TJJD

MAYSI
Frequently Asked Questions


Where in the standards are the MAYSI-2 assessment requirements?

The MAYSI-2 standards can be found in Title 37 of the Texas Administrative Code. For detention assessment requirements, refer to 343.30(i); for short-term detention (formerly known as holdover) requirements, see 351.4(m); and for probation requirements, review 341.36.

My department does not have a detention facility but we do contract with another county for detention services. According to TAC 343.30(i), an assessment must be performed on each resident admitted into detention within 48 hours. Is it the department or detention facility's responsibility to administer the MAYSI-2 within this time frame?

It is the detention facility's responsibility to provide an assessment to the resident within 48 hours. 

How will my department know the results of the MAYSI-2 assessment if the detention facility provides the assessment?

The detention facility is responsible for providing the probation department with a hard copy of the assessment results (i.e., MAYSI-2 Scoring Summary).

Please note if the detention resident is not assessed using the computer, the probation department should request a copy of the MAYSI-2 Questionnaire, MAYSI-2 Scoring Key and MAYSI-2 Scoring Summary. TJJD may request copies of these forms from the probation department for the Annual MAYSI-2 Data Audit or other audit requirements.

The detention facility forwarded copies of the MAYSI-2 assessment results to our probation department. What are we supposed to do with these results?

The results must be entered into CASEWORKER or a compatible computerized system. The hard-copy of the assessment must be placed in the juvenile's case file.

What if the detention or short-term detention (formerly known as holdover) facility does not provide an assessment within the required time frame? Will the department receive a citation when we are audited?

Unfortunately, the probation department will be cited for any assessment that is required but not performed. The facility may also receive a citation if TJJD discovers this during its on-site visit to the facility.

Should an assessment be provided to EVERY resident admitted into detention (e.g., formal referrals, contract detentions, TYC directive to apprehend, writ cases, etc.)?

An assessment must be given to every resident admitted into detention regardless of the referral type or reason for detention. 

Is an assessment required if a juvenile is detained for a probation violation or failing to comply with terms of conditional release from detention (CREL)?

Yes. If a juvenile is detained because he or she fails to comply with the terms of CREL or probation violation, a MAYSI-2 assessment is required.

According to the Texas Administrative Code 343.30(i), detention facilities have 48 hours to administer the MAYSI-2 assessment; however, sometimes residents may be released prior to this time. What do we do about the MAYSI-2 assessment?

Forty-eight (48) hours is the maximum amount of time allowed for the MAYSI-2 assessment must be administered. If a resident's stay is shorter than this period, the MAYSI-2 assessment must be given prior to releasing the resident from detention.

What do we do if a juvenile refuses to take the MAYSI-2 assessment?

If a juvenile refuses to take the MAYSI-2 assessment, write a chronological note of the refusal. TJJD has been informed that some departments have created a Refusal of Assessment form that the juvenile is asked to sign in such cases. In the computer system, X's shall be entered for each scale, and an answer of No' must be provided on the question regarding subsequent assessment.

We have a juvenile in detention that refused to take the MAYSI-2 assessment on Monday morning but on Tuesday afternoon he changed his mind. What should we do? What do we report to TJJD?

An assessment must be given within 48 hours of admission. If the 48-hour-timeframe has not elapsed, an assessment should be provided. If the 48-hour period has elapsed, the facility should maintain a detailed record of the juvenile's refusal.

If an assessment is provided, these results should be forwarded to TJJD in the Monthly Folder Extract. If the refusal stands, the department should report this by providing X's for each scale, and an answer of No' must be provided on the question regarding subsequent assessment in the computer system.

We have a juvenile that was released on conditions of release from detention this morning (MAYSI-2 assessment given prior to release) and was returned to detention the next day for failure to comply with the terms of conditional release. We detained the child. Do we have to do give the juvenile another MAYSI-2 assessment since we are detaining for the same referral?

Yes. Even though the juvenile is detained a second time for the same behavior, the standard regarding MAYSI-2 assessment for detention requires an assessment each time a juvenile is admitted into your detention center.

A juvenile is brought to the detention facility. The detention intake division decides not to detain the juvenile. The parents are contacted but cannot pick the juvenile up for another two hours so the juvenile is held until that time. Should the juvenile receive a MAYSI-2 assessment before the detention facility releases him or her to the parents?

