全球智库信息集成服务系统

Liaisons Perform at Acceptable Levels

• Liaisons provide similar risk scores to one another (interrater reliability) and that their assessments were similar over time (test–retest reliability). Liaison interrater reliabilities are highest for the Demographics/Basic Needs subscale and somewhat lower for the Medical subscale.
• Experience as a liaison and use of liaison training materials improved performance.

The Modified Bridges Might Overidentify Mothers as Being High Risk

• The Modified Bridges' ability to distinguish similar levels of risk compared with that ability in other widely used tools would improve if a higher risk threshold were implemented.

The Current Risk Threshold of 50 May Not Be Able to Distinguish Between the Highest Levels of Risk

• The current reliability of the Modified Bridges indicates, in practical terms, that First 5 LA can have only limited confidence that the given risk score for a mother reflects that mother's true level of risk. The current scoring protocol and item weights used for the Modified Bridges have a moderate level of reliability (0.65), below the widely used reliability threshold of 0.70, while scoring the tool without the current item weights would improve its reliability to a more acceptable level (0.74).