Massachusetts Youth Screening Instrument-Version 2 (MAYSI-2)

Assessment Rating:
A
A – Psychometrics Well-Demonstrated
See entire scale
Developer(s):

Grisso, T., Ph.D., and Barnum, R., M.D.

Description / Purpose:

The MAYSI-2 is a brief behavioral health screening tool designed especially for juvenile justice programs and facilities. It identifies youths ages 12 through 17 years old who may have important, pressing behavioral health needs. Its primary use is in juvenile probation, diversion programs, and intake in juvenile detention or corrections.

The MAYSI-2 is a self-report inventory of 52 questions. The questions ask the youth to answer YES or NO to having experienced various thoughts, feelings, or behaviors in the past few months.

Answers provide scores on 7 scales:

  • Alcohol/Drug Use
  • Angry-Irritable
  • Depressed-Anxious
  • Somatic Complaints
  • Suicide Ideation
  • Thought Disturbance
  • Traumatic Experiences

Target Population: Adolescents ages 12-17

Time to Administer: 5-10 minutes

Completed By: Self-report

Modalities Available: Pen and paper, Online

Scoring Information: The paper-and-pencil administration uses a Scoring Key to which the user transfers the youth's answers to calculate scores for each of the MAYSI-2 scales, and a Scoring Summary form that identifies whether the youth is below or above critical cut-off scores on each scale.The web-based version, called Web MAYSI-2, automatically scores the form and produces a report.

Languages Available: Arabic, Dutch, English, French, German, Italian, Portuguese, Russian, Spanish

Training Requirements for Intended Users: Administering and using the MAYSI-2 requires no training as a professional clinician, provided the user knows and attends to its proper administration according to the MAYSI-2 Manual.Manual citation: Grisso, T., & Barnum, R. (2000). Massachusetts Youth Screening Instrument-2 (MAYSI-2): User's manual and technical report. Worchester, MA: University of Massachusetts Medical School.

Availability: The measure, manuals, and training can be requested at the following website: http://nysap.us/NYSAPTARequestForm.html.

Contact Information

Company: National Youth Screening and Assessment Project
Website: www.nysap.us/maysi2/index.html
Email:

Summary of Relevant Psychometric Research

This tool has received the Measurement Tools Rating of "A – Psychometrics Well-Demonstrated" based on the published, peer-reviewed research available. The tool must have 2 or more published, peer-reviewed studies that have established the measure’s psychometrics (e.g., reliability and validity, sensitivity and specificity, etc.). Please see the Measurement Tools Rating Scale for more information.

Show relevant research...

Grisso, T., Barnum, R., Fletcher, K. E., Cauffman, E., & Peuschold, D. (2001). Massachusetts Youth Screening Instrument for mental health needs of juvenile justice youths. Journal of the American Academy of Child & Adolescent Psychiatry, 40(5), 541–548. https://doi.org/10.1097/00004583-200105000-00013

Sample:

Participants — 1,279 male and female youths, aged 12 to 17, in Massachusetts juvenile justice facilities and 3,804 male and female youths in California Youth Authority custody

Race/Ethnicity — Massachusetts sample: 44% white (non-Hispanic), 23% African American, 22% Hispanic, 4% Asian, and 6% other or unknown. California sample: 14% white non-Hispanic, 28% African American, 50% Hispanic, 6% Asian, 2% other

Summary:

Factor analyses of the 52 items identified seven scales that were conceptually associated with various mental, emotional, and behavioral problems of youths, which were generally confirmed by separate factor analyses with the California sample. The scales manifested adequate internal consistency and test-retest reliability. Most scales were substantially correlated with conceptually similar scales in the MACI and YSR, and they identified most youths who scored at clinically significant levels on those instruments. The MAYSI-2 shows promise as a reliable and valid screening tool to assist juvenile justice staff in identifying youths who may need an immediate response to mental or emotional problems.

Archer, R. P., Stredny, R. V., Mason, J. A., & Arnau, R. C. (2004). An examination and replication of the psychometric properties of the Massachusetts Youth Screening Instrument-(MAYSI-2) among adolescents in detention settings. Assessment, 11(4), 290–302. https://doi.org/10.1177/1073191104269863

Sample:

Participants — 704 youths evaluated at intake to detention facilities

Race/Ethnicity — African American (74%), White (25%) and Hispanic (1%)

Summary:

This study evaluated the MAYSI-2 psychometric properties based on the records of 704 youths evaluated at intake to detention facilities. In addition to factor structure, the study evaluated test-retest reliability and concurrent external validity. Results were generally encouraging in terms of the use of MAYSI-2 in detention facilities.

