MAYSI‐2 Administration & Referral Protocol Manual
Contents
1. NAME MONTH YEAR PREAMBLE MENTAL HEALTH SCREENING WITHIN JUVENILE JUSTICE By Kathleen R Skowyra and Joseph J Cocozza Ph D and Valerie Williams M A M S National Center for Mental Health and Juvenile Justice http www ncmhjj com pdfs MH _ Screening pdf INFORMATION SHARING I see pages 11 12 of the Instructions RATIONALE FOR MENTAL HEALTH SCREENING OF YOUTHS IN THE JUDICIAL SYSTEM Recent research has established that a large proportion of youth involved with the juvenile justice system in this country have significant mental health problems Findings from a number of mental health prevalence studies conducted within the last five years among youth in a variety of juvenile justice settings community based detention corrections are remarkably consistent Approximately 65 percent to 70 percent of youth in the juvenile justice system have a diagnosable mental health disorder Severe mental disorders are close to 27 percent indicating that more than one quarter of all youth in the juvenile justice system are in significant need of mental health treatment One of the most important first steps to respond to the mental health treatment needs of youth in the juvenile justice system is to systematically identify the mental health needs of youth as they become involved with the juvenile justice system Mental health screening is now routinely preformed within many juvenile justice agencies and programs throughout the country Thi2. YEAR Il POINTS OF CONTACT Administering the MAYSI 2 requires follow up actions The MAYSI 2 should be administered with sufficient time afterwards to follow the protocol steps There will be ___ number of sites types of initial contacts for administering the MAYSI 2 in___ name of county County These are M see pages 16 17 of the Instructions Hl INITIAL CONTACT Screeners shall inform youth of the following 1 2 By law the results of the MAYSI 2 will A see page 17 18 of the Instructions Limits on confidentiality are explained in the event that the youth indicates an intention to harm themselves or others State the following What you reveal when answering these questions is confidential Nothing you reveal can be used against you in any juvenile or criminal court hearing However there is M see page 18 of the Instructions Instructions on how to complete the survey are explained State the following These are some questions about things that sometimes happen to people For each question please answer yes or no to whether that question has been true for you in the past three months or since name holiday 3 months ago unless otherwise indicated Please answer these questions as well as you can 4 Youth should choose the best answer for each question based on your experiences in the past few months rather than leaving questions blank IV ADMINISTERING THE MAYSI 2 Computer Admin
3. traumatic experience Youths answer YES or NO concerning whether each item has been true for them within the past few months MAYSI 2 requires a 5th grade reading level and is designed to be self administered either in paper or over a computer The MAYSI 2 is available in both English and Spanish as well as in software form The MAYSI 2 software is called MAYSIWARE MAYSI 2 is becoming a standard feature in many juvenile justice facilities and is in currently in use in 48 states and in 6 countries MAYSI 2 SCALES ALCOHOL DRUG USE The AD scale is intended to identify youths who are using alcohol or drugs to a significant degree and who are therefore at risk of substance dependence and or abuse The scale has eight items Five of the items are concerned with various negative consequences of substance use disorders and the remaining three address characteristics of substance use that are thought to represent factors for abuse ANGRY IRRITABLE The Al scale is intended to assess explicit feelings of preoccupying anger and vengefulness as well as a general tendency toward irritability frustration and tension related to anger The scale has 9 items Four explicitly concern angry mood and thoughts three others are concerned with irritability and risk of impulsive reactions and the last two items pertain to behavioral expression of anger DEPRESSED ANXIOUS The DA scale is intended to elicit symptoms of mixed depression and anxiety The scal
