be central to Dangerousness, Sophistication-Maturity,
and Treatment Amenability. Forensic diplomates were
asked to provide ratings of juveniles they had evaluated
who had subsequently been transferred to adult crimi-
nal courts. Next, National Council of Juvenile and
Family Court judges were asked to rate core character-
istics for the three loosely defined concepts. Prototypi-
cal items for each of the constructs aligned across
the raters, indicating that there was general agreement
regarding the central components of Risk for Danger-
ousness, Sophistication-Maturity, and Treatment
Amenability.
Structure of the RSTI
Exploratory and confirmatory factor analytic (CFA)
procedures were used to examine the structure of the
prototypical ratings. CFA results formed the basis for
the development of the RSTI scales. Assignment of
items to scales relied heavily on consideration of pro-
totypical ratings and factor structures. Items with low
prototypical ratings were not included on scales, even
though they might have loaded on a factor. For exam-
ple, reckless and hyperactive characteristics were
loaded on the dangerousness factor but were excluded
because they received low prototypical ratings and
produced inadequate model-fit indices in the CFA.
Internal Consistency
and Reliability
Alpha coefficients for the three RSTI factors range
from .78 to .83. Intraclass correlations for the RSTI
scales range from .74 to .94, indicating good interrater
reliability across types of raters and scoring methods.
Comparing interview-based RSTI ratings between
clinicians and trained graduate student raters resulted
in slightly higher reliability, ranging from .81 to .94,
indicating that interviews may increase the reliability
of ratings.
Validity
Several studies have reported evidence for the RSTI’s
concurrent validity using other measures of psycho-
logical constructs to which the RSTI constructs
should be related. The RSTI Risk for Dangerousness
Scale correlated positively with Conduct Disorder,
Violent Conduct Disorder, Psychopathic Traits, and
both Reactive and Total Aggression. The Treatment
Amenability Scale was associated with older ages of
onset of conduct disorder and negatively associated
with conduct disorder symptoms.
Criterion validity of the Treatment Amenability
Scale was examined by testing the association between
file-based RSTI ratings and later treatment compliance
and other criteria among male juveniles at a juvenile
treatment center. The scale was associated with positive
interactions with staff and maintenance of appropriate
boundaries, both of which are important to the thera-
peutic relationship. The Dangerousness Scale was neg-
atively associated with maintenance of appropriate
boundaries, and the Maturity Scale was associated with
excellent classroom behavior. Criterion validity was
assessed in two studies of retrospective outcomes
among youths facing transfer to adult court. Relative to
youths not transferred to adult court, transferred youths
received, on average, significantly higher dangerous-
ness and maturity scores and lower treatment scores.
Application
The RSTI manual is available from Psychological
Assessment Resources. The RSTI is copyrighted and
can be purchased as a kit, which includes a manual, 25
structured interview booklets, and 25 rating scales.
Mental health professionals with experience in juvenile
justice settings can administer the RSTI. The RSTI can
be administered in court evaluation units, detention cen-
ters, and by consulting clinicians in outpatient settings.
The RSTI can be used in evaluations related to recom-
mendations for general disposition decisions, commit-
ment and transfer to adult court and reverse transfer
hearings, treatment recommendations, and most impor-
tant, development of individualized treatment plans.
Randall T. Salekin
See alsoJuvenile Offenders; Juvenile Offenders, Risk
Factors; Risk Assessment Approaches
Further Readings
Leistico, A. R., & Salekin, R. T. (2003). Testing the
reliability and validity of the Risk, Sophistication-
Maturity, and Treatment Amenability–Inventory (RST–I):
An assessment tool for juvenile offenders. International
Journal of Forensic Mental Health, 2,101–117.
Salekin, R. T. (2002). Psychopathy and therapeutic
pessimism: Clinical lore or clinical reality. Clinical
Psychology Review, 22,79–122.
Salekin, R. T. (2004). Risk-Sophistication-
Treatment–Inventory (RST–i): Professional manual.Lutz,
FL: Psychological Assessment Resources.
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