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RSI™

Rating Scale of Impairment

Sam Goldstein, Ph.D. , Jack A. Naglieri, Ph.D.

A behavior rating scale that measures functional impairment across six life areas in children and youth


RSI™

Overview

Overview

Authored by Sam Goldstein, Ph.D. and Jack A. Naglieri, Ph.D., the Rating Scale of Impairment™ (RSI™) is a multi-informant behavior rating scale designed to assess impairment in children and youth ages 5 to 18. When used in combination with symptom measures, the RSI adds impairment information that can help complete the diagnostic picture. It also helps to highlight where functional impairment is most prominent so that interventions can be more effectively targeted. When used in group settings, the RSI can help identify those who require additional assessment or measure the effectiveness of intervention programs.

Key Features:

  • Determine if DSM-5/ICD-10 impairment criteria for a diagnosis are met by identifying specific areas where functioning is impacted
  • Develop targeted treatment plans and monitor progress by focusing on areas with the greatest impairment
  • Determine if service eligibility requirements are met with IDEA compatibility
  • Assess impairment more clearly by separating functional limitations from symptoms
  • Align with the World Health Organization's (WHO) functional impairment framework with scales that represent domains identified in the WHO's International Classification of Functioning, Disability, and Health (ICF)

 

Key Areas Measured


Key Areas Measured

Key areas measured diagram

Quick Reference

Age

Age

5 to 18

Administration Type

Administration Type

Parent
Teacher

Administration Time

Administration Time

5 to 10 minutes

Number of Items

Number of Items

Parent Form (5-12 years): 41
Parent Form (13-18 years): 49
Teacher Form (5-12 years): 29
Teacher Form (13-18 years): 29

Qualification Level

Qualification Level

B

Format(s)

Format(s)

Online
Handscored

Reading Level

Reading Level

6th Grade

Quick Reference

Age

Age

5 to 18

Administration Type

Administration Type

Parent
Teacher

Administration Time

Administration Time

5 to 10 minutes

Number of Items

Number of Items

Parent Form (5-12 years): 41
Parent Form (13-18 years): 49
Teacher Form (5-12 years): 29
Teacher Form (13-18 years): 29

Qualification Level

Qualification Level

B

Format(s)

Format(s)

Online
Handscored

Reading Level

Reading Level

6th Grade

Reports

Reports

Reliability and Validity

Reliability and Validity

Normative Data

Normative Data

Continuing Education

Continuing Education

Comparative Reports combine the results of different raters to provide an overview of an individual's scores from a multi-rater perspective. This highlights potentially important inter-rater differences in scores.
Interpretive Reports provide detailed information about scores from a single administration, presented both numerically and graphically. An individual's scores are compared to those in the normative sample and elevations at the scale and subscale level are indicated.
Progress Monitoring and Treatment Effectiveness Reports combine results from up to four ratings over time by the same rater.

Reliability
Internal consistency refers to the extent to which all items on the same scale consistently measure the same content. The RSI Scales and the Total Score were found to demonstrate strong levels of internal consistency. Test-retest reliability refers to the stability of test scores when an assessment is administered on two or more occasions. Partial correlations were conducted to assess the test-retest reliability of the RSI Scales and Total Score over a 2- to 4-week interval (controlling for age and gender), and excellent test-retest reliability was found.

Validity
Discriminative validity pertains to an instrument’s ability to distinguish between relevant participant groups. Assuming that functional impairment should increase as the number of diagnoses increases, the RSI should be able to distinguish individuals with a greater number of diagnoses from individuals with fewer or no diagnoses. ANCOVAs were conducted to compare the RSI scores of children/youth from the general population with clinical cases categorized according to their number of diagnosed disorders (i.e., one diagnosis, two to three diagnoses, and four or more diagnoses). Significant main effects of number of diagnoses were observed for all scores (p  < .01) except for Mobility on the RSI (5–12 Years) Teacher Form and the RSI (13–18 Years) Teacher Form (p  = .036 and .017, respectively).

