Vanderbilt Mental Health Self Efficacy Questionnaire Grade 11/Year 12 Fast Track Project Technical Report Jennifer Godwin January 29, 2004 Table of Contents i, Scale Description ll, Report Sample Ml. Sealing IV. Differences Between Groups V. Recommendations for Use VI Item and Scale Means and SDs Vil. Item and Scale Correlations Appendices: SAS scoring program Citations Instrument Bickman, L., Earl, E., & klindworth, L. (1991). VMHSEQ. Nashville, TN: Vanderbilt University. Bickman, L., Heflinger, C.A., Northrup, D., Sonnichsen, S., & Schilling, S. (1998). Long-term outcomes to family caregiver empowerment. Journal of Child & Family Studies, 7, 269-282 Reports Godwin, J. (2004). Vanderbilt Mental Health Seif Etficacy Questionnaire (Fast Track Project Technical Report). Available from the Fast Track Project website: http://www fasttrackproject.org Data Sources Rew. PIZAF Scored: vMH12 |. Scale Description The Vanderbilt Mental Health Self Efficacy Questionnaire was developed and used by Bickman and his colleagues (1991) as part of the Family Empowerment Project. The measure consists of 25 Likert scale items measuring parents’ self efficacy beliefs and behavioral expectations about obtaining and participating in mental health treatment for their children. Seif efficacy is a parent's assessment of his or her ability to meet a desired goal. Parents rate each item from strongly agree (1) to strongly disagree (5). The statements associated with the items are lsted in the tables below. Whether or not parents receive this measure depended on their responses in the Service Assessment for Children and Adolescents (SACA) measure. The VMHSEQ is only administered if a parent reported in the SACA that their child received services from at least one of the following facilities/providers: a psychiatric hospital 2 general hospital for emotional, behavioral, or druglalcohol problems a residential treatment center, 2 group home some other overnight facility for emotional, behavioral, or drug/aleohol problems a mental health care center day treatment or partial hospitalization‘+ addrug andlor alcohol treatment center ‘+ care from an in-home therapist or family preservation worker + respite care ‘+ care from a counselor or therapist I. Report Sample These exploratory analyses were conducted with the control sample (n=155) and the normative sample (n=387, N=463 with overlap) from the first cohort during the twelfth year of the study. Overall, 381 records were missing the whole measure, however, this is not surprising given that the VMHSEQ was only given to a subset of the sample whose child received mental health services. One Hundred and seven respondents were missing from the control sample (24 from Durham, 28 from Nashville, 30 from Pennsylvania, and 25 from Washington) and 332 respondents were missing from the normative sample (88 from Durham, 82 from Nashville, 89 from Pennsylvania, and 73 from Washington). Ml, Scaling Following the procedure developed by Bickman and his colleagues (1998), the 25 items in this measure are combined to create one scale capturing a parent's self efficacy regarcing mental health services for their child. The 25 Likert items are summed together after the values for several of the items are reversed such that higher values indicate higher levels of self efficacy. The reversed items include: P12AF7, P12AF9, PI2AF10, P12AF11, P12AF12, P12AF15, P12AF16, P12AF19, P12AF22, P12AF23, P12AF25, P12AF27, PI2AF30. Cronbach's alpha was calculated for the subscale and is shown in the table below: ‘Cronbach's Alpha for Scales High Risk Variable Normative Control 12 Mental Health