4. 2 Have you ever seen someone severely injured or killed in person not in movies or on TV 14 Page SITE NAME MONTH YEAR Appendix C __ name of Judicial District Agencies Implementing MAYSI 2 When MAYSI 2 is tact A Contact ddress administered Prepared by the Spark Policy Institute www sparkpolicy com 15 Page SITE NAME MONTH YEAR Appendix D Public Mental Health Services amp Community Services Relevant to MAYSI 2 in the __ name of Judicial District Services Provided to Contact Address Prepared by the Spark Policy Institute www sparkpolicy com 16 Page SITE NAME MONTH YEAR APPENDIX E ___ NAME OF JUDICIAL DISTRICT RELEASE OF INFORMATION Prepared by the Spark Policy Institute www sparkpolicy com 17 Page
5. MAYSI 2 Administration amp Referral Protocol Manual Site name Date Prepared by the Spark Policy Institute SPARK POLICY INSTITUTE igniting public policy and community change SITE NAME MONTH YEAR MAYSI 2 ADMINISTRATION AND REFERRAL PROTOCOL MANUAL Contents MAYSI 2 Administration and Referral Protocol Manual ecceesecesseeeenceceeeeeceeeeeesaeeeaaeeeeaeeceeeessaeensaeeneaaeseeeeeeaas 1 ACKNOWlEAEEMENES ccccesessesscceececesseacaecececesseeaeeesecsceeeesaeaeeeeeceseseaaeeeeeesseeeeaeaeeescusseseaseceeeessesesaeaeeeeeesaueeesesseeeeaes 2 Preamble Mental Health Screening within Juvenile Justice 00 eccccccesseceecessessaeceeeescesseaeaeeeeecesseseeaeseeeesseseaaeas 3 intormation Sharing soerecsi em se eat e eee er A E E oe ee 3 Rationale for Mental Health Screening of Youths in the Judicial SysteM ccccessssecceceseesssteeeeeeeeneees 3 Mental Health Screening and Mental Health Assessment cc cccccccsssssssesecececessesssaeeeeesssesesaeeeeeeseeseesaes 3 Description of the Massachusetts Youth Screening Instrument Version 2 MAYSI 2 ccccccccccesssecesssseeeessseeees 4 MAYSI 2 Administration ProtOcols sisirin aa iA aiai 5 l Mission PUNPOSE craite aaa a a aa A 5 il PONS OF CONTACT ossos caaszncesherts ne Nae e REE a RE a e RE A EEE EEE E Een 6 ill Tttial Conta Ct ics cet neta ect oeteiee tienen E rien a a a ai aiaiga 6 IV Administering the MAYSI 2 cccccessscec
6. Pennsylvania Guidelines for Introducing the MAYSI 2 to Youth Introducing Youths to the MAYSI 2 Instruments like the MAYSI 2 must be introduced to youths appropriately How youths respond to the questions depends a lot on what they think the instrument is assessing Therefore the person giving the MAYSI 2 should take one or two minutes to introduce the youth to it There is no one way do the introduction It certainly calls for more than handing the form to the youth and saying Please complete this On the other hand it does not require a lengthy or detailed description What is needed is some basic information offered in a nonthreatening manner and in a way that youths can understand Below is a list of guidelines describing the types of information that should be included when introducing youths to the MAYSI 2 List of Things to Include in the Introduction 1 That the questions will help staff understand the youth better Let youths know that you would like to give them a set of questions to answer that will help staff to understand them better Describe them as questions about who they are their thoughts and feelings about things or themselves Tell them this includes about 50 yes no questions The youths should be told that this helps the staff learn whether they might have special needs that staff should know about References to the MAYSI 2 as a test should be avoided as a youth may think this means there are right and wrong answers
7. cessesssseceeeeecessesnecesecssceaaeaeceeecssesaeaeeeseesseesesaeaeeeseeeseseaeens 6 MAYSI 2 Referral Protocols ssscessceessustvesezeasccesne cinsneets ae nnee e eA Eaa EERE aE aae a R E EOE 8 l Post Screening eerentiieninii ie a a e a a e aea aae a beste a E 8 il Information SHAaning eninin iesin eneee EENE ce NAE AEEA AEE EAEE dei eestiecceqeeees se 9 Ill Massachusetts Youth Screening Instrument MAYSI 2 Administration amp Referral Protocol Summary 10 Appendix A General Guidelines for MAYSI 2 Youth Protocol cccccssccecesseeeescsneeeceesneeececneeeeseseeeeeeseeeeseneeeeees 12 Appendix B MAYSI 2 Scales amp Questions Reference Card cc cccccccccssssssecccecessessaeeeecescesesaeceeeescessessuaeseeesseessaaeas 13 Appendix C ___ name of Judicial District Agencies Implementing MAYSI 2 cccscccsssscecesseneeceseeneeeeseeeeens 15 Appendix D Public Mental Health Services amp Community Services Relevant to MAYSI 2 inthe _ name of Judicial District eunet e Seem uaa lee vest st Ea a E E aden AE EREA 16 Appendix E ___ name of Judicial District Release of INfOrmation cccccccccssssecesseneeceeeeeeeceeseeeeeeseeaeeeseeeaeess 17 Prepared by the Spark Policy Institute www sparkpolicy com 1 Page SITE NAME MONTH YEAR ACKNOWLEDGEMENTS EN f List of the people title organization who were instrumental to developing the site protocols Prepared by the Spark Policy Institute www sparkpolicy com 2 Page SITE
