Selecting Measures for Use in Child Mental Health Services: A Scorecard Approach
- 166 Downloads
The implementation of evidence-based treatments in mental health services requires reliable and valid measurements to guide treatment. This study evaluated the efficiency of three caretaker-report measures of child psychiatric disorders. Data from 211 caregivers were used to assess the CBCL, the OHIO, and the SDQ. A scorecard methodology was implemented to determine the efficiency of each scale as compared to the DISC-IV. Across measures, the OHIO was optimal for assessing services need while the CBCL and SDQ provided better disorder-specific assessment. Results may improve clinical practice by providing an empirical approach to the selection of assessment tools.
KeywordsChild mental health Diagnosis Rating scales Diagnostic efficiency
- Achenbach, T. M., & Rescorla, L. (2001). Manual for the ASEBA school-age forms and profiles: An integrated system of multi-informant assessment. Burlington, VT: University of Vermont, Research Center for Children, Youth & Families.Google Scholar
- Achenbach system of empirically based assessment (ASEBA). (2008). 2008 ASEBA Catalog. Retrieved November 25, 2008, from http://www.aseba.org/2008%20Catalog.pdf.
- Baize, H. (2001). Implications of the Ohio scales factor structure for scale utility and scoring. San Francisco, CA: The Fourth Annual Californian Children’s System of Care Model Evaluation Conference.Google Scholar
- Birmaher, B., Brent, D. A., Chiappetta, L., Bridge, J., Monga, S., & Baugher, M. (1999). Psychometric properties of the screen for child anxiety related emotional disorders (SCARED): A replication study. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1230–1236. doi: 10.1097/00004583-199910000-00011.PubMedCrossRefGoogle Scholar
- CDECP Research section. (2000). Connecticut Town Profiles 1998–1999. New Haven, CT: Connecticut Department of Economic and Community Development. Retrieved February 28, 2007, from www.state.ct.us/ecd/research.
- Chen, W. J., Faraone, S. V., Biederman, J., & Tsuang, M. T. (1994). Diagnostic accuracy of the child behavior checklist scales for attention-deficit hyperactivity disorder: A receiver-operating characteristic analysis. Journal of Consulting and Clinical Psychology, 62(5), 1017–1025. doi: 10.1037/0022-006X.62.5.1017.PubMedCrossRefGoogle Scholar
- First, M., Gibbon, M., Spitzer, R. L., & Williams, J. B. (2004). What is the Validity of the SCID-I. Retrieved December 8, 2004, from http://www.scid4.org.
- Hoagwood, K., Jensen, P. S., Petti, T., & Burns, B. J. (1996). Outcomes of mental health care for children and adolescents: I. A comprehensive conceptual model. Journal of the American Academy of Child and Adolescent Psychiatry, 35(8), 1055–1063. doi: 10.1097/00004583-199608000-00017.PubMedCrossRefGoogle Scholar
- Hudziak, J. J., Copeland, W., Stanger, C., & Wadsworth, M. (2004). Screening for DSM-IV externalizing disorders with the child behavior checklist: A receiver-operating characteristic analysis. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 45(7), 1299–1307. doi: 10.1111/j.1469-7610.2004.00314.x.PubMedCrossRefGoogle Scholar
- Jensen, P. S., Rubio-Stipec, M., Canino, G., Bird, H. R., Dulcan, M. K., Schwab-Stone, M. E., et al. (1999a). Parent and child contributions to diagnosis of mental disorder: Are both informants always necessary? Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1569–1579.PubMedCrossRefGoogle Scholar
- Jensen, A. L., & Weisz, J. R. (2002). Assessing match and mismatch between practitioner-generated and standardized interview-generated diagnoses for clinic-referred children and adolescents. Journal of Consulting and Clinical Psychology, 70, 158–168. doi: 10.1037/0022-006X.70.1.158.PubMedCrossRefGoogle Scholar
- Jensen, P. S., Hoagwood, K., & Zitner, L. (Eds.). (2006). What’s in a name? Problems versus prospects in current diagnostic approaches. Hoboken, NJ, USA: Wiley.Google Scholar
- Klasen, H., Woerner, W., Wolke, D., Meyer, R., Overmeyer, S., Kaschnitz, W., et al. (2000). Comparing the German versions of the strengths and difficulties questionnaire (SDQ-Deu) and the child behavior checklist. European Child & Adolescent Psychiatry, 9, 271–276. doi: 10.1007/s007870070030.CrossRefGoogle Scholar
- Ogles, B. M., Melendez, G., Davis, D. C., & Lunnen, K. M. (2000). The Ohio youth problem, functioning, and satisfaction scales: Technical manual. In: Ohio Mental health consumer outcomes initiative Ohio: Ohio University.Google Scholar
- Ohio Department of Mental Health. (2005). Instruments and procedures: Outcomes instruments, English versions. Retrieved November 25, 2008, from http://www.mh.state.oh.us/oper/outcomes/instruments.english.html.
- USA Public Health Service. (2000). Report of the surgeon general’s conference on children’s mental health: A national action agenda. Washington, DC: Department of Health and Human Services.Google Scholar
- Rubio-Stipec, M., Fitzmaurice, G., Murphy, J., & Walker, A. (2003). The use of multiple informants in identifying the risk factors of depressive and disruptive disorders. Are they interchangeable? Social Psychiatry and Psychiatric Epidemiology, 38, 51–58. doi: 10.1007/s00127-003-0600-0.PubMedCrossRefGoogle Scholar
- Rubio-Stipec, M., Walker, A., Murphy, J., & Fitzmaurice, G. (2002). Dimensional measures of psychopathology. The probability of being classified with a psychiatric disorder using empirically derived symptom scales. Social Psychiatry and Psychiatric Epidemiology, 37, 553–560. doi: 10.1007/s00127-002-0561-8.PubMedCrossRefGoogle Scholar
- SAMHSA. (2003). National mental health information center: Child and adolescent mental health. USA Department of Health and Human Services.Google Scholar
- SAS Institute Inc. (2003). SAS 9.1 (9.1st ed.). NC: SAS Institute, Inc.Google Scholar
- Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH diagnostic interview schedule for children, version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28–38. doi: 10.1097/00004583-200001000-00014.PubMedCrossRefGoogle Scholar
- SPSS. (2004). SPSS 13.0 for Windows. 13.0.1 Edition: LEAD Technologies, Inc.Google Scholar
- Youth in Mind (2005). SDQ: Information for researchers and professionals about the Strengths & Difficulties Questionnaires. Retrieved August 22, 2005, from http://www.sdqinfo.com/.