Clinical Overrides With the YLS/CMI: Predictive Validity and Associated Factors

This study explores the use of clinical override with the Youth Level of Service/Case Management Inventory (YLS/CMI), including implications for predictive validity as well as the factors associated with this practice. The sample included 597 justice-involved youth from a metropolitan region in Québ...

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Bibliographic Details
Authors: Parent, Geneviève (Author) ; Bilodeau, Marie-Pier (Author) ; Laurier, Catherine (Author) ; Guay, Jean-Pierre (Author)
Format: Electronic Article
Language:English
Published: 2023
In: Criminal justice and behavior
Year: 2023, Volume: 50, Issue: 1, Pages: 101-117
Online Access: Volltext (lizenzpflichtig)
Check availability: HBZ Gateway
Keywords:
Predictive Validity
Recidivism
clinical override
YLS/CMI
Description
Summary:This study explores the use of clinical override with the Youth Level of Service/Case Management Inventory (YLS/CMI), including implications for predictive validity as well as the factors associated with this practice. The sample included 597 justice-involved youth from a metropolitan region in Québec, Canada. The clinical override was used in 32.5% of cases, usually to increase risk levels (30.3% of cases). As found in previous studies, clinical override did not increase the predictive validity of the YLS/CMI. Upward and downward clinical overrides were differently linked to the sociodemographic characteristics and criminal history of the youths in the sample. Criminal History, Peer Relations, Personality/Behavior, and Attitudes/Orientation risk/need domains were positively associated with upward override while Family Circumstances/Parenting, Personality/Behavior, and Attitudes/Orientation risk/need domains were negatively associated with downward override. These results are discussed in relation to the impact clinical override can have on the case management and interventions provided to justice-involved youth.
ISSN:1552-3594
DOI:10.1177/00938548221131958