Clinical Override Use With the Youth Level of Service/Case Management Inventory: Predictive Validity and Factors Associated With Case Management Use

Clinical discretion by youth probation officers to override the actuarial risk assessment classification on the Youth Level of Service/Case Management Inventory (YLS/CMI) is an important feature of case management practices. In a sample of 1,259 youth, the impact of clinical override on the predicti...

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Bibliographic Details
Main Author: Schmidt, Fred (Author)
Contributors: Killen, Amy ; Haner, Dilys ; Toombs, Elaine
Format: Electronic Article
Language:English
Published: 2024
In: Criminal justice and behavior
Year: 2024, Volume: 51, Issue: 2, Pages: 175-193
Online Access: Volltext (kostenfrei)
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Summary:Clinical discretion by youth probation officers to override the actuarial risk assessment classification on the Youth Level of Service/Case Management Inventory (YLS/CMI) is an important feature of case management practices. In a sample of 1,259 youth, the impact of clinical override on the predictive validity of the YLS/CMI and factors associated with override use were studied. Using receiver operating characteristic (ROC) analyses, the YLS/CMI demonstrated large effect size predictive validity values for general recidivism. Override occurred with 10.8% of youth and was more likely to be used with younger youth who had a sexual or violent index offense or those at the upper end of the moderate risk level. For youth where override was used, the YLS/CMI predictive validity became non-significant and fell to chance levels. The implications of these findings for field case management use, training, and probation officer decision-making practices are highlighted.
ISSN:1552-3594
DOI:10.1177/00938548231208206