Child and Adolescent Service Intensity Instrument Development in Japan: Initial Psychometrics and Use

Yoshiro Ono; Andres Julio Pumariega; Akira Yamamoto; Kazuhiro Yoshida; Hiroshi Nakayama; Daisuke Nakanishi; Kanae Aihara; Kayoko Ichikawa; Masami Hanafusa; Udema Millsaps

doi:10.4103/wsp.wsp_28_22

Users Online: 689

ORIGINAL ARTICLE

Year : 2022 \| Volume : 4 \| Issue : 2 \| Page : 152-158

Child and Adolescent Service Intensity Instrument Development in Japan: Initial Psychometrics and Use Yoshiro Ono¹, Andres Julio Pumariega², Akira Yamamoto³, Kazuhiro Yoshida⁴, Hiroshi Nakayama⁵, Daisuke Nakanishi⁶, Kanae Aihara³, Kayoko Ichikawa⁷, Masami Hanafusa⁸, Udema Millsaps⁹ ¹ Wakayama Prefecture Mental Health and Welfare Center, Wakayama, Japan ² Department of Psychiatry, University of Florida, Gainesville, Florida, USA ³ Higashiosaka City Support Center for Persons with Disabilities, Higashiosaka, USA ⁴ Miyagi Psychiatric Center, Natori, USA ⁵ Kawasaki City Center for Child and Family Services, Kawasaki, USA ⁶ Mie Prefectural Medical Center for Growth, Development, and Disability, Tsu, USA ⁷ Kyoto University School of Public Health, Kyoto, Japan ⁸ Osaka Psychiatric Medical Center, Hirakata, Japan, Japan ⁹ The Reading Hospital and Medical Center, West Reading, Pennsylvania, USA Correspondence Address: Yoshiro Ono Wakayama Prefecture Mental Health and Welfare Center, 2-1-2 Tebira, Wakayama, 640-8319 Japan Source of Support: None, Conflict of Interest: None DOI: 10.4103/wsp.wsp_28_22

Objectives: Level of Care (LOC) determination is an important process of care planning for emotionally disturbed children and adolescents. As a tool of LOC determination, the Child and Adolescent Service Intensity Instrument (CASII) has been developed and tried to extend the usage out of the United States. As part of that effort, the CASII is currently being evaluated for its psychometric property in Japan. Methods: The CASII has been translated into Japanese, and then, 23 child psychiatrists and 70 nonpsychiatrist professionals who completed CASII training rated 7 vignettes to test inter-rater reliability. External validity was being evaluated by comparing the CASII ratings of 163 participants aged 6–17 against the Child Behavior Checklist (CBCL)/Youth Self-Report (YSR) and Child Global Assessment Scale (CGAS). Results: Inter-rater reliability among psychiatrists showed intra-class correlation coefficients ranging from 0.63 to 0.91 and those by nonpsychiatrists from 0.42 to 0.80. Cronbach's alpha was higher than 0.97 for both psychiatrists and nonpsychiatrists. The CASII ratings and LOC determination for 145 participants were significantly correlated with the Actual LOC and ratings of CBCL/YSR and CGAS except for the Internalizing Problem scores. There was no significant difference between LOC Recommended and Actual LOC. Conclusions: The Japanese version of the CASII showed fairly good inter-rater reliability and validity to use in the practice of mental health as well as child welfare in Japan.



[FULL TEXT] [PDF]*

Table of Contents

Similar in PUBMED

Search Pubmed for

Search in Google Scholar for

Related articles

Citation Manager

Access Statistics

Reader Comments

Email Alert *

Add to My List *

* Requires registration (Free)

Article Access Statistics

Viewed	787

Printed	30

Emailed	0

PDF Downloaded	52

Comments	[Add]