Psychometric properties of the UNCOPE: Screening for DSM-5 substance use disorder among a state juvenile justice population

ABSTRACTThis study evaluated the clinical utility of a brief 6-item screen in identifying risk for DSM-5 substance use disorder (SUD) among a sample of male juvenile justice offenders. Data derived from routine clinical evaluations of 503 consecutive admissions (88.1% White) to juvenile detention facilities and diversion courts in a New England state were used for the present analysis. All juveniles were administered the 6-item screen as part of a structured diagnostic interview to assess for SUD indications and common co-occurring mental health conditions, and identify potential treatment needs subsequent to involvement in the state system. Results revealed that a cut-score of 3+ yielded sensitivity estimates of 94.4% and 87.1% for a severe diagnosis only, and moderate or severe diagnosis, respectively. A 3+ cut-score resulted in specificity estimates ranging from 86.9%–94.2% depending on the targeted diagnostic category. Internal consistency, as evidenced by Cronbach’s alpha, was excellent (α = .915).