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Article

Reliability and Validity of the Dutch Version of the Behavioural Status Index: A Nurse-Rated Forensic Assessment Tool

Farid Chakhssi*, Corine de Ruiter, and David Bernstein

* To whom correspondence should be addressed. E-mail: f.chakhssi{at}dji.minjus.nl.


  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.

First published on August 21, 2009
Assessment 2009, doi:10.1177/1073191109338815
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