Appendix
C
RISK AND ASSESSMENT INSTRUMENTS
Additional
Screening and Assessment Instruments
A number of tools have been developed to assist in the screening and
assessment of youth. A program may utilize one or two of these basic tools in
its routine intake screening process. However, many other tools are available
that can provide a more in-depth assessment or used as follow-up assessments
of areas of concern identified during initial screening activities. These instruments
may be reasonably simple to administer and often scoring is not a complex task.
There is often time available while a youth is in placement to administer one
or more of these assessment tools. The result is a significant increase in the
information available to those working with the youth. This infor-mation can
assist them to identify the most critical needs and most appropriate type of
intervention to implement.
There are many assessment tools available.
The information that follows is not meant to be exhaustive or totally inclusive.
There is no intent to endorse any particular instrument. It is incumbent upon
each jurisdiction considering such enhancements to conduct its own literature
search and product review. The choice of any particular tool must be made based
upon the information yielded and the relationship of that information to the
purpose and objectives for undertaking this enhanced level of assessment. The
tool must be appropriate for the target population and those who will receive
the results. Any instrument must ultimately be normed on the population to whom
it is being administered. Until there has been sufficient use of the tool and
time to collect outcome information to confirm its validity, the results must
be used cautiously.
As part of a planning document the Institute
on Criminal Justice at the University of Minnesota Law School has developed
a partial list of screening instruments and assessment tools that are being
used in juvenile assessment center programs across the country. This list does
not include the POSIT, which has already been discussed and is provided in the
appendix C.
General Comprehensive Assessment
Instruments
- Comprehensive
Assessment Battery (CAB). This instrument is often used as a follow-up
for youth who score below the cut-off point in any of the POSITs 10
areas. The CAB is a compilation of existing tests that probes a youngsters
specific problems in more depth. It includes:
- Personal Experience Inventory (PEI)
which is a 40 item, self-administered questionnaire that measures problem
severity, substance use, and mental and behavioral problems.
- Adolescent Diagnostic Interview
(ADI) which measures symptoms and sociodemographic information, drug
use history, and psychological functioning.
- Symptom Checklist-90-R.
- Brief Symptom Inventory (BSI).
- Millon Adolescent
Clinical Inventory (MACI) which is a brief, self-report personality
inventory.
- Jessnes Inventory
(JI) which is a personality test, geared to delinquent youth, which
measures social immaturity, knowledge of social rules, presence of asocial
values, levels of authority conflict, and potential motivations behind offending
behavior.
- Various Risk/Needs Instruments
including the
- Youth Level of Service Inventory
Revised (YLSI-R) which collects other information on the juveniles
criminal history, substance abuse, education/employment issues, family
and peer issues,
- National Youth Survey Delinquent
Scale which collects information on a juveniles general theft
crimes, crimes against persons, drug sales, sexual victimization, physical
abuse and medical history,
- Search Institute Asset Inventory
which is designed to identify a youths personal and environmental
strengths, and
- San Diego County (CA) Risk and Resiliency
Tool which is a work in progress that combines elements of traditional
risk/need scales with items from asset and strength inventories.
Suicide Risk Screening
- Inventory of Suicide Orientation-30
(ISO-30) which measures the subjects
orientation toward suicide and their level of distress.
Substance Abuse Screening
and Assessment
- Substance Abuse Subtle Screening Inventory
(SASSI) which is an objective screening tool designed to differentiate
substance abusers from non-abusers.
- Alcohol Use Inventory (AUI) which
is a self-report inventory designed to help identify distinct patterns of
behavior, attitudes, and symptoms associated with alcohol use and abuse
- Customary Drinking and Drug Use Record
(CDDR) which is an instrument that
measures both recent and lifetime alcohol and drug use and related symptoms.
Screening Instruments for
Youth Who Have Experienced
- Abuse and Other Trauma
- Trauma Symptom Checklist for Children
(TSCC) which is a self-report measure of post-traumatic distress and
related psycho- logical symptoms that is used to evaluate children and
adolescent youth who have experienced physical or sexual abuse, victimization
by peers, major losses, the witnessing of violence against others, and
natural disasters.
- Child Abuse Potential Inventory
which is a 160-item questionnaire
designed to screen for physical child abuse.
If a program is considering adding an enhanced
level of screening through the use of these or similar instruments and tools,
there are several issues that must be considered.
- Assistance should be sought from local
youth psychologists and clinical professionals in selecting tools appropriate
for the purpose intended.
- It must be clear that individuals using
the results of these tools have the knowledge and
competency to use that information appropriately.
- Specialized training may be required to
administer these instruments to insure validity and reliability. Some publishers
of these instruments require formal certification for those administering
their tools.
- Scoring may have to be done off-site which
means some delay in the availability of the outcomes. There may be some cost
for the scoring service.
- There may be some cost to purchase and
use instruments that have a copyright.
- Instruments must be validated over time
for the selected assessed population.
A Useful Resource
For those seriously considering adding a comprehensive assessment function
to the design of a juvenile holdover program or who may be considering a holdover
as an adjunct part of an assessment center program, a potentially helpful resource
is available. Robert D. Hoge and D. A. Andrews (1996) have put together an overview
of the most frequently used assessment tools and processes in the United States
and Canada. The title is Assessing the Youthful Offender: Issues and Techniques.