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Screening for mental health needs of New Zealand youth in secure care facilities using the MAYSI-2

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From Māori Health Review Issue 74
Authors:
  • McArdle S et al.
Summary:

These researchers sought to determine the prevalence of probable mental health disorder and related needs among young people in secure facilities in NZ. The analysis used Massachusetts youth screening instrument – second version (MAYSI‐2) data obtained from the records of 204 young people admitted to a single secure care facility over a 12-month period. Nearly 80% of the cohort scored above the ‘caution’ or ‘warning’ cut‐off point for the MAYSI‐2 score, which was a substantially higher proportion than what has been reported by studies from other countries. Girls, Māori and Pacific Islanders tended to have a higher rate of probable psychopathology.

Comment:
Further evidence on the overlapping issues for those in secure facilities – mental health needs that aren’t being met, often alcohol and drug dependence that isn’t treated, an increased likelihood of having an undiagnosed traumatic brain injury, and a justice system that has failed to identify, let alone address, these. I hope the plan to have ‘rehabilitation programmes’ in prison will start with better screening.
Reference: Crim Behav Ment Health. 2018;28(3):239-54
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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