Reliability and validity of the dutch version of the behavioural status index: A nurse-rated forensic assessment tool

Farid Chakhssi*, Corine de Ruiter, David Bernstein

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

7 Citations (Scopus)

Abstract

The Behavioural Status Index (BEST-Index) has been introduced into Dutch forensic psychiatry to measure change in risk level of future violence. The BEST-Index is a structured observational measure that assesses aggressive behavior, degree of insight, social skills, self-care, and work and leisure skills during inpatient treatment. Thus far, limited information regarding the psychometric properties of the Dutch version of the BEST-Index is available. The present study examines the reliability and validity of the Dutch BEST-Index in a sample of 291 mentally disordered offenders admitted to a forensic psychiatric hospital. Interrater reliability was investigated in a sample of 182 raters. Findings show that the Dutch BEST-Index can be used reliably and is significantly associated with risk of future violence and institutional aggression. Furthermore, this study revealed a different and clearer factor structure compared with the original one. Further research is needed to examine how these derived factors predict future recidivism.

Original languageEnglish
Pages (from-to)58-69
Number of pages12
JournalAssessment
Volume17
Issue number1
DOIs
Publication statusPublished - 1 Mar 2010
Externally publishedYes

Keywords

  • Behavioural Status Index
  • Factor analysis
  • Forensic assessment
  • Interrater reliability
  • Observational measure
  • Risk assessment
  • Staff rating
  • Violence

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