TY - JOUR
KW - Beck Depression Inventory (Beck et al)
KW - Behavioral Health Screen (Diamond et al)
KW - Scale for Suicide Ideation (Beck et al)
KW - Trauma Symptom Checklist for Children (Briere)
AU - Guy S. Diamond
AU - Suzanne Levy
AU - Katherine B. Bevans
AU - Joel A. Fein
AU - Matthew B. Wintersteen
AU - Allen Y. Tien
AU - Torrey Creed
A1 - 
AB - OBJECTIVES: The goals were to develop and to validate the Internet-based, Behavioral Health Screen (BHS) for adolescents and young adults in primary care. METHODS: Items assessing risk behaviors and psychiatric symptoms were built into a Internet-based platform with broad functionality. Practicality and acceptability were examined with 24 patients. For psychometric validation, 415 adolescents completed the BHS and well-established rating scales. Participants recruited from primary care waiting rooms were 12 to 21 years of age (mean: 15.8 years); 66.5% were female and 77.5% black. RESULTS: The BHS screens in 13 domains by using 54 required items and 39 follow-up items. The administration time was 8 to 15 minutes (mean: 12.4 minutes). The scales are unidimensional, are internally consistent (Cronbach's alpha = 0.75-0.87), and discriminate among adolescents with a range of diagnostic syndromes. Sensitivity and specificity were high, with overall accuracy ranging from 78% to 85%. Patients with scores above scale cutoff values for depression, suicide risk, anxiety, and PTSD symptoms were ≥ 4 times more likely to endorse other risk behaviors or stressors. CONCLUSIONS: The BHS addresses practical and clinical barriers to behavioral health screening in primary care. It is a brief but comprehensive, self-report, biopsychosocial assessment. The psychiatric scales are valid and predictive of risk behaviors, which facilitates exclusion of false-positive results, as well as assessment and triage. [Author Abstract] KEY WORDS: behavioral health screening; primary care; adolescents; depression; suicide
BT - Pediatrics
C5 - HIT & Telehealth
CP - 1
DO - 10.1542/peds.2009-3272
IS - 1
JF - Pediatrics
N2 - OBJECTIVES: The goals were to develop and to validate the Internet-based, Behavioral Health Screen (BHS) for adolescents and young adults in primary care. METHODS: Items assessing risk behaviors and psychiatric symptoms were built into a Internet-based platform with broad functionality. Practicality and acceptability were examined with 24 patients. For psychometric validation, 415 adolescents completed the BHS and well-established rating scales. Participants recruited from primary care waiting rooms were 12 to 21 years of age (mean: 15.8 years); 66.5% were female and 77.5% black. RESULTS: The BHS screens in 13 domains by using 54 required items and 39 follow-up items. The administration time was 8 to 15 minutes (mean: 12.4 minutes). The scales are unidimensional, are internally consistent (Cronbach's alpha = 0.75-0.87), and discriminate among adolescents with a range of diagnostic syndromes. Sensitivity and specificity were high, with overall accuracy ranging from 78% to 85%. Patients with scores above scale cutoff values for depression, suicide risk, anxiety, and PTSD symptoms were ≥ 4 times more likely to endorse other risk behaviors or stressors. CONCLUSIONS: The BHS addresses practical and clinical barriers to behavioral health screening in primary care. It is a brief but comprehensive, self-report, biopsychosocial assessment. The psychiatric scales are valid and predictive of risk behaviors, which facilitates exclusion of false-positive results, as well as assessment and triage. [Author Abstract] KEY WORDS: behavioral health screening; primary care; adolescents; depression; suicide
PY - 2010
SN - 0031-4005, 0031-4005
SP - e163
EP - e170
EP - 
T1 - Development, validation, and utility of internet-based, behavioral health screen for adolescents
T2 - Pediatrics
TI - Development, validation, and utility of internet-based, behavioral health screen for adolescents
U1 - HIT & Telehealth
U3 - 10.1542/peds.2009-3272
UR - http://search.proquest.com/docview/1036873212?accountid=28100
VL - 126
VO - 0031-4005, 0031-4005
Y1 - 2010
ER -