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使用儿童和青少年功能评估量表预测服务利用情况和成本。

Use of the Child and Adolescent Functional Assessment Scale to predict service utilization and cost.

作者信息

Hodges K, Wong M M

机构信息

Department of Psychology, Eastern Michigan University, Yosilanti, MI 48197, USA.

出版信息

J Ment Health Adm. 1997 Summer;24(3):278-90. doi: 10.1007/BF02832662.

DOI:10.1007/BF02832662
PMID:9230570
Abstract

The Child and Adolescent Functional Assessment Scale (CAFAS) is a multidimensional measure of impairment that assesses the extent of interference in day-to-day functioning secondary to emotional, behavioral, or substance use problems. Respondents were 984 youths, aged 5 to 17, who were referred for mental health services. They were assessed at intake and at 6 and 12 months postintake with a battery of measures administered by evaluation staff who were independent of treatment. Utilization indicators included restrictiveness of care, total cost, number of bed days, and total number of days of service received. The CAFAS total score at intake was a significant predictor of service utilization and cost determined at 6 and 12 months postintake. The CAFAS score was also the best predictor when compared with other measures of psychopathology. Only the CAFAS and presence of conduct disorder contributed to the prediction of service utilization and cost at 12 months.

摘要

儿童及青少年功能评估量表(CAFAS)是一种多维功能损害测量工具,用于评估因情绪、行为或物质使用问题导致的日常功能干扰程度。研究对象为984名年龄在5至17岁之间、被转介接受心理健康服务的青少年。由独立于治疗团队的评估人员在入组时以及入组后6个月和12个月时,使用一系列测量工具对他们进行评估。利用指标包括护理的限制性、总成本、住院天数以及接受服务的总天数。入组时的CAFAS总分是入组后6个月和12个月时服务利用情况和成本的显著预测指标。与其他精神病理学测量指标相比,CAFAS评分也是最佳预测指标。在12个月时,只有CAFAS和品行障碍的存在对服务利用情况和成本的预测有贡献。

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