TY  - JOUR
PY  - 2000//
TI  - Concordance Between Parent Reports of Children's Mental Health Services and Service Records: The Services Assessment for Children and Adolescents (SACA)
JO  - Journal of child and family studies
A1  - Hoagwood, Kimberly
A1  - Horwitz, Sarah
A1  - Stiffman, Arlene
A1  - Weisz, John
A1  - Bean, Donna
A1  - Rae, Donald
A1  - Compton, Wilson M.
A1  - Cottler, Linda
A1  - Bickman, Leonard
A1  - Leaf, Philip J.
SP  - 315
EP  - 331
VL  - 9
IS  - 3
N2  - The concordance between parent reports of children's mental health services and medical and administrative service records were assessed in a field test of the Services Assessment for Children and Adolescents (SACA) interview instrument. Service use reports from primary caregivers, usually mothers, for their child's emotional or behavioral problems were compared against inpatient, outpatient, and school records in St. Louis, one of the pilot sites for the Multi-Site Study of Service Use, Need, Outcomes and Costs in Child and Adolescent Populations (UNOCCAP). A global "any use" service variable, comprised of inpatient, outpatient, and school reports, yielded an overall service use concordance kappa of .76 between parent reports and records. Parent reports of inpatient hospitalization services using the SACA yielded the highest agreement with medical records, with kappa statistics of 1.00 for use of any inpatient hospital care and for medication use. Parent reports of specific inpatient services concurred with medical records more moderately, yielding kappas from .50 to .66. Reports of any outpatient mental health services yielded variable rates of agreement, with kappas ranging from .67 for any use of outpatient care, to .66 for medication use, to negligible kappas for specific treatments. Parent reports of school services were weakly related to records for most services, except for moderate agreement (.48) on placement in special classrooms for emotional or behavioral problems. Family burden or impact discriminated more powerfully than other variables between respondents who concurred with records and those who did not.<p /> 
LA  - 
SN  - 1062-1024
UR  - http://dx.doi.org/10.1023/A:1026492423273
ID  - ref1
ER  -