Many schools and communities conduct regular surveillance surveys to monitor student mental health risk. These surveys rarely ask about use of mental health services, despite the potential importance of this information to support service planning and resource allocation. The current study developed and tested the Adolescent Mental Health Support Scale (AMHSS), a brief self-report measure that can be added to student surveillance surveys to evaluate adolescent mental health service use. The AMHSS includes questions assessing desire to use mental health services, use of mental health services, and barriers to accessing school mental health services. The development process included: (1) a search of the literature for existing questions to include in a question bank for use or adaptation for the new measure; (2) focus groups with adolescents to learn about their conceptualization of mental health services and obtain feedback on candidate survey items; (3) expert review and validation by school-based mental health service providers and research experts; and (4) survey administration and evaluation of psychometric properties. The AMHSS was administered as part of the fall 2018 MetroWest Adolescent Health Survey to students in 27 communities in the MetroWest region of Boston, Massachusetts. Analysis of survey results from 12,924 middle and 26,318 high school students indicated that response patterns were consistent with well-established demographic patterns in help-seeking and mental health service use. Results provide initial support for the AMHSS as a brief measure of mental health service use that could be administered in surveillance surveys to adolescents, with the goal of improving services access.

许多学校和社区定期进行监测调查，以监测学生的心理健康风险。尽管这些信息对于支持服务规划和资源分配具有潜在的重要性，但这些调查很少询问心理健康服务的使用情况。当前的研究开发并测试了青少年心理健康支持量表 (AMHSS)，这是一种简短的自我报告措施，可以添加到学生监测调查中，以评估青少年心理健康服务的使用情况。AMHSS 包括评估使用心理健康服务的意愿、心理健康服务的使用以及获得学校心理健康服务的障碍的问题。开发过程包括： (1) 搜索现有问题的文献，以将其包含在题库中以供使用或适应新措施；(2) 青少年焦点小组了解他们对心理健康服务的概念并获得对候选调查项目的反馈；(3)校本心理健康服务提供者和研究专家的专家评审和确认；(4) 心理测量特性的调查管理和评估。AMHSS 是 2018 年秋季 MetroWest 青少年健康调查的一部分，针对马萨诸塞州波士顿 MetroWest 地区 27 个社区的学生。对 12,924 名中学生和 26,318 名高中生的调查结果的分析表明，响应模式与寻求帮助和心理健康服务使用方面的公认人口模式一致。