Review of Primary School Aged Child Mental Health Self-report Outcome Measures

Transcription

1 Review of Primary School Aged Child Mental Health Self-report Outcome Measures Rising to New Heights AMHOIC 2015 Conference Queenstown November 2015 Dr Nick Kowalenko Clinical Senior Lecturer University of Sydney health.nsw.gov.au Dr Gordana Culjak Honorary Associate University of Sydney sydney.edu.au Dr Peter Brann Lecturer Monash University easternhealth.org.au CAMHIDEAP Working Group nswiop.nsw.edu.au

2 Research Study Aims to investigate the utility, availability and feasibility of mental health outcome measures specifically for primary school aged children within the parameters of the current National Mental Health Outcomes and Classification Framework

3 Research Study Aims identify a range of measures suitable for children in the 5-11 year age group and potentially suited for routine use as outcome measures, and; Identify any new information on the psychometric properties of existing instruments.

4 Methods Comprehensive Review Medline Hand searching Cross-validating with previous review Building upon previous similar work

5 Evaluation Criteria: a Hierarchical approach Age - Suitable for use with children 5-11 years Self-reportable by child able to be completed by the child Completion Rate - Is brief and easy to use ( 50 items) and able to be filled in quickly (under 10 mins) by a child

6 Evaluation Criteria: a Hierarchical approach Social/Emotional/Behavioural Domains - Explicitly measures social, emotional and behavioural domains of functioning (and changes there-in) related to children Available - Is readily available (consideration given to cost, copyright issues) Sound Psychometric Properties demonstrated (e.g., of internal consistency, validity, reliability and sensitivity to change)

7 Evaluation Criteria: a Hierarchical approach Scientific - Has undergone appropriate processes for developing and piloting and been scientifically scrutinised Continuity - Has some continuity with outcome measures used with children at later life stages and may include ratings by clinician, consumer (or proxy) or other Quantitative - Yields quantitative data Generalisable - Is applicable in the Australian context

8 Results 94 measures were found and analysed

9 Age (5-11yrs) Only one measure was within the range Manchester Inventory for Playground Observation Most overlapped in age range these were considered further

10 Self-Report Most measures were not designed to be completed by a primary school aged child Many were designed to be completed by a parent and/or teacher/clinician/interviewer/observer 53 measures left for further evaluation

11 Completion Rate 50 items, under 10 mins 12 measures left for further consideration Beck Depression Inventory for Youth (BDI-Y) CES-DC Children s Depression Inventory (CDI) Mood and Feelings Questionnaire (MFQ) Spence Children s Anxiety Scale Weinberg Depression Scale for Children and Adolescents 5-10 mins 20 items 5-15 mins 5-10 mins 10 mins 5-10 mins Children s Depression Scale Reynolds Child Depression Scale Revised Children s Anxiety and Depression Scale Penn State Worry Questionnaire Me and My School School Children s Happiness Inventory 5-10 mins 5-10 mins 47 items 14 items 24 items 10 mins 30 items

12 Domains Social/Emotional/Behavioural None of the measures assessed social, emotional and behavioural issues

13 Domains Social/Emotional 11 measures left of further consideration Beck Depression Inventory for Youth (BDI-Y) CES-DC Children s Depression Inventory (CDI) Mood and Feelings Questionnaire (MFQ) Spence Children s Anxiety Scale Weinberg Depression Scale for Children and Adolescents Children s Depression Scale Reynolds Child Depression Scale Revised Children s Anxiety and Depression Scale Penn State Worry Questionnaire School Children s Happiness Inventory Depression, Anxiety, Anger, Disruptive Behaviour, Self-Concept Depression Cognitive, affective and behavioural signs of depression Emotional Six domains of anxiety including generalized anxiety, panic/agoraphobia, social phobia, separation anxiety, obsessive compulsive disorder and physical injury fears Depression Depression Depression Anxiety and Depression Worry Social and Emotional

14 Availability 6 measures available at no cost CES-D Mood and Feelings Questionnaire (MFQ) Spence Children s Anxiety Scale Revised Children s Anxiety and Depression Scale Penn State Worry Questionnaire School Children s Happiness Inventory Others were available at reasonable cost

15 Psychometric Properties A trend towards more reliable measures as age increases (anecdotal/observed, not from literature) Varied, though reasonable psychometric properties found

16 Psychometric Tool Scientific Continuity Quantitative Generalisable Behavior Assessment of Dysexecutive Functions for Children (BADS-C) Kaufman-Assessment Battery for Children Beck Depression Inventory for Youth (BDI-Y) CES-DC Children s Depression Inventory (CDI) Mood and Feelings Questionnaire (MFQ) Spence Children s Anxiety Scale Children s Depression Scale Reynolds Child Depression Scale Revised Children s Anxiety and Depression Scale Penn State Worry Questionnaire School Children s Happiness Inventory Rating scale Rating scale Modelled on the BDI Rating scale Rating scale Pre/school versions Rating scale available? Highly correlated with CDI Rating scale Rating scale Youth version available Rating scale 7-17 available Rating scale Rating scale

17 Conclusion 94 outcome measures found and analysed Pool of suitable measures narrowed considerably when evaluating child selfreport Measures that assess social, emotional and behavioural domains for this age group are not currently available 12 available measures for social/emotional domains Identified a measurement gap for development