8. ch refer explicitly to altered perceptions in reality that are frequently associated with psychotic disorders The remaining item refers to a condition of derealization things don t seem real that is a more general abnormality of perception and consciousness It is sometimes an early indication of a psychotic state but it may simply arise in anxiety or dissociative states as well In the study with which the MAYSI 2 was developed the various ways that we used to identify which items came together as scales did not identify a thought disturbance scale for girls using MAYSI 2 items Thus the TD scale should not be applied to girls TRAUMATIC EXPERIENCES The TE scale is intended to identify whether a youth has had greater exposure to traumatic events compared to other youths Unlike other MAYSI 2 items the TE items ask for responses regarding events or feelings over the youth s entire lifetime rather than just the past few months There are separate TE scales for boys and girls MAYSI 2 ADMINISTRATION PROTOCOLS I MISSION PURPOSE I see pages 15 16 of the Instructions gt Thanks to Sherri Egan Executive Director Ogle County Juvenile Justice Council Ogle County IL who shared their Models for Change protocol for administering the MAYSI 2 The Models for Change protocol provided the outline of steps for this protocol manual template Prepared by the Spark Policy Institute www sparkpolicy com 5 Page SITE NAME MONTH
9. crafting the referral protocols 2 Directions for other scales if any will be listed individually 3 The Traumatic Experiences section will not create 2 screening questions so the screener needs to pay close attention to the MAYSI 2 summary score sheet and if youth scoresa____ or score on scale they should be referred for a further assessment 4 Warning on any other scale a Ask MAYSI 2 second screening questions of youth b Set service response plan according to section II Massachusetts Youth Screening Instrument MAYSI 2 Administration amp Referral Protocol Summary Il INFORMATION SHARING 1 Sharing the results of the MAYSI 2 with other providers including mental health providers is subject to regulations Results can be shared based on any of these protocols a rc see pages 29 30 of the Instructions b c 2 Sharing the results of the MAYSI 2 with family members legal guardians is subject to sn R see page 27 of the Instructions a b Prepared by the Spark Policy Institute www sparkpolicy com 9 Page SITE NAME MONTH YEAR See pages 32 34 of the Instructions for example of how the matrix below looks when completed Ill MASSACHUSETTS YOUTH SCREENING INSTRUMENT MAYSI 2 ADMINISTRATION amp REFERRAL PROTOCOL SUMMARY MAYSI 2 Protocol Summary is a quick reference sheet of the steps to be followed when administering the MAYSI 2 mental health screening instrument to youths 12 17 years of a
10. d then will check review report to access screening results 9 Personalized 2 4 screening forms for that youth are created when a youth scores at or above CAUTION on the Suicide Ideation scale and at or above WARNING on all other scales When these scores are reached the computer will automatically generate secondary screening questions The Screener will go into Cases and then click on the youth s name in the top box and the appropriate MAYSI screening in the bottom box The screener will then click on Add Edit 2 4 screening and screener can enter answers directly into the software The Screener should attempt to type answers using the youth s language or words There will be a comment section for the screener to offer interpretations 10 I see pages 20 21 of the Instructions Administered via Paper amp Pencil Taking the survey 1 The youth should be placed in a room or area without distractions 2 Staff hands the youth the MAYSI 2 Questionnaire appropriate for their gender and provides instructions see Initial Contact on previous page or see MAYSI 2 Protocol Summary for talking points 3 Staff ensures youth can read the items with minimum help by asking the youth to read the first few items aloud a If youth cannot do it staff member lets youth know s he will help by reading the items from their own copy b Staff reads each item including the item number and youth places answer by the correct item Staff sho
