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Massachusetts Youth Screening Instrument Version 2 (MAYSI-2)

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

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Massachusetts Youth Screening Instrument Version 2 (MAYSI-2)

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  1. Massachusetts Youth Screening Instrument Version 2(MAYSI-2) Overview Oregon Youth Authority Slides prepared by Dominique Sotelo, MA, LMFT – OYA Treatment Services Coordinator

  2. 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

  3. 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.

  4. 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)

  5. 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.

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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.

  13. 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..

  14. MAYSI-2 • Technical Aspects cont. • Reliability cont. • Test – Retest • r= .75 for boys and girls

  15. MAYSI-2 • Technical Aspects cont. • Validity • MAYSI-2 Constructs significantly correlate to diagnostic findings from other assessments • MMPI-A • CBCL-YSR • MACI

  16. 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.

  17. 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

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