If the juvenile is not admitted into detention, an assessment is not required by the detention facility. However, the probation department is required to provide an assessment within 14 days of the referral date if an assessment has not been performed within the last 14 days.

A juvenile is brought into detention at 1:00 AM and is detained. The detention facility releases the child to his parents that night at 8:00 PM after performing a MAYSI-2 assessment. At 11:00 PM the same juvenile is arrested and brought back to the detention facility by the policing agency. Is another assessment required even though we provided an assessment earlier in the day?

Yes. An assessment is required each time a juvenile is admitted into detention.

Our detention facility received a juvenile from a short-term detention (formerly known as holdover) facility. The short-term detention facility gave us a copy of the juvenile's MAYSI-2 assessment results. Are we, the detention facility, still required to perform a MAYSI-2 assessment on the juvenile within 48 hours of admission?

Even though the short-term detention facility forwards a copy of the MAYSI-2 assessment results to the pre-adjudication detention facility, an assessment must be given to the juvenile by the pre-adjudication detention facility within 48 hours of admission. These results shall be provided to the probation department that placed the juvenile in detention.

We, the probation department, receive multiple MAYSI-2 assessment results when a juvenile is held in both a pre-adjudication detention and short-term detention (formerly known as holdover) facility. Which assessment results should be reported to TJJD? Should we enter both results into CW?

The probation department must maintain all assessment results. TJJD recommends that all assessment results for each referral be entered into the computer system. The first assessment will be forwarded to TJJD in the Monthly Folder Extract for analytical purposes.

I heard that a MAYSI-2 assessment is not required if an assessment has been given to the juvenile within the last 14 calendar days.

This is true only when the probation department has a referral without detention activity. Any juvenile admitted into a pre-adjudication detention or a short-term detention (formerly known as holdover) facility must be given an assessment each time they are admitted.

A case was transferred from County A to our county, County B, for disposition. County A conducted the MAYSI-2 assessment prior to transferring the referral to my county. Do we have to give the juvenile a MAYSI-2 assessment since County A did it prior to transferring the case?

This case was transferred to County B for disposition; therefore, County B has a formal referral, and a MAYSI-2 assessment is required. 

If a copy the MAYSI-2 assessment results are forwarded to County B from County A and the screening date indicated on the MAYSI-2 assessment is within 14 days of the receiving county's (County B) referral date, then County B is not required to give the juvenile an assessment. If the screening date on the MAYSI-2 assessment forwarded from County A is more than 14 days prior to the receiving county's referral date, County B must give the juvenile an assessment within 14 days of the referral date.

Our department operates a detention facility and provides contract detention services for several departments. When juveniles are released to the home department for detention hearings, our detention facility discharges the juvenile because we are never sure if the juvenile will return. If the juvenile returns, we will re-admit the juvenile. In these cases are we, the detention facility, supposed to give the juvenile another MAYSI-2 assessment within 48 hours of returning from the detention hearing?

Yes. If the juvenile is admitted into detention a MAYSI-2 assessment is required. While this interpretation of the MAYSI-2 assessment requirement may seem excessive.

For data tracking purposes, a detention record should not be closed when a juvenile is released for a hearing, doctor visit, therapy or other like activities. A detention record shall remain open until the juvenile has been officially released per a court order.

If we are providing courtesy supervision on a juvenile, do we enter the scores in our system if the MAYSI-2 was performed in the original county?

In cases where your jurisdiction is providing courtesy supervision to a juvenile who has had the MAYSI-2 administered by the sending county, you are not required to enter the MAYSI-2 results into the computer system. The county with the official judicial jurisdiction is required to enter the appropriate MAYSI-2 information into the computer system. 

Sometimes our department receives a paper referral and before the juvenile is seen by a probation officer, the prosecutor reviews the offense report and declines to prosecute. What should we do?

For the probation department, the event that triggers a MAYSI-2 administration is the actual "formal" (face-to-face) referral. A MAYSI-2 assessment is not required if the referral is never formalized.

A probation officer interviews a juvenile at the police station immediately following his/her arrest. Before the juvenile is seen again, the prosecutor reviews the offense information and declines to prosecute.

A MAYSI-2 assessment is required for all formal and paper-formalized referrals to the probation department. In this situation, the referral was formalized when the probation officer interviewed the juvenile at the police station (face-to-face contact occurred). A MAYSI-2 assessment is required for this referral.

How do I get an original or electronic version of the MAYSI-2 assessment forms?