11. e has nine items Description from Grisso T amp Barnum R 2006 Massachusetts Youth Screening Instrument Version 2 User s manual and technical report Sarasota FL Professional Resource Press pp 12 18 Prepared by the Spark Policy Institute www sparkpolicy com 4 Page SITE NAME MONTH YEAR Five items inquire about manifestations of anxiety and inner turmoil and four items are concerned with depressed mood SOMATIC COMPLAINTS The SC scale includes six items that ask about various bodily aches and pains that may affect the youth along with specific bodily expressions of anxiety An elevated score on this scale could occur for a variety of reasons For example somatic complaints tend to co occur with depression and anxiety and sometimes they can be associated with trauma history and with thought disorder as well On the other hand aches pains and other somatic complaints may be symptoms of physical illness and such complaints should not be overlooked as symptoms in their own right SUICIDE IDEATION The SI scale has five items Three of them specifically address thoughts and intentions about self harm and two involve depressive symptoms that may present an increased risk for suicide One of the items is shared with the DA scale THOUGHT DISTURBANCE BOYS ONLY The TD scale is intended to indicate the possibility of serious mental disorder involving problems with reality orientation The scale has five items four of whi
12. e scale ii For scale with five to six items more than one unanswered item invalidates the scale b Transfer from the Scoring Key to the Score Profile the number of items circled for a given scale if it is valid see a above i Remember two scales are gender specific 1 Thought Disturbance scale is for BOYS ONLY so only boys will have a score for TD 2 Traumatic Experiences scale has separate Scoring Keys for boys and girls Be sure you used the appropriate key before entering the score 7 Under no circumstances should the staff change any of the youth s answers on the MAYSI 2 If second screening questions reveal the youth misunderstood a question this information can be written in response to the second screening question to thereby correct or clarify the initial answer 8 I see page 23 of the Instructions MAYSI 2 REFERRAL PROTOCOLS POST SCREENING 1 If youth scores at or above the Caution level on the Suicide Ideation scale a Ask second screening questions of the youth Prepared by the Spark Policy Institute www sparkpolicy com 8 Page SITE NAME MONTH YEAR b If determined that youth is in imminent danger to him herself call police and transport to name and location of nearest hospital or emergency treatment facility c Ifitis determined that the youth is not in imminent danger to him herself i R see pages 27 29 of Instructions for example language see pages 23 27 for
13. epared by the Spark Policy Institute www sparkpolicy com 3 Page SITE NAME MONTH YEAR When youth are screened in for possible mental and emotional problems it does not necessarily mean that they have mental disorders or that they are suicidal or likely to harm others It indicates the need for a follow up response by staff Often this involves obtaining further evaluation Mental Health Assessment is a follow up for youth whose screening scores suggest that they might have mental and emotional problems Assessments are performed by clinicians and the offer more comprehensive individualized evaluation of youth providing descriptions and recommendations that will be useful for longer range treatment and dispositional planning The assessment process may include psychological testing clinical interviewing and obtaining past records from other agencies for review by the clinical assessor DESCRIPTION OF THE MASSACHUSETTS YOUTH SCREENING INSTRUMENT VERSION 2 MAYSI 2 The Massachusetts Youth Screening Instrument MAYSI 2 is a screening instrument developed for detecting mental health needs in youth aged 12 17 Designed as a low cost easily administered tool it screens for multiple issues and can be administered in 10 15 minutes It is divided into seven scales composed of 52 questions that are designed to detect alcohol drug use angry irritable behavior depression anxiety somatic complaints suicide ideation thought disturbance and
