Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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Study on the Utilization of the Child-Adolescent Functional Assessment Scale in Mental Health Service

정신건강서비스 영역에서 아동청소년 기능평가척도의 활용에 관한 연구

  • Received : 2016.12.03
  • Accepted : 2017.04.17
  • Published : 2017.10.01
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Abstract

Objectives: This study aims to supplement the limitations of the preliminary study and expand the use of the Child-Adolescent Functional Assessment Scale by providing standardized T-scores for measuring function in different areas, as well as guidelines for their interpretation. Methods: The Child-Adolescent Functional Assessment Scale and Korean-Child Behavior Checklist were administered to a total of 623 individuals, including 467 parents of emotionally and behaviorally disturbed elementary school students, 45 parents of emotionally and behaviorally disturbed middle school adolescents and 111 parents of elementary school students with developmental disorders, as well as to a control group consisting of 186 parents of mainstream elementary school children in the Seoul metropolitan area. Results: In contrast to the preliminary study, the emotional domain was disassociated into two factors, negative affect and emotion regulation, and the coefficient of determination for misconduct was increased significantly. Also, the overall reliability and validity of the Child-Adolescent Functional Assessment Scale were similar to those in the preliminary study, and the item structure was consistent. This study provides standardized T-scores of function in different areas based on the revised scale, and provides guidelines for their interpretation. Conclusion: The Child-Adolescent Functional Assessment Scale can assist the Child Global Assessment in Functioning in providing the information necessary for case management and treatment planning by comparing the impairment severity in each area of functioning, and also determining changes in behavior and function after treatment interventions. On the other hand, this scale has yet to clearly distinguish between rebellious behavior and misconduct. Further research is necessary to provide standards for more diverse age groups and for its utilization.

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References

  1. Hoagwood K, Jensen PS, Petti T, Burns BJ. Outcomes of mental health care for children and adolescents: I. A comprehensive conceptual model. J Am Acad Child Adolesc Psychiatry 1996;35:1055-1063. https://doi.org/10.1097/00004583-199608000-00017
  2. Jensen PS, Hoagwood K, Petti T. Outcomes of mental health care for children and adolescents: II. Literature review and application of a comprehensive model. J Am Acad Child Adolesc Psychiatry 1996;35:1064-1077. https://doi.org/10.1097/00004583-199608000-00018
  3. Bird HR, Yager TJ, Staghezza B, Gould MS, Canino G, Rubio-Stipec M. Impairment in the epidemiological measurement of childhood psychopathology in the community. J Am Acad Child Adolesc Psychiatry 1990;29:796-803. https://doi.org/10.1097/00004583-199009000-00020
  4. Shaffer D, Gould MS, Brasic J, Ambrosini P, Fisher P, Bird H, et al. A children's global assessment scale (CGAS). Arch Gen Psychiatry 1983;40:1228-1231. https://doi.org/10.1001/archpsyc.1983.01790100074010
  5. Barkley RA. Barkley functional impairment scale: children and adolescents (BFIS-CA). New York, NY: Guilford Press;2012.
  6. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. 4th ed. Washington, DC: American Psychiatric Association;1994.
  7. Simeonsson RJ, Leonardi M, Lollar D, Bjorck-Akesson E, Hollenweger J, Martinuzzi A. Applying the International Classification of Functioning, Disability and Health (ICF) to measure childhood disability. Disabil Rehabil 2003;25:602-610. https://doi.org/10.1080/0963828031000137117
  8. World Health Organization. International Classification of Functioning, Disability and Health: children and youth version: ICF-CY. Geneva: World Health Organization;2007.
  9. Canino GJ, Fisher PW, Alegria M, Bird HR. Assessing child impairment in functioning in different contexts: implications for use of services and the classification of psychiatric disorders. Open J Med Psychol 2013;2:29-34. https://doi.org/10.4236/ojmp.2013.21006
  10. Gold LH. DSM-5 and the assessment of functioning: the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). J Am Acad Psychiatry Law 2014;42:173-181.
  11. Row KR, Suh DS. A preliminary study for developing a Child and Adolescent Functional Assessment Scale in the mental health service. J Korean Acad Child Adolesc Psychiatry 2014;25:142-155. https://doi.org/10.5765/jkacap.2014.25.3.142
  12. Hodges K. The Child and Adolescent Functional Assessment Scale (CAFAS). In: Maruish ME, editors. The use of psychological testing for treatment planning and outcome assessment. 3rd ed. Mahwah, NJ: Lawrence Erlbaum Associates;2004. p.405-441.
  13. Brann P, Coleman G, Luk E. Routine outcome measurement in a child and adolescent mental health service: an evaluation of HoNOSCA. The Health of the Nation Outcome Scales for children and adolescents. Aust N Z J Psychiatry 2001;35:370-376. https://doi.org/10.1046/j.1440-1614.2001.00890.x
  14. Achenbach TM, Edelbrock CS. Manual for the Child Behavior Checklist and revised child behavior profile. Burlington, VT: University of Vermont, Department of Psychiatry;1983.
  15. Achenbach TM. Manual for the Child Behavior Checklist/4-18 and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry;1991.
  16. Oh KJ, Lee H, Hong KE, Ha EH. Korean child behavior checklist. Seoul, Korea: Chung Ang Aptitude;1997.
  17. Groth-Marnat G. Handbook of psychological assessment. 5th ed. Hoboken, NJ: John Wiley & Sons Inc.;2009.