TY - JOUR
T1 - Reliability and Validity of START and LSI-R Assessments in Mental Health Jail Diversion Clients
AU - Lowder, Evan M.
AU - Desmarais, Sarah L.
AU - Rade, Candalyn B.
AU - Johnson, Kiersten L.
AU - Van Dorn, Richard A.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported by a grant from the Bristol-Myers Squibb Foundation.
Publisher Copyright:
© The Author(s) 2017.
PY - 2019/10/1
Y1 - 2019/10/1
N2 - Risk assessment instruments are increasingly used in mental health jail diversion programs. This study examined the reliability and validity of Short-Term Assessment of Risk and Treatability (START) and Level of Service Inventory–Revised (LSI-R) assessments overall and by client race. Research assistants completed START and LSI-R assessments for 95 diversion clients. Arrests and jail days were collected via official records and self-report 3, 6, 9, 12, and 18 months after baseline. Assessments demonstrated good interrater reliability and convergent validity. START strength total scores and LSI-R risk estimates were the strongest predictors of recidivism. Total scores and risk estimates did not differ as a function of client race, but there were some differences in accuracy of START vulnerability and LSI-R total scores and risk estimates in predicting jail days (but not arrests), over shorter follow-ups. No such differences were found for START strength total scores across any follow-up period or recidivism measure.
AB - Risk assessment instruments are increasingly used in mental health jail diversion programs. This study examined the reliability and validity of Short-Term Assessment of Risk and Treatability (START) and Level of Service Inventory–Revised (LSI-R) assessments overall and by client race. Research assistants completed START and LSI-R assessments for 95 diversion clients. Arrests and jail days were collected via official records and self-report 3, 6, 9, 12, and 18 months after baseline. Assessments demonstrated good interrater reliability and convergent validity. START strength total scores and LSI-R risk estimates were the strongest predictors of recidivism. Total scores and risk estimates did not differ as a function of client race, but there were some differences in accuracy of START vulnerability and LSI-R total scores and risk estimates in predicting jail days (but not arrests), over shorter follow-ups. No such differences were found for START strength total scores across any follow-up period or recidivism measure.
UR - http://www.scopus.com/inward/record.url?scp=85020864975&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85020864975&partnerID=8YFLogxK
U2 - 10.1177/1073191117704505
DO - 10.1177/1073191117704505
M3 - Article
C2 - 28412837
AN - SCOPUS:85020864975
SN - 1073-1911
VL - 26
SP - 1347
EP - 1361
JO - Assessment
JF - Assessment
IS - 7
ER -