14. family 47 Have you given up hope for your life 51 Have you had a lot of bad thought or dreams about a bad or scary event that happened to you Adapted from Skowyra K R amp Cocozza J J n d Mental health screening within juvenile justice The next frontier Appendix C Texas MAYSI 2 Protocol Reference Card pp 24 25 Delmar NY National Center for Mental Health and Juvenile Justice Accessed from http www ncmhij com pdfs MH_Screening pdf Prepared by the Spark Policy Institute www sparkpolicy com 13 Page SITE NAME MAYSI 2 Scale Somatic Complaints Suicide ideation Thought Disturbance Traumatic Experiences Prepared by the Spark Policy Institute www sparkpolicy com Description of Scale Measurement Components Experiences bodily discomforts associated with distress Risk of psychological distress not otherwise evident Thoughts and intentions to harm oneself Risk of suicide attempts or gestures Boys Only Unusual beliefs and perceptions Risk of thought disorder Lifetime exposure to traumatic events e g abuse rape observed violence Questions refer youth to ever in the past not past few months Risk of trauma related instability in emotion perception MONTH YEAR Questions on Scale When you have felt nervous or anxious 27 have you felt shaky 28 has your heart beat very fast 29 have you felt short of breadth 30 have
15. ge The first page provides steps for how to administer the instrument The second page provides directions for recommended services based on the youth s MAYSI 2 scores For detailed information consult the manual MAYSI 2 Administration amp Referral Protocol Manual SITE NAME Before Administering the Instrument During Administration After Administration Introduce the Test by saying These are some questions about things that sometimes happen to people For each question please answer yes or no to whether that question has been true for you in the past three months or since name of holiday 3 months ago Please answer these questions as well as you can Give the legal warning by saying aon Give the confidentiality warnings by saying aon Monitor and supervise the room area where the youth is completing the instrument Answer questions by the youth as necessary and ensure that you are available for any assistance needed to successfully complete the questionnaire When using the MAYSIWARE computerized version of MAYSI 2 please ensure that you have completed the section TO BE COMPLETED BY STAFF ONLY prior to administration Run the analysis of the answers Print off the report Conduct appropriate follow up actions and procedures Enter action taken in Results field Indicate which of the post scoring services described below were done If y
16. istered through MAYSIWARE Taking the survey 1 At name of your site there will be __ number dedicated computer s that has have the MAYSI 2 software program installed The computer s will be located in an area or room that is free of distractions Computer access to the MAYSI 2 at _ name of your site will be provided to a selected number of e g in take staff all supervisors as well as to the director Each person will use their individual passwords and user names to login Youth will be provided with verbal instructions see Initial Contact on previous page or see MAYSI 2 Protocol Summary for talking points Screener opens MAYSIWARE and enters personal username and password Screener selects Start MAYSI 2 Prepared by the Spark Policy Institute www sparkpolicy com 6 Page SITE NAME MONTH YEAR 6 Screener enters demographic data from youth s intake sheet Use first name and last name only Each youth will have a personal ID that the screener will enter 7 Youth begins MAYSI 2 headphones provided The youth should select the language English or Spanish that is best for him herself Screener should define with youth that questions apply to the last 3 months Screener waits outside the room or nearby if the computer is located in an open area in case questions arise Scoring the survey 8 After the youth completes the MAYSI 2 the screener will enter their user name and password again an
17. omputer programming is giving the youth the initial instructions about answering the questions on the keyboard The staff person then steps aside when the youth begins to respond so that the youth does not feel that the staff person is looking at the responses Adapted from Skowyra K R amp Cocozza J J n d Mental health screening within juvenile justice The next frontier Appendix B Pennsylvania Guidelines for Introducing the MAYSI 2 to Youth pp 22 23 Delmar NY National Center for Mental Health and Juvenile Justice Accessed from http www ncmhij com pdfs MH_Screening pdf Prepared by the Spark Policy Institute www sparkpolicy com 12 Page SITE NAME MONTH YEAR APPENDIX B MAYSI 