萨诸塞州青少年筛查工具第二版(MAYSI - 2)与儿童诊断访谈量表当前状态语音版(DISC - IV)之间的关联,以及它们在识别有心理健康问题的青少年方面的重叠程度。

方法

在325名新泽西州和南卡罗来纳州的惩教青少年中,使用受试者工作特征分析和逻辑回归(二项式和多项式)来研究关联。

结果

MAYSI - 2分量表通常与同型DISC - IV障碍的匹配度最佳;然而,许多分量表与异型障碍的匹配度也几乎一样好。酒精/药物使用和自杀意念分量表分别识别出报告物质障碍和近期有自杀企图的青少年;其他分量表对平行的DISC - IV障碍的识别效果则没那么好。

结论

MAYSI - 2对某些DISC - IV障碍的识别效果优于其他障碍。缺乏重叠可能是由于MAYSI - 2将诊断结构合并到单个分量表中。相当比例的有障碍青少年未被相应的分量表识别出来。在有多种转诊途径的系统中,MAYSI - 2是一个有用的入院筛查工具,但其作为确定治疗诊断的唯一手段的效用有限。作者区分了对紧急风险和服务需求的筛查,推荐了针对司法系统青少年心理健康评估的综合方法的最佳实践。

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