PT - JOURNAL ARTICLE AU - Walker, Sarah Cusworth AU - Bishop, Asia S. AU - Schmidt, Henry AU - Lee, Terry G. AU - Indermark, Jeff A. TI - Expert versus Youth Raters on Measuring Social and Therapeutic Climate in Secure Juvenile Placement AID - 10.29158/JAAPL.210064-21 DP - 2022 Jun 01 TA - Journal of the American Academy of Psychiatry and the Law Online PG - 221--230 VI - 50 IP - 2 4099 - http://jaapl.org/content/50/2/221.short 4100 - http://jaapl.org/content/50/2/221.full SO - J Am Acad Psychiatry Law2022 Jun 01; 50 AB - Growing concern about the use of incarceration is driving significant reform in juvenile legal system decision-making and is likely to have a substantial impact on the role residential options play in the future continuum of care. It appears inevitable that surviving institutions or alternative residential models will be increasingly scrutinized for their impact on youth development. While rehabilitative models focused on youth development are a promising and growing part of residential institutions, few tools are available to measure quality. For institutions to sustain a focus on quality assessment, programs should use an organized and specified treatment model`` against which staff behavior can be assessed. This study examined the concurrent validity and item functioning of corresponding youth and expert ratings of social and therapeutic climate across multiple sites in a state-wide juvenile residential setting (n = 225 paired observations). Results suggest that the reliability of expert ratings of therapeutic climate exceeds the reliability of youth ratings, whereas reliability for other indicators of social climate are roughly equal between rater types. In addition, youth and expert ratings had weak concurrent validity. Implications for the use of youth versus expertly trained raters for measuring social and therapeutic environment are discussed.