An examination of Cohen’s d  effect size ratios indicate that differences from the general population became progressively larger as the number of diagnoses increased. Specifically, across scores on all RSI Forms, effect sizes were generally small when comparing the general population to clinical cases with one diagnosis (median Cohen’s d  = 0.45), medium when comparing the general population to clinical cases with two to three diagnoses (median Cohen’s d = 0.61), and strong when comparing the general population to clinical cases with four or more diagnoses (median Cohen’s d = 1.02). These results confirm the expectation that as the number of diagnoses increases, the level of impairment as assessed by the RSI also increases.
 

The RSI has a large normative sample with approximately 2,800 ratings collected—800 ratings for each of the RSI (5–12 Years) Parent and Teacher forms, and 600 ratings for each of the RSI (13–18 Years) Parent and Teacher forms. Normative samples were evenly balanced in terms of age and gender and distributions of race/ethnicity were stratified by geographic region and parental education, so that the overall proportions of these demographic variables matched within 1% the 2010 U.S. Census targets. Additionally, to better reflect the US. general population, between 11.6 to 11.8% of the normative samples included ratings of children/youth who had a clinical diagnosis or were eligible to receive special educational services according to the Individuals with Disabilities Education Act (IDEA) criteria.

The MHS Learn Center makes it easy for you to earn CE or CPD credits from the comfort of your home or office. This user-friendly online tool features online manual quizzes, online workshops, and webinars for many MHS assessments.

Available Courses:

RSI CE Online Manual Quiz (3 CE Credits)
Simply study the assessment manual as you normally would, then successfully complete the questionnaire and a short feedback survey to receive your certificate of completion. Learn More.

RSI Online Workshop (1 CE/CPD Credits)
View the pre-recorded workshop video, then successfully complete the questionnaire and a short feedback survey to receive your certificate of completion. Learn More.

Pricing

Select Language of Tool:

Online

Online

Assess easily online from anywhere. Includes automatic scoring and report generation.

Software

Software

Requires software. Includes automatic scoring and report generation.

Handscored

Handscored

QuikScore forms are scored by hand without reports.

Starter Kits
Certification

Starter Kits

Simulations
Certification

Simulations

Kits

Spanish RSI Kit (5-12 years)

RSI Manual, 25 Spanish RSI (5-12 Years) Spanish Parent & Spanish Teacher Forms

Online
CA: $251.00
Handscored
CA: $220.00

Spanish RSI Kit (13-18 years)

RSI Manual, 25 RSI (13-18 Years) Spanish Parent & Spanish Teacher Forms

Online
CA: $251.00
Handscored
CA: $220.00

Spanish RSI Complete Kit

RSI Manual, 25 RSI (5-12 Years) Spanish Parent & Spanish Teacher Forms, and 25 RSI (13 -18 Years) Spanish Parent & Spanish Teacher Forms

Online
CA: $419.00
Handscored
CA: $348.00

Forms

Spanish RSI Parent Forms (5-12 years)

Spanish RSI Parent Forms (5-12 years)

Online
CA: $3.75
Handscored
CA: $67.00
(Sold in packs of 25)

Spanish RSI Parent Forms (13-18 years)

Spanish RSI Parent Forms (13-18 years)

Online
CA: $3.75
Handscored
CA: $67.00
(Sold in packs of 25)

Spanish RSI Teacher Forms (5-12 years)

Spanish RSI Teacher Forms (5-12 years)

Online
CA: $3.75
Handscored
CA: $67.00
(Sold in packs of 25)

Spanish RSI Teacher Forms (13-18 years)

Spanish RSI Teacher Forms (13-18 years)

Online
CA: $3.75
Handscored
CA: $67.00
(Sold in packs of 25)

Ortiz PVAT Licenses

Ortiz PVAT Licenses

Online Scoring

Online Scoring

Supplementary Materials

Supplementary Materials

Other Materials

Other Materials