massachusetts youth screening instrument version 2 (maysi-2)
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Massachusetts Youth Screening Instrument Version 2 (MAYSI-2). Overview Oregon Youth Authority. Slides prepared by Dominique Sotelo, MA, LMFT – OYA Treatment Services Coordinator. MAYSI-2. History Authors: Thomas Grisso, PhD Richard Barnum, MD Piloted in Massachusetts beginning in 1996 - PowerPoint PPT PresentationTRANSCRIPT
Massachusetts Youth Screening Instrument Version 2
(MAYSI-2)
Overview
Oregon Youth Authority
Slides prepared by Dominique Sotelo, MA, LMFT – OYA Treatment Services Coordinator
MAYSI-2
• History– Authors: Thomas Grisso, PhD
Richard Barnum, MD– Piloted in Massachusetts beginning in 1996– First Commercial Version Published in 2003– Current Revised Version Published in 2006
MAYSI-2
• Nature and Purpose– Assess an array of behavioral and mental health risk
areas in youth placed in correctional settings.– Provide an assessment that can be administered in
the first 24-48 hours of placement. – Flexibility to allow non clinical staff to administer and
score the assessment– Assessment results are simple to understand and
allow swift decision making to occur regarding milieu management.
MAYSI-2
• Nature and Purpose cont.– Types of Items
• Alcohol / Drug Use (AD)• Angry-Irritable (AI)• Depressed-Anxious (DA)• Somatic Complaints (SC)• Suicide Ideation (SI)• Thought Disturbance (TD) – BOYS ONLY• Traumatic Experiences (TE)
MAYSI-2
• Procedure and Directions– MAYSI was initially normed on a population of
1279 youth in the state of Massachusetts. – MAYSI-2 was again normed on a population
of 70,423 youth from 19 states of the U.S. – Norm population occurred in actual close
custody settings with youth from diverse races and cultures
– Cutoff scores were lowered as a result of second norming exercise.
MAYSI-2
• Procedure and Directions cont.– Administration
• Can be administered individually in a group– If in a group insist on silence
• Can be administered and scored by any staff–Follow up interviews should be conducted
by a QMHP• Staff can read the questions aloud to youth if
needed–Make an effort to not stare at the youth’s
answers
MAYSI-2
• Procedure and Directions cont.– Administration cont.
• Should take no longer than 15 minutes• Can be administered multiple times over
the youth’s length of stay• Questionnaire is available in Spanish• Computer version is available• Non-Validated follow up interview guides
for each scale are included in the MAYSI-2 materials binder
MAYSI-2• Procedure and Directions cont.
– Scoring• Scores separate groups into “normal”, WARNING
or CAUTION designations
• Youth that score in the WARNING or CAUTION range need to have a follow up interview
• Thought Disturbance (TD) is only valid for boys
• Scoring is “Objective” – MAYSI-2 is a self report instrument
MAYSI-2
• Procedure and Directions cont.– Scoring cont.
• The Traumatic Experiences scale was not shown to be significant, however youth with any score on this scale should received a follow up interview
• Scales can be scored as INVALID. This occurs when youth do not answer enough questions in a particular scale.
• MAYSI-2 will yield false positives, this is why a follow up interview is strongly suggested
• Questionnaire and scoring sheet can be copied at no cost
MAYSI-2
• Technical Aspects cont.– Score Range
• Scores are obtained on each of the 7 subscales
–Scores range from (0 to 8), (0 to 9),
(0 to 6), and (0 to 5) depending on the subscale
MAYSI-2• Technical Aspects
– Group Discrimination• CAUTION
– AD = 4 or 5 YES responses– AI = 5, 6, or 7 YES responses– DA = 3, 4, 5 YES Responses– SC = Somatic Complaints 3 , 4, or 5 YES
Responses– SI = 2 YES Responses– TD = 1 YES Response (boys only)– TE = not a predictive scale
• Scores in the CAUTION range represent the 67 percentile
MAYSI-2• Score Distribtion cont.
– Group Discrimination cont.• WARNING
– AD = 6, 7, or 8 YES Responses– AI = 8 or 9 YES Responses– DA = 6, 7, 8, or 9 YES Responses– SC = 6 YES Responses– SI = 3, 4, or 5 YES Responses– TD = 2, 3, 4, or 5 YES Responses– TE = Not a predictive scale
• Scores in WARNING range represent the
85-95 percentile depending on the scale.
MAYSI-2
• Technical Aspects– Reliability
• Item Total Correlations– r=.33 for all items “deemed acceptable”– Individual items align with the construct
• Alpha Coefficients– Average α = .75– Groups of items align with the construct
• Inter-Scale Correlations– Average r=.39 boys, r=.41 girls– Supports that the scales when looked at a whole indicate a
broader issue: Psychosis, Clinical Depression, ect..
MAYSI-2
• Technical Aspects cont.– Reliability cont.
• Test – Retest– r= .75 for boys and girls
MAYSI-2
• Technical Aspects cont.– Validity
• MAYSI-2 Constructs significantly correlate to diagnostic findings from other assessments
– MMPI-A – CBCL-YSR – MACI
MAYSI-2
• Literature Review• Archer, R.P., Sionds‐Bisbee, E.C., Spiegel, D.R., Handel, R.W., & Elkins, D.E. (2010). Validity of t
he Massachusetts Youth Screening Instrument‐2 (MAYSI‐2) in juvenile justice settings. Journal of Personality Assessment, 92(4), 337‐348.
• Archer, R. P., Stredny, R. V., Mason, J. A., & Arnau, R. C. (2004). An examination and replication of the psychometric properties of the Massachusetts Youth Screening Instrument ‐
Second Edition (MAYSI‐2) among adolescent in detention. Assessment, 11(4), 1‐13. • Bailey, S.M. (2008). Predicting mental illness with the MAYSI‐2. Disseration Abstracts
International: Section B: The Sciences and Engineering, 68(9‐B), 6287. • Brawn, K.M., & Roe‐Sepowitz, D. (2008). Female juvenile prostitutes: Exploring the
relationship to substance use. Children & Youth Services Review, 30 (12), 1395‐1402. • Butler, M., Loney, B., & Kistner, J. (2007). The Massachusetts Youth Screening Instrument as a
predictor of institutional maladjustment in severe male juvenile offenders. Criminal Justice and Behavior, 34, 476‐492.
• Chapman, J., & Ford, J. (2008). Relationships between suicide risk, traumatic experiences, and
substance use among juvenile detainees. Archives of Suicide Research, 12(1), 50‐61. • Caldwell, R.M., Sturges, S.M., & Silver, N.C. (2006). Home versus school environments and their
influences on the affective and behavioral states of African‐American, Hispanic, and caucasian juvenile offenders. Journal of Child and Family Studies, 16, 125‐138.
MAYSI-2
• OYA and the MAYSI-2– Administered at Intake
• Results are documented on form 4409
– Administered when a youth is transferred to another OYA facility.
• Results documented on form 4413
– Possible administration for youth 90 day mental health reviews
– Using this screen aids in supporting our suicide risk level designations for youth and decisions regarding enacting safety precautions for youth