The University of Massachusetts has given permission for TJJD and local departments to make as many copies of the instrument as needed for administration and training purposes. MAYSI-2 forms are located in the Appendix of the MAYSI-2 User's Manual and Technical Report. If the text on the forms in your manual are not legible or otherwise flawed, contact John Posey.

Is MAYSI-2 training a part of the TJJD Basic Juvenile Probation Officer training curriculum?

No.

Our department uses clinical interviews performed by licensed therapists for all or a subset of referrals. Do we have to provide a MAYSI-2 assessment in addition to these interviews?

Yes. While an actual clinical interview conducted by a licensed mental health professional is a reliable mental health assessment procedure, the administration of the MAYSI-2 is the screening tool that departments are required to administer per Texas Administrative Code Section 341.36(a), (b) and (c).

Is a MAYSI-2 administration required on paper referrals?

No.

We have a question about the MAYSI-2 CD. How do you score a test that a juvenile has taken on the computer? We have tried to see where to get the results and cannot figure it out.

The MAYSI-2 software automatically creates a file specific to each individual administration of the test. One way to get to that file is to use Windows Explorer to access your C: drive. Find the folder titled MAYSI~2. Double-click on that folder. You can find the juvenile's MAYSI-2 results by locating the file with a unique identification number that begins with prefix s and ends in the suffix Data.txt. Between the prefix and suffix is the PID number that you have assigned to the juvenile. When you double-click on that juvenile's MAYSI-2 results file, a Notepad file will appear with the MAYSI-2 test results.

Do you have an electronic copy of the MAYSI-2 Reference Card (i.e., the color coded laminated two-sided sheet) provided to participants at the MAYSI-2 trainings? We would like to give copies to our employees.

To obtain a copy of the MAYSI-2 Reference Card, please contact John Posey at (512) 424-6702.

Our department receives confirmation from parents as to whether or not a subsequent assessment was preformed by a mental health professional. However, TJJD has written letters indicating the confirmation of a subsequent assessment should come from a mental health professional. Is our current process sufficient?

TJJD recommends that departments contact the mental health professional for confirmation as to whether a subsequent assessment was performed. If the department feels that confirmation information obtained from the parent is reliable, TJJD has no objections. TPC suggests that the source of each confirmation is documented.

The mental health professional will not confirm or deny if a subsequent assessment was performed on some of our referrals because we no longer have jurisdiction. Without the confirmation, we are unable to complete the MAYSI-2 record. What do we do?

If the probation department does not have jurisdiction over the juvenile when the case is referred to the mental health professional for a subsequent assessment, the department may immediately answer No' to the question on the MAYSI-2 record about whether or not a subsequent assessment was provided.

A juvenile who is mentally impaired committed an offense. We tried to give him the MAYSI-2 assessment but due to the impairment we were unable to complete the assessment. What do we do?

On the MAYSI-2 record, enter all X's for each scale and provide an answer of No' to the question regarding a subsequent assessment. Written documentation of the child's mental incapability shall be maintained in the chronological notes.

We have a first offender program in our county. My department diverts our less serious offenders to this program via letter. We never see the children. Do we have to do a MAYSI-2 assessment?

No. If the referral was never formalized (no face-to-face contact), the MAYSI-2 assessment is not required.

Do we have to refer the child to a mental health professional if the MAYSI-2 indicators fall into the referral range?

TJJD strongly recommends the department refer the child for a mental health assessment.

My department transferred a case to another department for courtesy supervision. The MAYSI-2 was administered prior to the transfer, and the results indicated a subsequent assessment was needed. My department asked the receiving department to set up the subsequent assessment with a mental health professional but they denied our request. Is it their responsibility to assist us with the referral to the mental health professional in their area?

If your department sends a juvenile to another department for supervision, the receiving department is not obligated to assist with the referral to a mental health professional. The receiving probation department has extended a professional courtesy to supervise and has the option to accept or deny any request from the sending probation department.

Our department provides MAYSI-2 assessments to juveniles according to the requirements, and we enter the results into our computer system. However, TJJD forwarded me a non-compliance letter indicating we had not forwarded MAYSI-2 results for all the required referrals. I do not understand the problem.

TJJD does not receive MAYSI-2 data until the MAYSI-2 record is complete. By complete, TJJD means there is a value provided for each scale, and a value entered for the subsequent assessment' question. Even though the MAYSI-2 results for each scale may be entered, the MAYSI-2 record will not be forwarded to TJJD until an answer to the subsequent assessment' question has been entered.