Self-Erficacy Scale oss oss (vii 2sen) ‘The Vanderbilt Mental Health Self Efficacy Scale has a high level of reliability for internal consistency in both samples. \V, Differences Between Groups The ttest results, displayed below, reveal that the mean Vanderbilt Mental Health Self Efficacy Scale scores are not statistically different for the high risk control and normative samples, In addition, the means for the individual items are not statistically significantly different for the normative and high-risk control samples.9706 1565/9817) 1413| 79/027) a7002 442) 095/ 361) 0G: 60) -147| 01462 412 101) 381) 09 60) -141/ 01032 442) 091/ 404) 068) 80) -043| 08875 412, 101) 404) 080/60) -038/ 07085 418) 105) 400, 096 78) -077| oasi0 371, 129/378) 100 78) 032| 07801 408) 101) 402) 081) 0) 040/ 08512 350/410) 388) 090) 60) 124] 0.2565 347) 408) 377) 100/70) 127/ 02004 384) 088) 383) 082/78) -052| 0.8020 408) 083) 368) O87 78) -025| 08060 448, 005/ 419, 095 70) 021/ 08362 403) a7| 418) 071) 78) 062| 03508 428) 093| 406) 002) 70) -007| 03971 408) 085) 413) O77 78) 038| 07089 492) 077| 426) aT 78, 085| 03055 418) 105) 400) 098) 78) -068| 0189 378) 115) 364) 111 78) 061| O40 350 090) 330, 108 78, -089| 03760 3a 100/370) 086 79) -o9s| 047i 355, 082) 364) 082/78, -004/ 0.9663 400) 085/368) 086) 78) -048| ose 324 421/321) 100) 70) -000/ oarsV. Recommendations for Use ‘The Mental Health Self Efficacy Scale has high reliability and has a normal distribution. See Bickman, Heflinger, Northrup, Sonnichsen, & Schilling (1998) for an example of its use.VI. Item and Scale Means and SDs ‘Y12 Mental Health Self Eticacy Scala I bsleve that | can help menial health service provers in treating my cid Reversed: There isnot much that | can do te work wth mental heath services| | know that | ean do what needs fo be done to work with my chs mental health services ‘Roversod: What goes on in mental heath services isjust too complicated for | 48| 404) 080| 200/500 me fo deal with Roversod itis only wshful thinking to bobove that | can realy bepatofmy | 47| 400, 098) 200/500 chiks mental healh services Reversed: There litle |can do to change what's done bythe people who | 47/378. 1.00) 200, 5.00 provide teaiment for my cid Reversed | often fee! that ts hopeless fo ty fo deal win mental neat 48) 402, oat] 200) 500 services ind iteasy to tel service providers how my child and famiy should betreated | 48| 385, 098) 200/500 ‘My skils in deaing with mental health services wll elp me to change things | 47/377, 100/100, «S00, that might be wrong with my chi’ treatment Reversed: No matter how hard ty, my child wont ge the mental health 47| 363) 092| 200/500 services that my chid naeds Reversed Wien something goes wrong with my chids reaiment thereisiitle 47 988 087, 200, 500 ean 6 to atest services Parents ike me can change the course of our chlden's treatment fwe make | 47/ 410, 005) 100/500 urseves heard What | do to work with mental Neal services wil help my chid togetthe best 47) 418 O71, 200/500 possible treatment Roversod With al of the responsibities Ihave, t would not be possible forme | 47/ 406) 092/200 $00 {oDe very involved in my chie's eatment pian night now Hook forward to participating actively in my chi’ treatment pian a7| 413, 077) 200/500 inland tobe involved inthe plan for my chic's treatment a7| 426) 067) 200/ S00 Reversed | Teel overwhelmed when asked fo do things about my chid's a7] 400, 098) 200/500 treatment Roversod | have hardly ever gotten what my chid needed fiom mentalhoath | 47/ 364) t11| 100/500, services, no mattor what | have dona ‘Dealing wir mental health services on behalf of my child tumed