2 SCALES amp QUESTIONS REFERENCE CARD The MAYSI 2 is composed of 7 scales Each scale is made up of a set of questions For all scales EXCEPT Traumatic Experiences the questions refer to the last few months Traumatic Experiences questions refer to ever in your life MAYSI 2 Scale Alcohol Drug Use Angry Irritable Depressed Anxious Description of Scale Measurement Components e Frequent use of alcohol drugs Risk of substance use disorders or psychological reaction to lack of access to substances Experiences frustration lasting anger moodiness Risk of angry reaction fighting aggressive behavior Experiences depressed and anxious feelings Risk of impairments in motivation need for t
18. outh s MAYSI score does not indicate a potential mental health problem enter No Action Required Protect confidentiality of results by following the Information Sharing Protocol Take the following action in response to MAYSI 2 scores in these combinations see next page Many thanks to the Texas Juvenile Justice System that designed the summary matrix format More information can be found at Skowyra K R amp Cocozza J J n d Mental health screening within juvenile justice The next frontier Appendix C Texas MAYSI 2 Protocol Reference Card p 26 Delmar http www ncmhij com pdfs MH_Screening pdf NY National Center for Mental Health and Juvenile Justice Prepared by the Spark Policy Institute www sparkpolicy com Accessed from 10 Page SITE NAME MONTH YEAR MAYSI 2 PosTt SCORING RECOMMENDED SERVICES SECONDARY SCREENING PRIMARY SERVICES by Juvenile Justice Staff by Mental Health Professionals A E B F c G D H Recommended Actions by Juvenile Justice Staff Suicide Ideation Scale Only CAUTION Any Combination of Scales Except Suicide Ideation Scale Caution E WARNING WARNING N O A e k O A O A O AR Caution O caution CAUTION Prepared by the Spark Policy Institute www sparkpolicy com 11 Page SITE NAME MONTH YEAR APPENDIX A GENERAL GUIDELINES FOR MAYSI 2 YOUTH PROTOCOL
19. reatment Questions on Scale 10 Have you done anything you wish you hadn t when you were drunk or high 19 Have your parents or friends thought you drink too much 23 Have you gotten in trouble when you ve been high or have been drinking 24 If yes to 23 has the trouble been fighting 33 Have you used alcohol or drugs to help you feel better 37 Have you been drunk or high at school 40 Have you used alcohol and drugs at the same time 45 Have you been so drunk or high that you couldn t remember what happened 2 Have you lost your temper easily or had a short fuse 6 Have you been easily upset 7 Have you thought a lot about getting back at someone you have been angry at 8 Have you been really jumpy or hyper 13 Have you had too many bad moods 35 Have you felt angry a lot 39 Have you gotten frustrated easily 42 When you have been mad have you stayed mad for a long time 44 Have you hurt or broken something on purpose just because you were mad 3 Have nervous or worried feelings kept you from doing things you want to do 14 Have you had nightmares that are bad enough to make you afraid to go to sleep 17 Have you felt lonely too much of the time 21 Has it seemed like some part of your body always hurts you 34 Have you felt that you don t have fun with your friends anymore 35 Have you felt angry a lot 41 Has it been hard for you to feel close to people outside your
20. s is important progress in the overall effort to better identify and respond to youth with mental health treatment needs MENTAL HEALTH SCREENING AND MENTAL HEALTH ASSESSMENT Mental Health Screening is a relatively brief process carried out by non clinical staff using a standardized mental health screening tool Some tools offer structured questions that youth answer about their current or recent thoughts feelings or behaviors Others ask staff to make ratings based on past records or caretakers reports of youths behavior In any case mental health screening is a triage process that is employed with every youth during an initial probation intake interview within a few hours after intake in pretrial detention or upon entrance into juvenile justice placement The purpose of mental health screening is to identify youth whose mental or emotional conditions suggest that they might have a mental disorder might have suicide potential or might present a risk of harm to others in the immediate future The term screened in is used to refer to youth who are identified by the screening method as needing further attention 1 Selected passages come from Skowyra K R amp Cocozza J J n d Mental health screening within juvenile justice The next frontier Chapter 1 Introduction and Chapter 2 Procedures and Policies Delmar NY National Center for Mental Health and Juvenile Justice http www ncmhjj com pdfs MH_Screening pdf Pr
