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Simple behaviour rating scales for maximum security patients: development and validation.

J Hinton, S Webster, M O'Neill

    The British Journal of Social and Clinical Psychology
    |September 1, 1978
    PubMed
    Summary
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    Objective behavior rating scales were developed for maximum security hospitals. These scales for antisocial belligerence, disorientation, withdrawal, and personal hygiene demonstrated high reliability and validity for assessing patient behavior.

    Area of Science:

    • Psychiatric Nursing
    • Forensic Psychology
    • Behavioral Assessment

    Background:

    • Objective behavioral assessment is crucial in maximum security hospital settings.
    • Existing methods may lack reliability or applicability for nursing staff.
    • Need for validated tools to systematically measure patient conduct.

    Purpose of the Study:

    • To develop and describe objective behavior rating scales for nurse custodians.
    • To evaluate the reliability and validity of these newly developed scales.
    • To explore potential relationships between behavioral dimensions and offending types.

    Main Methods:

    • Development of four independent scales: antisocial belligerence, disorientation, withdrawal, and personal hygiene.
    • Assessment of scale reliability using test-retest and inter-rater methods.

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  • Evaluation of scale validity and potential clinical utility.

    • Main Results:

    • The developed behavior rating scales achieved high test-retest reliability.
    • High inter-rater reliability was also demonstrated across the scales.
    • Preliminary evidence suggests validity and potential usefulness in clinical practice.

    Conclusions:

    • The objective behavior rating scales are reliable tools for use by nursing staff in maximum security hospitals.
    • Scales measuring antisocial belligerence and withdrawal may correlate with impulsivity/overcontrol dimensions.
    • These findings suggest a link to the nature of aggressive offending recorded in this population.