Methodological challenges in assessing children's mental health services utilization

Glorisa Canino, Patrick Shrout, Margarita Alegría, Maritza Rubio-Stipec, Ligia M. Chávez, Julio C. Ribera, Milagros Bravo, José J. Bauermeister, Lizbeth M. Fábregas, Sally Horwitz Horwitz, Alfonso Martínez-Taboas

Research output: Contribution to journalArticle

Abstract

This paper describes the reliability and validity of the service assessment for children and adolescents (SACA) for use among Spanish-speaking respondents. The test-retest reliability of the instrument was assessed in a randomly selected clinical sample of 146 Puerto Rican children and adolescents aged 4-17. Both parents and children were administered the SACA twice by independent interviewers over an average 12-day follow-up period. The accuracy of parental and youth self-reports was assessed by comparing these reports to information obtained from medical records. The results showed that parents and children (aged 11-17) were able to report with fair to moderate reliability any last year use of mental health services, any outpatient mental health services, and school services. Residential and hospitalization services were reported by both informants with substantial test-retest reliability. Slight or no test-retest reliability was obtained for parent and child on the use of the specific type of mental health professionals, as well as parental reports of several treatment modalities. Substantial sensitivity of the SACA was obtained when comparing medical records to parental and child reports to lifetime use of any service and outpatient mental health service. Moderate sensitivity was obtained for last year use of mental health services for both parent and child informants.

Original languageEnglish (US)
Pages (from-to)97-107
Number of pages11
JournalMental Health Services Research
Volume4
Issue number2
DOIs
StatePublished - 2002

Fingerprint

Child Health Services
Mental Health Services
Reproducibility of Results
Ambulatory Care
Medical Records
Parents
Hispanic Americans
Self Report
Mental Health
Hospitalization
Interviews

Keywords

  • Accuracy mental health
  • Mental health
  • Services use reports
  • Test-retest reliability
  • Utilization measures

ASJC Scopus subject areas

  • Health Policy

Cite this

Canino, G., Shrout, P., Alegría, M., Rubio-Stipec, M., Chávez, L. M., Ribera, J. C., ... Martínez-Taboas, A. (2002). Methodological challenges in assessing children's mental health services utilization. Mental Health Services Research, 4(2), 97-107. https://doi.org/10.1023/A:1015252217154

Methodological challenges in assessing children's mental health services utilization. / Canino, Glorisa; Shrout, Patrick; Alegría, Margarita; Rubio-Stipec, Maritza; Chávez, Ligia M.; Ribera, Julio C.; Bravo, Milagros; Bauermeister, José J.; Fábregas, Lizbeth M.; Horwitz, Sally Horwitz; Martínez-Taboas, Alfonso.

In: Mental Health Services Research, Vol. 4, No. 2, 2002, p. 97-107.

Research output: Contribution to journalArticle

Canino, G, Shrout, P, Alegría, M, Rubio-Stipec, M, Chávez, LM, Ribera, JC, Bravo, M, Bauermeister, JJ, Fábregas, LM, Horwitz, SH & Martínez-Taboas, A 2002, 'Methodological challenges in assessing children's mental health services utilization', Mental Health Services Research, vol. 4, no. 2, pp. 97-107. https://doi.org/10.1023/A:1015252217154
Canino, Glorisa ; Shrout, Patrick ; Alegría, Margarita ; Rubio-Stipec, Maritza ; Chávez, Ligia M. ; Ribera, Julio C. ; Bravo, Milagros ; Bauermeister, José J. ; Fábregas, Lizbeth M. ; Horwitz, Sally Horwitz ; Martínez-Taboas, Alfonso. / Methodological challenges in assessing children's mental health services utilization. In: Mental Health Services Research. 2002 ; Vol. 4, No. 2. pp. 97-107.
@article{087549db5cc2443c9a0e093382e1d3f2,
title = "Methodological challenges in assessing children's mental health services utilization",
abstract = "This paper describes the reliability and validity of the service assessment for children and adolescents (SACA) for use among Spanish-speaking respondents. The test-retest reliability of the instrument was assessed in a randomly selected clinical sample of 146 Puerto Rican children and adolescents aged 4-17. Both parents and children were administered the SACA twice by independent interviewers over an average 12-day follow-up period. The accuracy of parental and youth self-reports was assessed by comparing these reports to information obtained from medical records. The results showed that parents and children (aged 11-17) were able to report with fair to moderate reliability any last year use of mental health services, any outpatient mental health services, and school services. Residential and hospitalization services were reported by both informants with substantial test-retest reliability. Slight or no test-retest reliability was obtained for parent and child on the use of the specific type of mental health professionals, as well as parental reports of several treatment modalities. Substantial sensitivity of the SACA was obtained when comparing medical records to parental and child reports to lifetime use of any service and outpatient mental health service. Moderate sensitivity was obtained for last year use of mental health services for both parent and child informants.",
keywords = "Accuracy mental health, Mental health, Services use reports, Test-retest reliability, Utilization measures",
author = "Glorisa Canino and Patrick Shrout and Margarita Alegr{\'i}a and Maritza Rubio-Stipec and Ch{\'a}vez, {Ligia M.} and Ribera, {Julio C.} and Milagros Bravo and Bauermeister, {Jos{\'e} J.} and F{\'a}bregas, {Lizbeth M.} and Horwitz, {Sally Horwitz} and Alfonso Mart{\'i}nez-Taboas",
year = "2002",
doi = "10.1023/A:1015252217154",
language = "English (US)",
volume = "4",
pages = "97--107",
journal = "Mental Health Services Research",
issn = "1522-3434",
publisher = "Springer GmbH & Co, Auslieferungs-Gesellschaf",
number = "2",

