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Comparing Computerized Adaptive Testing-Mental Health (CAT-MH) and Behavioral Health Measure-20 (BHM-20) screening measures in college mental health.

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Title: Comparing Computerized Adaptive Testing-Mental Health (CAT-MH) and Behavioral Health Measure-20 (BHM-20) screening measures in college mental health.
Authors: Kuhn, Julia (AUTHOR), Baldwin, Lauren (AUTHOR), Kebschull, Elizabeth (AUTHOR), Nili, Parissa (AUTHOR), Yu, Jeremy (AUTHOR), Sharma, Bhargava (AUTHOR), Leaks, Broderick (AUTHOR), Sobell, Janet (AUTHOR), Peterson, Bradley S. (AUTHOR), Siegel, Steven J. (AUTHOR), Prince, Mark A. (AUTHOR)
Source: Journal of American College Health. Jul2026, Vol. 74 Issue 6, p1745-1751. 7p.
Subjects: Competency assessment (Law), Computer adaptive testing, Substance abuse, Early medical intervention, Suicidal ideation, Mental health services, Student health services, Undergraduates, Graduate students, Sex distribution, Questionnaires, Anxiety, Psychological well-being, Race, Eating disorders, Psychometrics, Intraclass correlation, Psychological tests, Medical screening, Comparative studies, Mania, Counseling, Data analysis software, Psychosocial factors, Mental depression, Reliability (Personality trait), Educational attainment, Evaluation
Abstract: Objective: Mental health screening tools support the process for connecting individuals to appropriate care. Participants: This study compared two such tools, the BHM-20 and the CAT-MH, among first-year undergraduate and graduate students. Methods: Students completed the CAT-MH and, if referred to the counseling center, also took the BHM-20. We analyzed four domains: suicidal ideation, depression, anxiety, and mania. Concordance between the tools was examined using intraclass correlations (ICCs) overall and across demographic subgroups. Results: Results showed poor agreement in most domains, with mania performing significantly worse than others. Moderate reliability was observed for anxiety overall, though not among Asian students, and a few subgroup ICCs showed moderate reliability. Overall, the CAT-MH and BHM-20 demonstrated limited agreement in college students. Conclusions: The BHM-20 may be better suited for repeated follow-ups, while the longer CAT-MH provides more comprehensive evaluations useful at intake. Providers should be aware that the two measures may not converge to the same symptom severity levels across domains, which could add confusion for treatment planning and evaluation over time. Further research is needed to refine screening across diverse student groups. [ABSTRACT FROM AUTHOR]
Copyright of Journal of American College Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Comparing Computerized Adaptive Testing-Mental Health (CAT-MH) and Behavioral Health Measure-20 (BHM-20) screening measures in college mental health.
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+American+College+Health%22">Journal of American College Health</searchLink>. Jul2026, Vol. 74 Issue 6, p1745-1751. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Competency+assessment+%28Law%29%22">Competency assessment (Law)</searchLink><br /><searchLink fieldCode="DE" term="%22Computer+adaptive+testing%22">Computer adaptive testing</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Early+medical+intervention%22">Early medical intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Suicidal+ideation%22">Suicidal ideation</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Student+health+services%22">Student health services</searchLink><br /><searchLink fieldCode="DE" term="%22Undergraduates%22">Undergraduates</searchLink><br /><searchLink fieldCode="DE" term="%22Graduate+students%22">Graduate students</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+well-being%22">Psychological well-being</searchLink><br /><searchLink fieldCode="DE" term="%22Race%22">Race</searchLink><br /><searchLink fieldCode="DE" term="%22Eating+disorders%22">Eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Psychometrics%22">Psychometrics</searchLink><br /><searchLink fieldCode="DE" term="%22Intraclass+correlation%22">Intraclass correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+tests%22">Psychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Mania%22">Mania</searchLink><br /><searchLink fieldCode="DE" term="%22Counseling%22">Counseling</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Reliability+%28Personality+trait%29%22">Reliability (Personality trait)</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+attainment%22">Educational attainment</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation%22">Evaluation</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Mental health screening tools support the process for connecting individuals to appropriate care. Participants: This study compared two such tools, the BHM-20 and the CAT-MH, among first-year undergraduate and graduate students. Methods: Students completed the CAT-MH and, if referred to the counseling center, also took the BHM-20. We analyzed four domains: suicidal ideation, depression, anxiety, and mania. Concordance between the tools was examined using intraclass correlations (ICCs) overall and across demographic subgroups. Results: Results showed poor agreement in most domains, with mania performing significantly worse than others. Moderate reliability was observed for anxiety overall, though not among Asian students, and a few subgroup ICCs showed moderate reliability. Overall, the CAT-MH and BHM-20 demonstrated limited agreement in college students. Conclusions: The BHM-20 may be better suited for repeated follow-ups, while the longer CAT-MH provides more comprehensive evaluations useful at intake. Providers should be aware that the two measures may not converge to the same symptom severity levels across domains, which could add confusion for treatment planning and evaluation over time. Further research is needed to refine screening across diverse student groups. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Journal of American College Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=195126939
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/07448481.2025.2607141
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      – Code: eng
        Text: English
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        StartPage: 1745
    Subjects:
      – SubjectFull: Competency assessment (Law)
        Type: general
      – SubjectFull: Computer adaptive testing
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Early medical intervention
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      – SubjectFull: Suicidal ideation
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      – SubjectFull: Mental health services
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      – SubjectFull: Student health services
        Type: general
      – SubjectFull: Undergraduates
        Type: general
      – SubjectFull: Graduate students
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Psychological well-being
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      – SubjectFull: Race
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      – SubjectFull: Eating disorders
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      – SubjectFull: Psychometrics
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      – SubjectFull: Comparative studies
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      – SubjectFull: Mania
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      – SubjectFull: Counseling
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      – SubjectFull: Data analysis software
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      – SubjectFull: Educational attainment
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      – SubjectFull: Evaluation
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      – TitleFull: Comparing Computerized Adaptive Testing-Mental Health (CAT-MH) and Behavioral Health Measure-20 (BHM-20) screening measures in college mental health.
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