out to be a7] 320, 108] 100] 500 ‘eesier than I thought would ‘Reversed | have found out that what is going to happen wih my chid’s mental | 47/ 370/ 096| — 200/ $00 eal tealmen al appa, No matter what | do [pave made an important ference in the mental heath weaimentthetmy | 47/ 364 092| 100/500 chi has received ‘Roversod’ | dont know how to get information onthe best mental health a7| 380) 098] 100] 500 serves for my end [pave seen other parents desl effectively with mental health services fortheir | 47/ 321, 100/ 100/500 cnueren‘Other parents have taught me now to get what my chid needs tom mental health services Reversed: No meter what others say or do, | do nol think that shouldbe involved in my child’ treatment 'Y12 Mental Heath Set-Eticacy Scale | peteve tnt | can halp mental heath serve provides n waating my child Reversed. There is nat much that I can do to work with mental health | know that | ean do whal neds to be done to work wth my chiles mantal 400) 082) 200) S00] health services Reversed Wha goes on in mental halth services is ust ioe complicated or | §5| 400) 095| 200/509] me to deal wtn Reversed It's only wishful thinking fo beleve that can realybe part ofmy | £4/ 409/ 105| 200/509] his mental heath services| Reversed: Tere is ito can doto change what is done by the people who | $4/ 378 118| 100/509] provide treatmant for my chia Reversed | often feel that tis hopeless tory to deal wih mentalhestth | £5. 404 080/100, 8.09] [ng easy 1 tel service providers how my child and tamiy shouldbe | =8| 364] 108| 100, 5.09] ‘vealed My skis in dealing with mental health services will help me to change things | £4 305/ 088/100, 8.09] ‘that might be wrong with my chlt's treatment Reversed. No matter how hard | ir, my child won't get te mental neath | §4/ 3.a7/ 095| —t00/ 5.09] ‘Services that my chid needs Reversed: When something goes wrong with my chik’s teatment,thereis | §4 396/ 090/ 200, 5.09] litle I ean do to afect services PParons ike me can chenge the course of ourchidren’s weatmentifwe | §4/ 420/ 0.90/ t00/ 09] rake ourselves heard ‘What do to work with mental health services wil help my child togetthe | §4/ 411/ 077/200, 800] best possible tietmant Revarsed With al ofthe responsibilities Ihave, twouldnotbepossiblefor G4 413, 087-200, 8.09] me tobe very ewolved in my child's Weatment pan ight now ook forward to participating actively in my chid's treatment plan sa) 407) 082) 200/500 {intend fo be involved inthe plan for my chil’ treatment 54) 420| o71| 200/509] Reversed: | feel overwneimed when asked todo things about mycnikts | §4/ 400/ 101| 200/509] ‘veatment Reversed | have hardly ever gotten what my chid needed from menisl =| 4-305 147/00, 8.09] health services, no matter what have done Dealing with mental hesith services on behalf of my chidtunedeuttobe | §4 345/ 097/100, 5.09] ‘easier than | thought it would Reversed | have found out thet whats gong tohappen wih my his | S4.-983/ 102/200, 8.09] mental natin treatment wil happen, no matter wht do[nave made an important cference in te mental health treatment that my hid has received Reversed._| dont know how to get information on the bast ments health services for my child | nave seen other parents deal etfecbvaly with mental health sovices fr ther children ‘Other parents have taught me how to get what my chid needs from mental 250) 102/100 500] heattn services Revarsed. No matter what others say or do, | do not think tat | should be 431) 00a) 100/809] involved in my chi treaimentVil. Item and Scale Correlations 1900/0474 0730] 0755 0738) o6a6] 0686) 0750/0482] 0850 ‘0000| 9.900) 0.000, 0000) 000] e00| + o000/ © c.an0| Dono| er] st, at] st] at 31 8 8 8 3 ara] 1000) 0488 378] 027/028] 0268 osr2| 00%6| 0412 0000 ‘000 9000] ots} ors] ngao| cons] oses| 0.00 1, 2, a2| | a ol et 2) a2. 