}

TY - JOUR

T1 - Methodological challenges in assessing children's mental health services utilization

AU - Canino, Glorisa

AU - Shrout, Patrick

AU - Alegría, Margarita

AU - Rubio-Stipec, Maritza

AU - Chávez, Ligia M.

AU - Ribera, Julio C.

AU - Bravo, Milagros

AU - Bauermeister, José J.

AU - Fábregas, Lizbeth M.

AU - Horwitz, Sally Horwitz

AU - Martínez-Taboas, Alfonso

PY - 2002

Y1 - 2002

N2 - This paper describes the reliability and validity of the service assessment for children and adolescents (SACA) for use among Spanish-speaking respondents. The test-retest reliability of the instrument was assessed in a randomly selected clinical sample of 146 Puerto Rican children and adolescents aged 4-17. Both parents and children were administered the SACA twice by independent interviewers over an average 12-day follow-up period. The accuracy of parental and youth self-reports was assessed by comparing these reports to information obtained from medical records. The results showed that parents and children (aged 11-17) were able to report with fair to moderate reliability any last year use of mental health services, any outpatient mental health services, and school services. Residential and hospitalization services were reported by both informants with substantial test-retest reliability. Slight or no test-retest reliability was obtained for parent and child on the use of the specific type of mental health professionals, as well as parental reports of several treatment modalities. Substantial sensitivity of the SACA was obtained when comparing medical records to parental and child reports to lifetime use of any service and outpatient mental health service. Moderate sensitivity was obtained for last year use of mental health services for both parent and child informants.

AB - This paper describes the reliability and validity of the service assessment for children and adolescents (SACA) for use among Spanish-speaking respondents. The test-retest reliability of the instrument was assessed in a randomly selected clinical sample of 146 Puerto Rican children and adolescents aged 4-17. Both parents and children were administered the SACA twice by independent interviewers over an average 12-day follow-up period. The accuracy of parental and youth self-reports was assessed by comparing these reports to information obtained from medical records. The results showed that parents and children (aged 11-17) were able to report with fair to moderate reliability any last year use of mental health services, any outpatient mental health services, and school services. Residential and hospitalization services were reported by both informants with substantial test-retest reliability. Slight or no test-retest reliability was obtained for parent and child on the use of the specific type of mental health professionals, as well as parental reports of several treatment modalities. Substantial sensitivity of the SACA was obtained when comparing medical records to parental and child reports to lifetime use of any service and outpatient mental health service. Moderate sensitivity was obtained for last year use of mental health services for both parent and child informants.

KW - Accuracy mental health

KW - Mental health

KW - Services use reports

KW - Test-retest reliability

KW - Utilization measures

UR - http://www.scopus.com/inward/record.url?scp=0036303012&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036303012&partnerID=8YFLogxK

U2 - 10.1023/A:1015252217154

DO - 10.1023/A:1015252217154

M3 - Article

VL - 4

SP - 97

EP - 107

JO - Mental Health Services Research

JF - Mental Health Services Research

SN - 1522-3434

IS - 2

ER -