According to probation departments, there are situations that may delay the submission of a MAYSI-2 record. First, the probation department is waiting on a response from the mental health professional. Please note it is the responsibility of the probation department to follow-up with the mental health professional to verify if an assessment has been conducted. If within 30 days of the referral to the mental health professional no assessment has been performed, the MAYSI-2 record should be completed. All the scale results should be entered, and the answer to the subsequent assessment' question should be No'. If after this thirty-day period the department learns that an assessment was performed, the MAYSI-2 record can and should be updated.

Secondly, probation departments are experiencing a lack of cooperation from the mental health professional because the juvenile referred is not under the probation department's jurisdiction. If the department refers a juvenile to a mental health profession for a subsequent assessment and the department no longer has jurisdiction over the juvenile, a mental health professional will not release information to the department. In these cases, the department should automatically enter a value of No' for the subsequent assessment' question.

Can the MAYSI-2 be administered to youths in small groups?

Yes. We recommend that: (a) the group is closely monitored by a staff member; (b) the group is no larger than 4 or 5; and, (c) group administration is used only with youths whose reading ability is good enough that they do not have to have the items read aloud to them. The last point is important, because we have found that when the items are read aloud by staff to youths in a group, youths are likely to begin reacting verbally to the items, thus potentially influencing each other's responses. Also, it is possible (although we don't have research data to answer this) that youths' scores might be somewhat different when they answer as part of a group rather than when they are screened individually. From that perspective, it is better to administer the MAYSI-2 individually to youths whenever possible.

Is there a Spanish language version of the MAYSI-2?

Yes, we have a new Spanish version that we can send to you. We recently commissioned a translation and back-translation by a research team of psychologists in Puerto Rico that has done many other Spanish translations of psychological forms and other texts. This translation is most likely to be useful across various Hispanic and Latino communities in different parts of the U.S. It can be considered a more "universal" translation of the MAYSI-2 and not merely relevant to one or two subcultural communities. This new translation replaces the original Spanish language translation that we had been distributing, which we recommended for use in New England only, due to the idiom and language customs used by Hispanic youths in this part of the country. 

Isn't it possible that some youths exaggerate or under-report their thoughts or feelings on the MAYSI-2, so that we don't get an accurate reading of their real level of mental health needs?

For some youths this is certainly true. For a quick screening, triage-type, self-report instrument like the MAYSI-2, it is just not possible to build in items that would help detect these things. To check for over-reporting of symptoms, we strongly recommend that staff spend a few moments discussing youths' responses with them for those scales on which they score very high. This is also a good way to check out whether youths might have said "yes" to certain items for reasons that are not related to the mental or behavioral problems that the items suggest. (For example, some youths respond "yes" to the items about hearing or seeing things that others do not for reasons that don't have anything to do with Thought Disturbance.) Under-reporting, however, usually can't be detected with brief questioning, and that is just one of the weaknesses of instruments of this type that have to be accepted in exchange for their quick-screening advantages. This is one reason that we raise cautions about using the MAYSI-2 for purposes that are beyond its capacity-for example, for drawing diagnostic conclusions or making longer-term treatment or placement decisions.

Our agency is thinking about making an automatic decision rule about Suicidal Ideation scores. If the youth were over the Warning cut-off, staff would put the youth in isolation and under suicide watch. Some of us, though, don't think that such decisions should be made on the basis of a score alone. What's your advice?

We recommend that the Warning cut-off score be used as an automatic decision rule that directs staff to ask another set of follow-up questions, then for the agency to develop protocol about how the youth's answers to those questions are used to decide whether suicide watch is needed. For example, some youths answer "yes" to a majority of the Suicide Ideation questions, but, when asked, they say that they felt that way a month ago (the MAYSI-2 asks about feelings "in the past few months") but not in the past week or so.

When youths score high on a MAYSI-2 scale the day after they are admitted to our detention center, couldn't it just be their reaction to being placed in a secure facility, rather than a sign of something "clinical?"

Yes. At admission, youths sometimes are reacting to their immediate situation when they describe their depressed or anxious feelings, rather than representing some more long-term problem or mental health need. Our study of the test-retest reliability of the MAYSI-2, for example, suggests that, on average, youths will be somewhat less distressed after they have been in detention for a few days. But it is also true that even when their scores decrease, youths who have higher admission scores on Depressed-Anxious than most other youths will also have higher scores than most youths after they have been there for several days.

