Erschienen in:
24.05.2018 | Original Article
The Child and Adolescent Services Assessment: Interrater Reliability and Predictors of Rater Disagreement
verfasst von:
Karen T. G. Schwartz, Amanda A. Bowling, John F. Dickerson, Frances L. Lynch, David A. Brent, Giovanna Porta, Satish Iyengar, V. Robin Weersing
Erschienen in:
Administration and Policy in Mental Health and Mental Health Services Research
|
Ausgabe 6/2018
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Abstract
The current study evaluated the interrater reliability of the Child and Adolescent Services Assessment (CASA), a widely used structured interview measuring pediatric mental health service use. Interviews (N = 72) were randomly selected from a pediatric effectiveness trial, and audio was coded by an independent rater. Regressions were employed to identify predictors of rater disagreement. Interrater reliability was high for items (> 94%) and summary metrics (ICC > .79) across service sectors. Predictors of disagreement varied by domain; significant predictors indexed higher clinical severity or social disadvantage. Results support the CASA as a reliable and robust assessment of pediatric service use, but administrators should be alert when assessing vulnerable populations.