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Factors Related to Repeat Forensic Hospital Admissions for Restoration of Competency to Stand Trial
Journal of Forensic Psychology Practice Pub Date : 2020-10-20 , DOI: 10.1080/24732850.2020.1834834
Mollimichelle Cabeldue 1 , Debbie Green 2 , Robert E. McGrath 3 , Brian Belfi 4
Affiliation  

ABSTRACT

In Drope v. Missouri (1975), the Supreme Court expanded the standard for competency outlined in Dusky v. United States (1960) requiring that judges be attuned to changes in defendants’ presentations throughout court proceedings, including following competency restoration. As such, concerns about competency to stand trial must be raised even for those defendants previously found competent or who underwent restoration treatment. This can result in multiple hospitalizations for defendants undergoing restoration, which can impact defendants’ abilities to resolve their legal cases, and has financial implications for hospitals. The literature offers little information on factors that may differentiate defendants requiring multiple hospitalizations for competency restoration from those restored following a single hospitalization. The current exploratory study sought to identify factors (i.e., diagnosis, severity of pending charges, level of intellectual functioning, chronicity of mental illness, modality of prescribed medication, and treatment compliance) that would differentiate those defendants requiring a single versus two or more admissions for restoration of competency. This retrospective study utilized psychological testing, hospital records, and demographic data for 465 English-speaking pretrial defendants, 123 (26.5%) of whom underwent more than one period of restoration, admitted for treatment over a period of 9 years in New York State. Overall, immigrant status, absence of suspected feigning according to psychological testing and evaluator opinion, and being prescribed no medications or oral medications at the time of discharge from the initial hospitalization were significant predictors of readmissions. By identifying and addressing these factors during initial hospitalizations, evaluators and treatment teams may effectively decrease the rate of readmissions.



中文翻译:

恢复法医住院能力重复取证医院的相关因素

摘要

Drope诉密苏里州(1975)中,最高法院扩大了Dusky诉美国案中概述的能力标准(1960)要求法官在整个法院程序中,包括在恢复能力之后,都应适应被告陈述方式的变化。因此,即使对于先前被裁定胜任或接受过恢复治疗的被告,也必须引起对受审权的担忧。这可能会导致被告需要多次住院治疗,这可能会影响被告解决其法律案件的能力,并对医院产生财务影响。文献提供的因素很少,可能使需要多次住院才能恢复能力的被告与一次住院之后得以恢复的因素有所区别。当前的探索性研究旨在确定因素(例如,诊断,未决指控的严重程度,智力功能水平,精神疾病的慢性,处方药的形式以及治疗依从性),这将使那些需要单次入院或两次或两次以上入院才能恢复能力的被告有所不同。这项回顾性研究利用了465名讲英语的审前被告的心理测试,医院记录和人口统计数据,其中123名(26.5%)经历了一个以上的恢复期,并在纽约州接受了9年的治疗。总体而言,移民状况,根据心理测验和评估人员的意见没有假冒伪装,以及从初次住院出院时未开药或口服药物是重新入院的重要预测指标。通过在初次住院期间识别并解决这些因素,

更新日期:2020-10-20
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