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