Objective: The purpose of this study is to assess the reliability and validity of the North Carolina Family Assessment Scale (NCFAS) among families involved with youth mental health services. Methods: Using NCFAS data collected by child mental health intake workers with 158 families, factor analysis was conducted to assess factor structure, and thematic analysis of intake notes was used to test content validity. Results: This study found only three NCFAS subscales. The case notes included themes specific to youth with mental health needs that were not captured by current NCFAS items. Conclusions: This study suggests variation in the fit for the NCFAS in child mental health services compared to the measurement properties established in child welfare samples.
Alexander, J.F., Robbins, M.S., & Sexton, T.L. ( 2000). Family-based interventions with older, at-risk youth: From promise to proof to practice. Journal of Primary Prevention , 21, 185-205.
2.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author .
3.
Bentler, P.M. ( 1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238-246.
4.
Bentler, P.M., & Bonett, D.G. ( 1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88, 588-606.
5.
Burns, B.J., Hoagwood, K., & Mrazek, P.J. ( 1999). Effective treatment for mental disorders in children and adolescents. Clinical Child and Family Psychology Review , 2, 199-254.
6.
Burns, B.J., Phillips, S.D., Wagner, H.R., Barth, R.P., Kolko, D.J., Campbell, Y., et al. (2004). Mental health need and access to mental health services by youth involved with child welfare. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 960-970.
7.
Curran, P.J., Bollen, K.A., Chen, F., Paxton, P., & Kirby, J.B. ( 2003). Finite sampling properties of the point estimates and confidence intervals of the RMSEA. Sociological Methods & Research, 32, 208-252.
8.
Curran, P.J., Bollen, K.A., Paxton, P., Kirby, J.B., & Chen, F. ( 2002). The noncentral chi-square distribution in misspecified structural equation models: Finite sample results from a Monte Carlo simulation . Multivariate Behavioral Research, 37, 1-36.
9.
Epstein, N.B., Baldwin, L.M., & Bishop, D.S. ( 1983). The McMaster family assessment device. Journal of Marital & Family Therapy, 9, 171-180.
10.
Franklin, C., Streeter, C.L., & Springer, D.W. (2001). Validity of the FACES IV Family Assessment Measure. Research on Social Work Practice , 11, 576-596.
11.
Flora, D.B., & Curran, P.J. ( 2004). An empirical evaluation of alternative methods of estimation for confirmatory factor analysis with ordinal data. Psychological Methods, 9, 466-491.
Hatcher, L. ( 1994). A step-by-step approach to using SAS for factor analysis and structural equation modeling. Cary, NC: SAS.
14.
Henggeler, S.W., Melton, G.B., & Smith, L.A. ( 1992). Family preservation using multisystemic therapy: An effective alternative to incarcerating serious juvenile offenders. Journal of Consulting and Clinical Psychology, 60, 953-961.
15.
Hoagwood, K., Burns, B.J., Kiser, L., Ringeisen, H., & Schoenwald, S.K. (2001). Evidence-based practice in child and adolescent mental health services. Psychiatric Services, 52, 1179-1189.
16.
Johnson, M.A., Stone, S., Lou, C., Vu, C., Ling, J., Mizrahi, P., et al. (2008). Family assessment in child welfare services: Instrument comparisons. Journal of Evidence-Based Social Work , 5(1/2), 57-90.
17.
Kirk, R.S., Kim, M.M., & Griffith, D.P. (2005). Advances in the reliability and validity of the North Carolina Family Assessment Scale. Journal of Human Behavior in the Social Environment, 11, 157-176.
18.
Kline, P. ( 1979). Psychometrics and psychology. London : Academic Press.
19.
Koyangi, C. ( 2003). Statement to president’s new freedom commission on mental health. Retrieved July 15, 2008, from http://www.bazelon.org/newsroom/testimony/1-8-03publicsector.htm
20.
Lindsey, M.A., Lee, B.R., & Sullivan, F. ( 2009). Placement prevention for youth with mental health needs: An In-Home Intervention Program for Children (IHIP-C). Psychiatric Services, 60, 266-267.
21.
Magura, S., & Moses, B.S. ( 1986). Outcome measures for child welfare services. Washington, DC: Child Welfare League of America.
22.
McCubbin, H.I., Thompson, A.I., & McCubbin, M.A. (1996). Family assessment: Resiliency, coping and adaptation: Inventories for research and practice. St. Paul, MN: Family Social Science.
23.
Moos, R.H., & Moos, B.S. ( 1976). A typology of family social environments. Family Process, 15, 357-371.
New Freedom Commission on Mental Health. ( 2003). Achieving the promise: Transforming mental health care in America. Final Report. (DHHS Publication No. SMA 03-3832). Rockville, MD.
26.
Nunnally, J.C. ( 1978). Psychometric theory. New York: McGraw-Hill.
27.
Olson, D.H., Tiesel, J.W., & Gorall, D.M. ( 1996). Family Adaptability and Cohesion Evaluation Scales IV . St. Paul, MN: Family Social Science, University of Minnesota.
28.
Reed-Ashcraft, K., Kirk, R.S., & Fraser, M.W. ( 2001). The reliability and validity of the North Carolina Family Assessment Scale. Research on Social Work Practice, 11, 503-520.
29.
Sawin, K.J., & Harrigan, M.P. (1995). Measures of family functioning for research and practice. New York: Springer.
30.
Springer, D.W., Abell, N., & Hudson, W.W. ( 2002). Creating and validating rapid assessment instruments for practice and research: Part 1. Research on Social Work Practice, 12, 408-439.
31.
Stein, E., Evans, B., Mazumdar, R., & Rae-Grant, N. ( 1996). The mental health of children in foster care: A comparison with community and clinical samples. Canadian Journal of Psychiatry , 41, 385-391.
32.
Stroul, B.A., & Friedman, R.M. (1986). A system of care for severely emotionally disturbed children and youth. Washington, DC : CASSP Technical Assistance Center, Georgetown University Child Development Center.
33.
U.S. Department of Health and Human Services. ( 1999). Mental health: A report of the surgeon general. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health.
34.
U.S. Department of Health and Human Services. ( 2001). Youth violence: A report of the surgeon general. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health.
35.
U.S. Department of Health and Human Services. ( 2005). Comprehensive family assessment guidelines for child welfare. Washington, DC: U.S. Department of Health and Human Services, Children’s Bureau.
Yu, C.Y., & Muthén, B. (2002). Evaluation of model fit indices for latent variable models with categorical and continuous outcomes (Technical report, Social Research Division, Graduate School of Education and Information Studies). Los Angeles: University of California at Los Angeles.
