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International Journal of Offender Therapy and Comparative Criminology
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Examining the Use of the M-FAST with Criminal Defendants Incompetent to Stand Trial

Holly A. Miller

College of Criminal Justice, Sam Houston State University, Huntsville, TX 77341-2296 hmiller{at}shsu.edu

The Miller Forensic Assessment of Symptoms Test (M-FAST) was developed to provide evaluators with a brief, reliable, and valid screen for malingered mental illness. This study examined the initial validity of the M-FAST in a sample of 50 criminal defendants found incompetent to stand trial because of a mental illness. The M-FAST total score and items were compared with the Structured Interview of Reported Symptoms (SIRS) and the fake-bad indicators of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2). Results indicated good evidence of construct and criterion validity, demonstrated by t tests, receiver operating characteristics analysis, and high correlations between the M-FAST, SIRS, and the fake-bad indices on the MMPI-2. Tentative cut scores for the M-FAST total score and scales were examined and demonstrated high utility with the sample of criminal defendants incompetent to stand trial.

Key Words: malingering • competence to stand trial • criminal defendants • M-FAST

International Journal of Offender Therapy and Comparative Criminology, Vol. 48, No. 3, 268-280 (2004)
DOI: 10.1177/0306624X03259167
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