Problem Oriented Screening Instrument for Teens (POSIT)

Measure DescriptionSource of measure Rahdert, 1991
Mode of administration Self report
Age range for useTeen
Domains AssessedSubscales include: Substance use, mental health, family relations, peer relations, social relations, aggressive behavior
Related Measures
BurdenTraining needed to administer Minimal staff training required for this self-report measure. Staff need to be familiar with all items before administering to a participant.
Minutes to complete20-30
# of items139 "yes/no" questions
Adaptation for AIAN useAdaptedNo
Developer allows adaptation?Unclear - contact developer
Used with AIAN populations?Yes
AIAN: Cronbach's alpha rangeCronbach's alpha ranges from 0.60-0.83 across scales. Test-retest reliability ranged from 0.44-0.72. Reported by Johns Hopkins University Center for American Indian Health
AIAN: Evidence of validity Content validity appears high; Construct validity is moderate to good (mental health subscale has decent correlation with CESD and ASEBA withdrawal and depression subscales; substance abuse subscale has strong predictive correlation with recent - but not lifetime - substance use). Reported by Johns Hopkins University Center for American Indian Health
Other populations: Cronbach's alpha range0.44-0.86
Other populations: Evidence of validityVarious studies (Latimer, Winters, & Stinchfield, 1997; Marques, Rahdert, & Danseco, 1999; Santisteban, Tejeta, Dominicis ,& Szapocznik, 1999; Scafidi, Field, Prodromidis, & Rahdert, 1997) have established the POSIT as a useful and valid screening instrument for adolescents of both genders, various ages, and different races. Latimer et al. (1997) report sensitivity of 95% and specificity of 79%. Scafidi et al. (1997) demonstrate the utility of the POSIT as a measure to identify the stressors that put pregnant teens at risk for drug abuse.
SourceDeveloperElizabeth Rahdert
SummaryComments about sensitivity to change
General remarksDoesn't appear to be as widely used in literature, so difficult to find comparisons with other populations; Family functioning scale is unique and seemed sensitive in our population.