8 0730/0498) 1000) 909/860 0822| 0621| 0840, oat, ens| ‘0000 8000 0000, 000, 0.000 o600| 000 cost| —D009| ei] 82, a| a] 81 Bt a2, aa. 3 0765/0378) 0809 1000, 05a o4si| o4m1| ona 0.42, 0 4as| ‘e000 0.000) 0.000 ‘000; 0000] 0.000] 000] .002| 0.000] Bi] 82, 82| we | 31 8 2) 82. 31 ‘a73e| 07%) asso} seo) 1000/71} osm| srs] aves) 40a] ‘000; 0013, 0.000] 0.000 2.000) 0.000} 000/003] 0000] i] 2) a] 8] 81 8% 2) a2: 3 ‘oges| 0268) 0522) o481| 071 1.000; oer7| cee) a23| ott ‘000| 0015, 0.000 0.000 9.000 000) 0000/0028} ons | at) at] as] 8 et ot 8 8 ‘aeta| 0288) osm) 4m) oss1| og77| 1000| ages! omi7| 0489] 000} oc20/ 0.000 9.000} 0.000} 0.000 0.000) 0.004] 0.000 er] st) ai] Bi] at 31 8 Bt 8 31 ‘o7so| 0372) os) gos) osrs| osz0| oeea| 1.000| cue) oa74| 0000} 0001, 0.000] 0000 9.000 0.000] 0.000 0086, D001 e122] a] 81 et 2) a2. 8 ‘o4s2| ogee) 0216] oa) o4e1/ o243| ost) 0200| 1.000/ _o476| 000] o3e1| ofs1| 002} o103| nae} noo] case. 000] 1, 2, a2] | 8 et 2) a2. 8 ‘ogs0| 0472) 0885| o48s| 0.409) oats! ose ogra 0.476, 1000] ‘e000 con) 0.000 0.000 9.00| oo0s| nooo] cont) 0.000, i] at) at] at] 8 et et 8 or ‘avoa) 0260) otal oser) 04mm) oaos| aam| sar) o2a7/ oaia| ‘c000| 01) 0.000] 9.000 0.000) 0.000} 0.000| 0000] a.007| 0000] a1] at) at] ea] at 31 a at 8 a ‘oeog| 0249) ost] o805/ o5ea) otal o612| ona! 0.988) 0409 ‘0000 oc2s| 0.600.000 o.c00/ 000} oc00| 000 c.ans| —D009| ei] at) at] at] 81 et 8 8 8 ‘a7to| 0208) sie! os) o4ss| oa7e| osea| 46a] 0400/0610] ‘G000| 0061/ 0.000] 0.000 0.000 0.000} 0.000 o000| a.000| 0.000] a1] et) at] ea] at 31 a at 8 a ons, 0295 0898 0805 ose, 02/0962, osnr| | ame, sar| ‘0000 con) 0.600.000 aoa) docs} oor! 000 o.0a2| —Don9| i] at) at] at] 8 et 8 8 8 ‘ass7| 026s) oss| o263| oase| ogra| osos| osvo| aver) o26| 000] 0021) 0.000 0.001| 0.000 0.000 0.000| 0000] ae2| aos] a1] at) at] aa] 81 a at 8° a10ul038408800412) ae 0285, 0155) O28 000) 0000, 0000/00 O35, ONs7| 0000 a at at a a a a 0465, 0202/0242) 0162, 0473, cura) an 0468) 0071/0030, oer, «O23, osr| ara a ao at a a ot a ome) o«30/ ogra] 0222 0077/0028) an 0007) 0.000, 000] mu, Oto, G85) 0.380 8 Bt Bt 31 3 at at 0486 ar7|oss8) 0607 174, 0028, 261 dono) —on01| © c000| oon onto, | 0828] ona 8 3 3 31 a 3 3 0465) o4i| 0452) 0647 0267, 00a) am20 ox) 0000/0000 00 Oo, © Oa18| © a at at a a eo a 096/ o402| oss) ome o1s7, 0048, ary bon:) 000/000] aur, «over, O71] 15 8 3 3 3 at 3 31 ose 0262/0519) 0am o20s| 00s, 0205 boo) 0013, o00| a0 es, «0 Sa5| ©0008 a to at a a a a or O88 ote) os ove, 0298) 04s) bax) on00/ | ours] oon, «O10, dar) 0.000 3 3 at 31 at 3 31 o201/ oss2| 0403) oa o2te| 017s) oss bar) 000/000] an, Ooee, OB] 000 ol o o 8 a at 31 21 0%00/ 0512) 04m oat, 0111) 0460) 0030) 0.000/ | 0000| 00 one2, 0325) 0.000 8 Bt Bt 8 a Bt 3t 02) Oso7/ 0215) 057 0205, 0204) 085 ox) 000/053] on, © Ones © GOs) © 0.000 3 3 3 31 2 3 31 04s) 0905/0995) 0808 o4ta| 0078) 0208 boo) 006/000] on, © occo, | oaa2| 70 8 3 3 31 31 3 3 tooo) 0188) o400| oxe7| 0276 cars| ora] 1se| 0000 0001, oars, asts| ost ar at at a a a a 0488) 1000/ 0975| 0691 0403 0031) ota 080 aor] oon, oae1, oars) et ar 3 31 a 3 31 04a) 0375/1000) 0497, o208| 008s) a..e7 ooo) nor 000, odes, aasz, Ota 3 at a a a a at 121000) at xs 00: 3 0355 007 a 1 000) a 0080 Osa a 405 0003 a 0073 “00a ‘0.085 2.060 405 1.000) “0.148 O51, 0474) 0452) “Used 0.000 0122 8 at 3 21 a a 3 oor) o3t4|oter| oate coves) 0148) 1.000 ber) 000s) ota) © 000 Ota7| Oa a at at a a a at 13Appendix - SAS Scoring Program (Scoring program removed) 4