What's the best way for us to report the percentage of youths above the Caution and Warning scores when we are tabulating data on our youths for agency reports?

Some sites have reported the percent within the Caution zone (e.g., on Depressed-Anxious, scores of 3-5) and the percent in the Warning zone (scores of 6-9). Others report the percent above the Caution cut-off (e.g., Depressed-Anxious scores of 3-9) then the percent above the Warning cut-off. The differences in these two methods are simply a matter of what you want to convey. Use the first method if you want the Caution figure to represent the percent "somewhat in need but not urgent." Use the second method if you want the Caution percent to indicate all youths above a level of clinical significance on a scale. In addition, we recommend that you report the percent of youths who are above the Warning cut-offs on no more than one scale, on no more than two scales, on no more than three scales, etc. This gives another view of the level of need that is often helpful for administrative decisions about policy.

How should we interpret the Traumatic Experiences scale? What is its relation to Post Traumatic Stress Disorder?

Right now we do not know the relation of Traumatic Experiences scores to Post Traumatic Stress Disorder. But we can offer the following guidance.
PTSD is defined in part by (a) exposure to potentially traumatizing experiences, and in part by (b) the presence of various symptoms suggested as a reaction to trauma, such as numbing and feelings of detachment, recurrent memories or dreams of the experience, and emotional arousal problems (like difficulty falling asleep or outbursts of anger). [See pp. 427-428 of the Diagnostic and Statistical Manual of Mental Disorders.]
Presuming that youths are reporting truthfully, it would be very unusual for youths who score 0 on the Traumatic Experiences scale to have PTSD, because PTSD requires exposure to a potentially traumatizing event. 
On the other hand, we cannot assume that youths who have scores of 1 to 5 on the scale have PTSD even if they have relatively high scores. Many youths exposed to traumatizing experiences do not develop the various symptoms associated with PTSD. 
What we can assume is that among youths with scores of 1 to 5 on the Traumatic Experiences scale, a higher proportion of them will have PTSD than among youths with scores of 0. Currently, however, we don't have any research data to tell us what percent of youths with scores above 0 have PTSD. Moreover, we don't know whether the risk increases as scores get progressively higher. Higher Traumatic Experiences scores are produced by having more experiences of a potentially traumatizing type. But you don't have to have a lot of traumatic experiences to develop PTSD. It could happen with just one.

Why isn't there a Thought Disturbance scale for girls?

When we factor analyzed the MAYSI-2 items, a factor arose for boys in which all five items in the factor seemed to refer to beliefs and feelings associated with thought disturbance (e.g., seeing and hearing things that others don't, feelings of unreality, beliefs that others can control one's thoughts). A factor arose for girls that also had the "seeing and hearing things" items in it, as well as three other items. But the other three items didn't seem to have anything logically to do with thought disturbance. Rather than have a potentially unstable two-item scale for girls, we decided to go forward without a Thought Disturbance scale for girls. We do not know why the items in the boys' factor did not appear in the girls' factor. Certainly thought disturbances do appear among delinquent girls. Further research with other samples of girls might locate a set of items in the MAYSI-2 that suggest Thought Disturbance. But in the meantime, we cannot recommend using the boys' Thought Disturbance scale for MAYSI-2 screening with girls.

Are there ethnic group differences in MAYSI-2 scores?

This question requires several answers.
First, sometimes one finds differences between ethnic groups in the degree of internal consistency (reliability) of items or subscales. In the Massachusetts sample and a California Youth Authority sample, the differences of this type for non-Hispanic white, Hispanic, and African-American youths were so small that they did not seem important.
Second, in the Massachusetts study, we did find some differences in mean MAYSI-2 scale scores between various ethnic groups, but only for boys and only on a few of the scales. For example, African-American boys as a group were somewhat lower on Angry-Irritable, Alcohol/Drug Use, and Depressed-Anxious than one or another of the other ethnic groups. Take a look at pp. 60-61 of the MAYSI-2 manual for a discussion of those differences and the various reasons they might occur. For example, such differences don't necessarily mean that the MAYSI-2 is less valid for some ethnic groups than for others. In addition, it doesn't necessarily mean that African-American youths are less "angry" or less "depressed" than other youths. It could simply mean that emotional problems and being referred to the juvenile court aren't as closely related to each other in one ethnic group as they are in another.
Third, as other juvenile facilities and programs around the country have begun to examine their own MAYSI-2 data, they have sometimes found no ethnic differences of the type we found in Massachusetts, and at other times have found that mean scores for African-American youths on the above scales were actually higher than for other groups. In other words, the answer to this question might vary from one jurisdiction to another.
Therefore, we don't know the answer to this question with our present data. For the time being, the only way to determine the answer is for juvenile facilities or programs to examine their own databases on their own youths.

