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Healthcare 2018, 6(3), 106; https://doi.org/10.3390/healthcare6030106

An Exploration of Parent-Youth Agreement on Functional Impairment in Adolescents Utilizing Outpatient Mental Health Services

1,2,3,* , 1,2,4
,
1
and
2,4
1
Department of Psychology, San Diego State University, San Diego, CA 92182, USA
2
Child and Adolescent Services Research Center, San Diego, CA 92123, USA
3
Department of Psychiatry, University of California, La Jolla, San Diego, CA 92093, USA
4
Department of Psychological Sciences, University of San Diego, San Diego, CA 92110, USA
*
Author to whom correspondence should be addressed.
Received: 16 July 2018 / Revised: 15 August 2018 / Accepted: 28 August 2018 / Published: 30 August 2018
(This article belongs to the Special Issue Feature Papers in Healthcare in 2018)
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Abstract

Parent-youth agreement on the youth’s functional impairment may have important implications for mental health service utilization, assessment, therapy goal development, and treatment engagement for adolescents. The present study examines parent-youth agreement on their perceptions of youth functional impairment in a predominantly racial/ethnic minority sample of adolescents utilizing outpatient mental health services. Parent and youth functional impairment ratings were compared, and agreement was estimated in multiple ways. On average, parents indicated higher levels of youth functional impairment compared to youth in their overall scores, and when differences existed between parents and youth at the functioning domain and item level. Although there was similarity in the proportion of parents and youth who reported total impairment above the clinical cut-off, actual agreement between parent-youth pairs was only slight. There appeared to be substantial variation in agreement levels when identifying problems in functional impairment at the domain and item levels, and some areas of strong consensus were identified. These findings highlight the need to consider parent-youth agreement in perceptions of functional impairment and the complexities that may underlie this agreement. View Full-Text
Keywords: parent-youth agreement; functional impairment; mental health services; adolescents parent-youth agreement; functional impairment; mental health services; adolescents
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Yeh, M.; Zerr, A.; La, R.; McCabe, K. An Exploration of Parent-Youth Agreement on Functional Impairment in Adolescents Utilizing Outpatient Mental Health Services. Healthcare 2018, 6, 106.

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