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