Concordance between parent reports of children's mental health services and service records: The Services Assessment for Children and Adolescents (SACA)

Kimberly Hoagwood, Sarah Horwitz, Arlene Stiffman, John Weisz, Donna Bean, Donald Rae, Wilson Compton, Linda Cottier, Leonard Bickman, Philip Leaf

Research output: Contribution to journalArticlepeer-review

Abstract

The concordance between parent reports of children's mental health services and medical and administrative service records were assessed in a field test of the Services Assessment for Children and Adolescents (SACA) interview instrument. Service use reports from primary caregivers, usually mothers, for their child's emotional or behavioral problems were compared against inpatient, outpatient, and school records in St. Louis, one of the pilot sites for the Multi-Site Study of Service Use, Need, Outcomes and Costs in Child and Adolescent Populations (UNOCCAP). A global "any use" service variable, comprised of inpatient, outpatient, and school reports, yielded an overall service use concordance kappa of .76 between parent reports and records. Parent reports of inpatient hospitalization services using the SACA yielded the highest agreement with medical records, with kappa statistics of 1.00 for use of any inpatient hospital care and for medication use. Parent reports of specific inpatient services concurred with medical records more moderately, yielding kappas from .50 to .66. Reports of any outpatient mental health services yielded variable rates of agreement, with kappas ranging from .67 for any use of outpatient care, to .66 for medication use, to negligible kappas for specific treatments. Parent reports of school services were weakly related to records for most services, except for moderate agreement (.48) on placement in special classrooms for emotional or behavioral problems. Family burden or impact discriminated more powerfully than other variables between respondents who concurred with records and those who did not.

Original languageEnglish (US)
Pages (from-to)315-331
Number of pages17
JournalJournal of Child and Family Studies
Volume9
Issue number3
DOIs
StatePublished - Jan 1 2000

Keywords

  • Children
  • Family impact
  • Mental health
  • Services

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Life-span and Life-course Studies

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