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Psychiatr Serv. 2007 Dec;58(12):1598-601.

Revalidating the brief jail mental health screen to increase accuracy for women.

Author information

1
Policy Research Associates Inc, Delmar, NY 12054, USA. hsteadman@prainc.com

Abstract

OBJECTIVE:

Jails need a reliable tool to identify inmates who require further mental health assessment and treatment. This research attempted to revalidate the Brief Jail Mental Health Screen (BJMHS) as such a tool. This research added four items to the original eight-item screen (BJMHS-R), targeting depression and trauma to improve performance of the screen with women.

METHODS:

BJMHS-R data were collected in four jails from 10,258 detainees. A subset of 464 were administered the Structured Clinical Interview for DSM-IV (SCID) for cross-validation.

RESULTS:

The original BJMHS outperformed the revised screen. The original correctly classified 80% of males and 72% of females on the basis of SCID diagnoses, compared with classification rates of 72% and 66%, respectively, with the BJMHS-R. Overall, the BJMHS identified 16% of screened detainees as needing referral for further assessment, whereas the BJMHS-R identified 22%.

CONCLUSIONS:

The original eight-item BJMHS is a practical, efficient tool for intake screening by jail correction officers of male and female detainees.

PMID:
18048564
DOI:
10.1176/ps.2007.58.12.1598
[Indexed for MEDLINE]

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