Validation of the Brief Jail Mental Health Screen

Steadman, Henry J.; Scott, Jack E.; Osher, Fred C.; Agnese, Tara K.; Robbins, Pamela Clark

doi:10.1176/appi.ps.56.7.816

Cited by 108 publications

(151 citation statements)

References 14 publications

Supporting

Mentioning

141

Contrasting

Unclassified

Order By: Relevance

“…Further, this difference between males and females was consistent across racial groups. Women are a minority in Psychiatr Q male-dominated jail populations and their particular needs are often not addressed [32][33][34][35]. We also observed racial differences in the locus of services receipt.…”

Section: Discussionmentioning

confidence: 95%

Connecting Mentally Ill Detainees in Large Urban Jails with Community Care

et al. 2016

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 95%

Connecting Mentally Ill Detainees in Large Urban Jails with Community Care

et al. 2016

View full text Add to dashboard Cite

“…Accuracy, sensitivity (rate of true positives detected) and specificity (rate of true negatives detected), vary, depending on the score chosen as a cut point. Although a number of mental health screens are available, such as the Patient Health Questionnaire (Spitzer et al 1999), PRIME-MD (Weissman et al 1998), Addiction Severity Index (McLellan et al 1980; Brief Jail Mental Health Screen (Steadman et al 2005), Psychiatric Diagnostic Screening Questionnaire (Zimmerman and Chelminski 2006), to our knowledge, no published studies provide the information on which to base a systematic decision rule to refer people with substance use problems in public sector settings for further mental health assessment.…”

Section: Introductionmentioning

confidence: 99%

Mental Health Screening in Addiction, Corrections and Social Service Settings: Validating the MMS

Alexander

Haugland

Shang

et al. 2007

Int J Ment Health Addiction

View full text Add to dashboard Cite

Objective This paper tests the validity of a simple and easy to use scale, the Modified Mini Screen (MMS) to identify people with mental health problems in the treatment ecology for chemical dependency, including specialty sector substance abuse treatment settings, and shelters, jails and street community outreach programs. Methods Four hundred and seventy-six individuals in chemical dependency treatment and in jails, shelters and outreach settings completed a set of 22 items to screen for mental disorders-the MMS-and a validation interview-the Structured Clinical Interview for Diagnosis (SCID). ROC curve analysis was used to (1) determine the optimal range of cut points for identifying mental health problems in this culturally heterogeneous sample and wide range of treatment and community settings, and (2) calculate overall accuracy, sensitivity, specificity, and positive and negative predictive values for the MMS. Results Forty three percent of the sample met criteria for a DSM-IV diagnosis of anxiety, mood or psychotic disorder. At cut points of 6-9, the sensitivity of the MMS ranged from 0.63-0.82, its specificity ranged from 0.61-0.83, and its overall accuracy ranged from 70-75%. At these cut points, the MMS screen performed equally well for men and women, and for African Americans and Caucasians, and is comparable to the performance of other screens validated for less compromised populations. A decision tool has been developed based on these results that is available from the authors.

show abstract

“…Steadman and his colleagues have recently developed another brief screening tool, the Brief Jail Mental Health Screen (BJMHS), for use with jail detainees (Steadman et al 2005). One issue with adopting the BJMHS for general use is that although its sensitivity (i.e., proportion of all cases with a disorder correctly identified) is adequate for men (65%), it performs much less well for women (46%).…”

mentioning

confidence: 99%

Using the K6 Scale to Screen for Serious Mental Illness among Criminal Justice Populations: Do Psychiatric Treatment Indicators Improve Detection Rates?

Swartz

2007

Int J Ment Health Addiction

View full text Add to dashboard Cite

Using data from 3,534 men and 1,350 women who participated in the 2001 and 2002 National Household Surveys on Drug Use and Health (NSDUH), and who indicated past-year criminal justice involvement, this study evaluated the accuracy of the K6, a screening tool for severe psychological distress associated with serious mental illness, with and without additional questions on past-year psychiatric treatment. We used the Composite International Diagnostic Interview Schedule-Short Form (CIDI-SF) as the gold standard. We found the unmodified K6 to be about equally accurate for men and women with ROC-AUC values for both at .88 and sensitivity scores in the range of 62.4 to 74.0 for men and 70.3 to 80.9 for women. Inclusion of psychiatric treatment indicators increased sensitivity but decreased specificity of the K6 for both men and women and consequently did not improve overall performance. Based on these findings, we tentatively recommend use of the K6 with criminal justice populations, although we recommend more rigorous studies to establish an optimum threshold and to evaluate whether the K10 (the longer version of the K6) can improve on the sensitivity and positive predictive values obtained with the K6.

show abstract

Validation of the Brief Jail Mental Health Screen

Abstract: The BJMHS is a practical, efficient tool that jail correction officers can give male detainees on intake screening. However, the screen has an unacceptably high false-negative rate for female detainees.

Cited by 108 publications

References 14 publications

Connecting Mentally Ill Detainees in Large Urban Jails with Community Care

Connecting Mentally Ill Detainees in Large Urban Jails with Community Care

Mental Health Screening in Addiction, Corrections and Social Service Settings: Validating the MMS

Using the K6 Scale to Screen for Serious Mental Illness among Criminal Justice Populations: Do Psychiatric Treatment Indicators Improve Detection Rates?

Contact Info

Product

Resources

About