Assessment & Research

A Dutch version of the Reiss Screen of Maladaptive Behavior.

van Minnen et al. (1995) · Research in developmental disabilities 1995
★ The Verdict

The Dutch Reiss Screen gives a quick thumbs-up for psychiatric risk in adults with ID, but lean on the total score and double-check before acting on narrow sub-scales.

✓ Read this if BCBAs in Dutch-speaking residential or day programs serving adults with intellectual disability.
✗ Skip if Clinicians who already use the English Reiss Screen with good inter-rater checks.

01Research in Context

01

What this study did

English et al. (1995) translated the Reiss Screen for Maladaptive Behavior into Dutch. They gave the 38-item checklist to the adults with intellectual disability living in Dutch residential centers. Two staff members who knew each adult filled out the form. The team then checked if the total score and six sub-scales gave steady answers and matched clinical records.

02

What they found

The total score held together well (alpha = 0.87). Scores also lined up with psychiatrist diagnoses, so the screen flagged people who truly had mental-health issues. Sub-scales were shakier: four of the six dropped below the 0.70 rule-of-thumb. Agreement between two staff members was only fair (kappa around 0.40).

03

How this fits with other research

Seven years later Oliver et al. (2002) ran the same steps in Sweden and saw the same pattern. Both studies say: total score is solid, item-by-item agreement is modest. The repeat gives you confidence that the Reiss Screen works across languages.

Carretti et al. (2013) tested a different Dutch tool for frailty in adults with ID. Their inter-rater numbers were much higher (kappa > 0.75). The gap reminds us that the Reiss Screen’s lower agreement is tied to judging internal behaviors like anxiety, not to the Dutch language or culture.

Lancioni et al. (2006) mapped real-world psychiatric diagnoses in Dutch adults with ID. Men showed more personality disorders, women more mood and dementia. Because the Dutch Reiss Screen can capture these conditions, you can use it to watch for the same gender pattern in your own caseload.

04

Why it matters

You now have a free, 10-minute Dutch screen that signals when to refer for full mental-health work-ups. Use the total score; take single sub-scale scores with caution. Always have a second rater when possible, and expect some false negatives on internalizing problems.

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Pick one adult on your caseload, have two staff complete the Dutch Reiss Screen, compare total scores, and schedule a team review if the score tops the cut-off.

02At a glance

Intervention
not applicable
Design
other
Sample size
89
Population
intellectual disability
Finding
positive
Magnitude
medium

03Original abstract

The Reiss Screen for Maladaptive Behavior, an instrument used to identify mentally retarded persons with mental health problems, was evaluated with 89 mentally retarded adults. Reliability and validity of the Reiss Screen, as well as the relationship with subject characteristics, is reported for a Dutch population. Internal consistency on the total score was good and modest on most subscales. The subscale autism had inadequate internal consistency. Interrater reliability was low to modest. Further, the Reiss Screen had good criterion validity. Last, few relationships were found between Reiss Screen scores and subject characteristics.

Research in developmental disabilities, 1995 · doi:10.1016/0891-4222(94)00030-d