Cauffman, E. (2004). A statewide screening of mental health symptoms among juvenile offenders in detention. Journal of the American Academy of Child & Adolescent Psychiatry, 43(4), 430–439. https://doi.org/10.1097/00004583-200404000-00009

Sample:

Participants — 18,607 youth admitted to detention centers in Pennsylvania

Race/Ethnicity — 47% African American, 39% White, 11% Hispanic/Latino, 2% Other, 1% Asian

Summary:

Approximately 70% of the males and 81% of the females scored above the clinical cutoff on at least one of the following five MAYSI-2 scales: Alcohol/Drug Use, Angry-Irritable, Depressed-Anxious, Somatic Complaints, and/or Suicide Ideation. Girls were more likely than boys to exhibit internalizing as well as externalizing problems. Mental health problems were most prevalent among white youths and least prevalent among African American youths. When youths repeated the screen upon subsequent visits to detention, their scores generally remained stable. The findings suggest that the MAYSI-2 is a promising triage tool for emergent risk.

Cauffman, E., & MacIntosh, R. (2006). A Rasch differential item functioning analysis of the Massachusetts Youth Screening Instrument. Educational and Psychological Management, 66(3), 502–521. https://doi.org/10.1177/0013164405282460

Sample:

Participants — 3,906 assessments of male and female juvenile offenders between 13 and 17 years of age who are incarcerated in the California Youth Authority

Race/Ethnicity — 51% Hispanic, 28% African American, 15% White, 7% Asian

Summary:

The goal of this article is to evaluate the racial/ethnic and gender differential item functioning (DIF) of the Massachusetts Youth Screening Instrument–Second Version (MAYSI-2) using the Rasch Model. DIF is identified in some items, raising concerns about the Suicide Ideation subscale as well as the Traumatic Experiences subscale that may require some further examination and revision.

Ford, J. D., Chapman, J. F., Pearson, G., Borum, R., & Wolpaw, J. M. (2008). Psychometric status and clinical utility of the MAYSI-2 with girls and boys in juvenile detention. Journal of Psychopathology and Behavioral Assessment, 30(2), 87-99.

Sample:

Participants — 479 urban, rural, and suburban 12–16 year old youths (68% boys) consecutively admitted to juvenile detention centers

Race/Ethnicity — 41% African American, 23% Latino

Summary:

Six principal components replicated the MAYSI-2 factor-analytically-derived subscales except for Depression/Anxiety, and suggested modifications of specific items in each sub-scale. Findings supported the internal consistency and validity of the modified MAYSI-2 sub-scales. Few gender differences emerged, except that girls reported higher levels of hopelessness and trauma than boys. Five sub-groups were identified based on component profiles:(1) non-clinical, (2) addiction, somatic problems, and suicidality, (3) anger problems, (4) thought disturbance, and (5) addiction and traumatic stress. The findings support the validity of the MAYSI-2 for juvenile justice mental health screening while highlighting possible refinements in scoring in order to identify delinquent youths with distinctive psychosocial risks and needs.

Archer, R. P., Simonds-Bisbee, E. C., Spiegel, D. R., Handel, R. W., & Elkins, D. E. (2010). Validity of the Massachusetts youth screening instrument–2 (MAYSI–2) scales in juvenile justice settings. Journal of personality assessment, 92(4), 337-348.

Sample:

Participants — 1,192 adolescents(1,082 boys and 110 girls) admitted into Virginia juvenile correction facilities between the dates of July 2004 and June 2006

Race/Ethnicity — 66.8% African American, 27.3% White

Summary:

Analyses revealed higher MAYSI–2 scale scores for girls than for boys and MAYSI–2 scale intercorrelations were similar to those reported in the MAYSI–2 manuals. We also evaluated the concurrent validity of MAYSI–2 scales by examining scale score correlations with related and unrelated extratest variables. Results showed strong convergent validity for several MAYSI–2 scales.

McCoy, H., Vaughn, M. G., Maynard, B. R., & Salas–Wright, C. P. (2014). Caution or warning? A validity study of the MAYSI–2 with juvenile offenders. Behavioral sciences & the law, 32(4), 508-526.

Sample:

Participants — 836 institutionalized delinquents committed to the California Youth Authority

Race/Ethnicity — 46% Hispanic, 28% African-American, 17% White, 9% Other

Summary:

Finite mixture modeling was employed to identify distinct latent classes based on MAYSI-2 scale scores. Identified classes were then compared across a range of covariates, including prior offenses, official records of misconduct, and multiple measures of mental health and psychological well-being. Findings revealed a three-class, gradient-based structure: low distress (n =380), moderate distress (n = 327), and high distress (n =129).Overall, the MAYSI-2 identified juvenile offenders with mental health and substance use issues, but it did not differentiate youths with respect to offending patterns.

Date Reviewed: July 2020 (Originally reviewed in July 2020)