We find that when we use the Warning cut-off scores, a greater percent of our detention youths are above the cut-offs on some of the scales than the percentage that was described in the MAYSI-2 manual. For example, while the manual says that about 8% of boys will have a score of 6 or above (the Warning zone) on Depressed-Anxious, about 20% of our boys are at that level! What's the problem here?

There may be one or more problems. First you'd have to make sure that you are administering the MAYSI-2 in the same way that we describe its administration in the manual. If you are, then it's quite possible that you just have more boys in your detention centers with very depressed feelings than we had in the Massachusetts study.
How could that happen? One can think of a number of possibilities.
For example, perhaps you have less than adequate mental health services for youths in your community, resulting in disturbed youth being more often referred to juvenile court than to mental health services when they get into trouble environmental and social conditions in your community might be such that the level of depression in the general youth population there is higher than for youths in general in our study; or, conditions of your detention centers to which the youths have just been admitted may be more depressing or frightening. 
The main message, though, is that juvenile facilities and programs around the country should not automatically presume that the proportion of youths above various cut-off scores in their programs will be the same as in the norms provided in the MAYSI-2 manual. Programs are encouraged to develop databases for their own youths, to examine those percentages, and then to consider the implications of adjusting the cut-off scores for local conditions. Don't forget, however, that adjusting the cut-off scores does not make the problem "go away." In your case, raising the cut-off will adjust things so that you are identifying just the top 10% of your youths. But by raising the cut-off, it means that you are going to ignore some youths who, if they lived in other communities, would be considered seriously in need of mental health services.

We give the MAYSI-2 to all youths entering our local pretrial detention center. Now we have prosecutors wanting to use the information against kids, and probation officers want to use it to make treatment decisions at disposition. What do we do?

There are two main reasons why the MAYSI-2 results should not be used in these ways.
First, the results of the MAYSI-2 do not necessarily describe a youth's long-range rehabilitation or treatment needs. The MAYSI-2 isn't diagnostic, and it doesn't distinguish between emotional distress at the moment and more enduring mental disorder.
Second, if staff knew that the MAYSI-2 results could be used in youths' delinquency or dispositional hearings, staff would be required to warn youths that this might be the case before they took the MAYSI-2. (Youths have the right to avoid providing information that might help in finding them delinquent.) Warning them, of course, would increase the likelihood that they would fail to respond openly about their thoughts, feelings, and past behaviors. So the possibility that mental health screening information could be used against youths basically invalidates the mental health screening. In some places where this question has risen, detention administrators often have been able to obtain agreements from prosecutors or probation staff that the MAYSI-2 information will not be used in this way. In others, state statutes have been changed to prohibit the use of mental health screening information in any legal proceedings against youths.

We heard that you may be developing a MAYSI-3. Is this true?

No, there are no plans to develop a MAYSI-3 Some time ago, NYSAP received a telephone call. The caller asked if it's true that we are developing a MAYSI-3. A member of our staff asked how the caller thought the MAYSI-2 could be improved. The called replied, "Well, just so! We love it the way it is."

Can you explain when we would use the code "X" on the MAYSI assessment?

As you are scoring the assessment, you will place an X through all numbers of items for which the juvenile did not provide an answer. Then, on each scale, count the number of X's on both scoring columns. If the number of X's is greater than two for scales with eight to nine items, or if the number of X's is greater than one for scales with five to six items, you will respond with an X on the MAYSI Screen for that screen-ing category. Further explanation of the MAYSI scoring can be found in the Appendix of the Massachusetts Youth Screening Instrument Second Version provided at the MAYSI trainings.

The MAYSI Screen asks if the juvenile received a subsequent assessment by a mental health professional. Sometimes our department does not know if an additional assessment was given. How do we answer this question?

It is the responsibility of the juvenile probation department to follow up with the mental health professional to see if an assessment was conducted. While a response to the subsequent assessment question does not have to be filled in by the disposition date, it should be answered within 30 days of the referral to the mental health professional.

 

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