The Child and Adolescent Services Assessment: Interrater Reliability and Predictors of Rater Disagreement.

ABSTRACT: The current study evaluated the interrater reliability of the Child and Adolescent Services Assessment (CASA), a widely used structured interview measuring pediatric mental health service use. Interviews (N = 72) were randomly selected from a pediatric effectiveness trial, and audio was coded by an independent rater. Regressions were employed to identify predictors of rater disagreement. Interrater reliability was high for items (> 94%) and summary metrics (ICC > .79) across service sectors. Predictors of disagreement varied by domain; significant predictors indexed higher clinical severity or social disadvantage. Results support the CASA as a reliable and robust assessment of pediatric service use, but administrators should be alert when assessing vulnerable populations.

SUBMITTER: Schwartz KTG 

PROVIDER: S-EPMC6193845 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature