The Child and Adolescent Services Assessment (CASA) is a self- and parent-report instrument designed to assess the use of mental health services by children ages 8 years to 18 years. The CASA includes 31 settings covering inpatient, outpatient, and informal services provided by a variety of child-serving providers and sectors. This instrument collects information on whether a service was ever used and more detailed information (length of stay/number of visits, focus of treatment) on services used in the recent past. A description of the instrument, information on interviewer training and coding of data, psychometric data on clinical samples, and a case study are presented.
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References
1.
Angold, A. (1994). Clinical interviewing with children and adolescents. In M. Rutter, E. Taylor, & L. Hersov (Eds.), Child and adolescent psychiatry--Modern approaches (pp. 51–63). Oxford: Blackwell.
2.
Burns, B. J., Angold, A., & Costello, E. J. (1992). Measuring child, adolescent, and family service use. In L. Bickman & D. J. Rog (Eds.), Evaluating mental health services for children (pp. 17–29). San Francisco: Jossey-Bass.
3.
Burns, B. J., Angold, A., Magruder-Habib, K., Costello, E. J., & Patrick, M. K. S. (1992). The child and adolescent services assessment (CASA). Durham, NC: Duke University Medical Center.
4.
Burns, B. J., Costello, E. J., Angold, A., Tweed, D., Stangl, D. K., Farmer, E. M. Z., & Erkanli, A. (1995). Children's mental health service use across service sectors. Health Affairs, 14(3), 147–159.
5.
Burns, B. J., Farmer, E. M. Z., Angold, A., Costello, E. J., & Behar, L. B. (in press). A randomized trial of case management for youths with serious emotional disturbance. Journal of Clinical Child Psychology.
6.
Cannell, C. F., Marquis, K. H., & Laurent, A. (1977). A summary of studies of interviewing methodology. Vital & Health Statistics, 2(69), i–viii, 1–78.
7.
Costello, E. J., Angold, A., Burns, B. J., Stangl, D. K., Tweed, D., Erkanli, A., & Worthman, C. (1995). The Great Smoky Mountains Study of Youth: I. Goals, design, methods, and the prevalence of DSM-III-R disorders.Manuscript submitted for publication.
8.
England, M. J., & Cole, R. F. (1992). Building systems of care for youth with serious mental illness. Hospital and Community Psychiatry, 43(6), 630–633.
9.
Farmer, E. M. Z., Angold, A., Burns, B. J., & Costello, E. J. (1994). Reliability of self-reported service use: Test--retest consistency of children's responses to the Child and Adolescent Services Assessment (CASA). Journal of Child and Family Studies, 3, 307–325.
10.
George, L. K. (1989). Definition, classification, and measurement of mental health services. In C. Taube, D. Mechanic, & A. Hohmann (Eds.), The future of mental health services research (DHS Publication No. ADM 89–16; pp. 303–319). Rockville, MD: National Institute of Mental Health.
11.
Golding, J. M., Gongla, P., & Brownell, A. (1988). Feasibility of validating survey self-reports of mental health service use. American Journal of Community Psychology, 16, 39–50.
12.
Harlow, S. D., & Linet, M. S. (1989). Agreement between questionnaire data and medical records: The evidence for accuracy of recall. American Journal of Epidemiology, 129, 233–248.
13.
Leaf, P. J., Bruce, M. L., & Tischler, G. L. (1986). The differential effect of attitudes on the use of mental health services. Social Psychiatry, 21, 187–192.
14.
Morrissey, J. P., Johnsen, M. C., & Calloway, M. O. (1995). Service system performance and change: Findings from the Robert Wood Johnson Children's Mental Health Initiative. Manuscript submitted for publication.
15.
Revicki, D. A., Irwin, D., Reblando, J., & Simon, G. E. (1994). The accuracy of self-reported disability days. Medical Care, 32, 401–404.
16.
Taube, C. A., & Mechanic, D. (1989). Preface. In C. Taube, D. Mechanic, & A. Hohmann (Eds.), The future of mental health services research (DHS Publication No. ADM 89–16). Rockville, MD: National Institute of Mental Health.
17.
Taube, C. A., Schlenger, W. E., Rupp, A., & Whitmore, R. W. (1986). Validity of Medicaid household reporting of ambulatory visits of mental disorders. Journal of Economic and Social Measurement, 14, 243–256.
