2.  Juvenile is a 15 year old, mixed race, female
who is entering the Lee County Juvenile
Detention Center for the 3rd time.
 Charge is Domestic Violence; juvenile and
mom had altercation over juvenile skipping
school which turned physical; juvenile also
tested “hot” for marijuana
 Juvenile attended court where she was given
21 days with hold for plan (after 21 days will
have to re-appear in court for final plan)
 Judge asked that juvenile be assessed for
inpatient A&D program

3.  Juvenile was given the MAYSI – 2 Questionnaire
which is a requirement of the Detention Center
by Senate Bill No. 2818 which states that “All
juveniles shall undergo a health screening
within one (1) hour of admission, or as soon
thereafter as reasonably possible.
 Juvenile was given the SASSI – A2 by the
counselor after the initial question and answer
session.
 It was determined that juvenile used marijuana
on a daily basis and further information was
needed to be gathered to determine what
type of treatment juvenile would need;

4.  The MAYSI-2 is a standardized, reliable, 52-item, true-
false method for screening every youth of ages 12-17
entering the juvenile justice system, in order to identify
potential mental health problems in need of
immediate attention.
 The MAYSI-2 provides information that alerts staff to
the potential for the following mental and behavioral
problems: Alcohol/Drug Use, Angry-
Irritable, Depressed-Anxious , Somatic
Complaints, Suicide Ideation, Thought
Disturbance, Traumatic Experiences
Resource: WWW.assessments.com

5.  The SASSI-A2 can be used by counselors in school,
mental health facilities, and juvenile justice programs
as a screening inventory to determine if an
adolescent is in need of further, more in-depth
assessment of substance use disorders (User’s Guide,
SASSI Institute, 2001).
 The SASSI A-2 is designed to discriminate between
adolescents who have a high probability of having a
substance use disorder (abuse or dependence) and
those with a low probability. In addition, the profile
can be used to generate clinical hypotheses about
the respondent. The SASSI’s unique contribution has
been to detect substance abuse problems even
when the respondent denies or attempts to conceal
such problems (Miller & Lazowski, 2001).

6.  No history of medical conditions
according to juvenile
 No developmental delays; juvenile is on
track in 9th grade at age 15
 Juvenile’s mom is diagnosed as Bi-Polar I,
according to juvenile
 Juvenile has never been assessed for
mental health conditions as she refuses
to receive help for anger issues and
defiance

7.  Juvenile is currently in 9th grade at Tupelo
High School Advanced Academy which
works with children who are truant and
fall behind in school
 Juvenile skips school often and refuses to
do work when attending school stating “I
do not like school and just want to get
my GED.”
 Juvenile school records indicate that
grades are average

8.  Juvenile has a very volatile home life.
Juvenile and mom have had numerous
physical altercations.
 Juvenile has been in JDC one other time
for Domestic Violence which was due to
altercation with mom.
 Socially juvenile makes poor friend
choices and stays in trouble for skipping
school and hanging out and getting
high.

9.  MAYSI – 2
› Juvenile scored in the caution range for somatic
complaints on the MAYSI-2.
› Juvenile did state that headaches were much of the focus
of somatic complaints
› Juvenile scored low on Alcohol/Drug use, Angry/Irritable,
Depressed/Anxious, Suicide Ideation, Thought
Disturbance, and Traumatic Experience
 SASSI-A2
› Juvenile answered questions based on the past six months
› In using “The Decision Rule” the juvenile had one rule
marked yes and scored below 15 on the SCS which
indicates that there is a high probability of having a
Substance Abuse or Dependence Disorder
› Due to scoring 15 or less on the SCS the juvenile is more
likely to have a Substance Use Disorder

10.  MAYSI-2
› The findings from the MAYSI-2 were accurate with the juvenile’s
behavior pattern. The juvenile did not want any assistance with
anger issues upon talking with her. The juvenile did not feel as if
she had really done anything inappropriate, therefore I did not
expect her scores to reflect any elevation angry/irritable or
suicidal ideation. I am however surprised that the alcohol/drug
use was not high. I feel as though our relationship had not
developed yet which caused some bias on the answers on this
particular section.
 SASSI-A2
› The SASSI-A2 findings were not surprising. By this point the juvenile
and I had developed a rapport and I feel that the questions
were answered honestly.
› The juvenile does have a problem with marijuana use as she
admitted to using every day.
› This information makes recommendation for in patient treatment
more viable.

11.  DSM Diagnosis
› Axis I 305.00 Cannabis Abuse
313.81 Oppositional Defiant Disorder Exhibits some
Conduct Disorder Traits
Axis II V 71.09 None
Axis III none
Axis IV poor coping skills, poor decision making skills, issues with
authority, issues with primary support group; refusal to seek help
with anger in counseling
Axis V GAF 62
 Recommendations
› AOP (Adolescent Offender Program) for assistance with anger
issues/drug issues or;
› Family Resource Center for family counseling as well as individual
counseling;
› Juvenile will be hostile toward any counseling; the court may find
it necessary to include counseling as a condition of her release

12.  www.assessments.com
 www.minddisorders.com
 Senate Bill No. 2818 (as sent to Governor)