21. to the questions 2 Who will or will not see the youth s answers and use them for certain purposes Youths should be told who will see their answers and or scores This may differ across programs For example one probation department might only allow probation staff to see the youths answers and scores so that they can determine whether the youth has special needs Whatever the potential uses the youth should be told about them This does not have to be detailed but it should be honest It might include indicating who will not see the results e g the results will not go to the judge or the D A as well as who will see the results 3 Voluntary nature of the MASYI 2 Taking the MAYSI 2 is always voluntary in that the youths may choose not to answer the questions and it is inappropriate to make their participation mandatory or to punish them for not answering The MAYSI 2 is routine like other health and identity questions and intended only for the youth s protection The information is intended to help staffin the program attend to youths immediate safety and needs 4 Check for special needs of youth in completing the procedure Once the youth is ready to take the MAYSI 2 staff should assist the youth in getting started If the program uses MAYSIWARE this is a matter of entering the youth s background information in the computer and then after putting the headphones on the youth sitting with the youth while the c
22. uld not watch how the youth answers each item in order to ease the level of potential discomfort 4 When survey is completed check to confirm all questions have been answered If not encourage youth to complete missing items a If youth is having trouble deciding whether item is true or not for him her prompt youth to answer yes if it has probably been true or if it is a little true Scoring the survey Prepared by the Spark Policy Institute www sparkpolicy com 7 Page SITE NAME MONTH YEAR 5 Use the MAYSI 2 Scoring Key to hand score the Questionnaire a Align the arrow on the left side of the Scoring Key with the arrow on the right side of page 1 of the Questionnaire i Circle the numbers on the Scoring Key that the youth marked Yes and place an X on each item on the Scoring Key for which the youth did not provide an answer ii Two scales are gender specific 1 Thought Disturbance scale is for BOYS ONLY 2 Traumatic Experiences scale has a separate Scoring Key for boys and girls b Repeat above procedure with page two of the MAYSI 2 Questionnaire aligning the right side of the Scoring Key with the arrow on page two of the Questionnaire 6 Use the MAYSI 2 Scoring Profile to record the information from the Scoring Key a First identify the scales if any for which the number of X s indicate an invalid score i For scales with eight to nine items more than two unanswered items invalidates th
23. your hands felt clammy 31 has your stomach been upset 43 Have you had bad headaches 11 Have you wished you were dead 16 Have you felt like life was not worth living 18 Have you felt like hurting yourself 22 Have you felt like killing yourself 47 Have you given up hope for your life 9 Have you seen things other people say are not really there 20 Have you heard voices other people can t hear 25 Have other people been able to control your brain or your thoughts 26 Have you had a bad feeling that things don t seem real like you re in a dream 32 Have you been able to make other people to things just by thinking about it Girls 48 Have you EVER IN YOUR WHOLE LIFE had something very bad or terrifying happen to you 49 Have you ever been badly hurt or been in danger of getting badly hurt or killed 50 Have you ever been raped or been in danger of getting raped 51 Have you had a lot of bad thoughts or dreams about a bad or scary event that happened to you 52 Have you ever seen someone severely injured or killed in person not in movies or on TV Boys 46 Have people talked about you when you re not there 48 Have you EVER IN YOUR WHOLE LIFE had something very bad or terrifying happen to you 49 Have you ever been badly hurt or been in danger of getting badly hurt or killed 51 Have you had a lot of bad thoughts or dreams about a bad or scary event that happened to you 5
Download Pdf Manuals
Related Search