Competency to stand trial evaluations in a multicultural population: Associations between psychiatric, demographic, and legal factors
Data were examined from an archival sample of Competency to Stand Trial (CST) reports of 200 consecutive New York City pre-trial defendants evaluated over a five-month period. Approximately a fourth of defendants in the present study were immigrants; many required the assistance of interpreters. The...
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| Veröffentlicht in: | International journal of law and psychiatry 2016-07, Vol.47, p.79-85 |
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| container_title | International journal of law and psychiatry |
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| creator | Paradis, Cheryl M. Owen, Elizabeth Solomon, Linda Z. Lane, Benjamin Gulrajani, Chinmoy Fullar, Michael Perry, Alan Rai, Sasha Lavy, Tamar McCullough, Gene |
| description | Data were examined from an archival sample of Competency to Stand Trial (CST) reports of 200 consecutive New York City pre-trial defendants evaluated over a five-month period. Approximately a fourth of defendants in the present study were immigrants; many required the assistance of interpreters. The examiners conducting the CST evaluation diagnosed approximately half of the defendants with a primary diagnosis of a psychotic disorder and deemed over half not competent. Examiners reached the same conclusion about competency in 96% of cases, about the presence of a psychotic disorder in 91% of cases, and affective disorder in 85% of cases. No significant differences between psychologists and psychiatrists were found for rates of competency/incompetency opinions. Compared to those deemed competent, defendants deemed not competent had significantly higher rates of prior psychiatric hospitalization and diagnosis of psychotic illness at the time of the CST evaluation but lower rates of reported substance abuse. |
| doi_str_mv | 10.1016/j.ijlp.2016.02.039 |
| format | Article |
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Approximately a fourth of defendants in the present study were immigrants; many required the assistance of interpreters. The examiners conducting the CST evaluation diagnosed approximately half of the defendants with a primary diagnosis of a psychotic disorder and deemed over half not competent. Examiners reached the same conclusion about competency in 96% of cases, about the presence of a psychotic disorder in 91% of cases, and affective disorder in 85% of cases. No significant differences between psychologists and psychiatrists were found for rates of competency/incompetency opinions. 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Approximately a fourth of defendants in the present study were immigrants; many required the assistance of interpreters. The examiners conducting the CST evaluation diagnosed approximately half of the defendants with a primary diagnosis of a psychotic disorder and deemed over half not competent. Examiners reached the same conclusion about competency in 96% of cases, about the presence of a psychotic disorder in 91% of cases, and affective disorder in 85% of cases. No significant differences between psychologists and psychiatrists were found for rates of competency/incompetency opinions. Compared to those deemed competent, defendants deemed not competent had significantly higher rates of prior psychiatric hospitalization and diagnosis of psychotic illness at the time of the CST evaluation but lower rates of reported substance abuse.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Competency</subject><subject>Competency to stand trial</subject><subject>Cultural Diversity</subject><subject>Demography</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Emigrants and Immigrants - legislation & jurisprudence</subject><subject>Emigrants and Immigrants - psychology</subject><subject>Female</subject><subject>Forensic evaluation</subject><subject>Humans</subject><subject>Intellectual Disability - diagnosis</subject><subject>Intellectual Disability - ethnology</subject><subject>Interdisciplinary Communication</subject><subject>Intersectoral Collaboration</subject><subject>Interview, Psychological</subject><subject>Male</subject><subject>Mental Competency - legislation & jurisprudence</subject><subject>Mental Competency - psychology</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - ethnology</subject><subject>Middle Aged</subject><subject>Observer Variation</subject><subject>Patient Care Team - legislation & jurisprudence</subject><subject>Psychotic Disorders - diagnosis</subject><subject>Psychotic Disorders - ethnology</subject><subject>Translating</subject><subject>United States</subject><subject>Urban Population</subject><subject>Young Adult</subject><issn>0160-2527</issn><issn>1873-6386</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM9u1DAQxi1ERZfCC3BAPnIgYRKvYwdxqVb8kyr10p4tx55tvXLiYDtF-wC8Nw67cOQynvH3zWf5R8ibBuoGmu7DoXYHP9dt6Wtoa2D9M7JppGBVx2T3nGyKAFXLW3FJXqZ0AIAOuHhBLlsBkotWbsivXRhnzDiZI82BpqwnS3N02lN80n7R2YUpUTdRTcfFZ2dKWWKR5zAv_o_8kV6nFIw7ewfMPxEnOqejeSyX0Zn31OIYHqKeH9dhfcPjQwnZa5NDTK_IxV77hK_P5xW5__L5bveturn9-n13fVMZxrtc2c70VppBdwPr-SB5P6DtGWdbttWIVshOguUSmUXbDLwxTCIIDVZAx_eaXZF3p9w5hh8LpqxGlwx6rycMS1KNBCHltodtsbYnq4khpYh7NUc36nhUDagVvzqoFb9a8StoVcFflt6e85dhRPtv5S_vYvh0MmD55ZPDqJJxBT5aF9FkZYP7X_5vCDiaSA</recordid><startdate>201607</startdate><enddate>201607</enddate><creator>Paradis, Cheryl M.</creator><creator>Owen, Elizabeth</creator><creator>Solomon, Linda Z.</creator><creator>Lane, Benjamin</creator><creator>Gulrajani, Chinmoy</creator><creator>Fullar, Michael</creator><creator>Perry, Alan</creator><creator>Rai, Sasha</creator><creator>Lavy, Tamar</creator><creator>McCullough, Gene</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201607</creationdate><title>Competency to stand trial evaluations in a multicultural population: Associations between psychiatric, demographic, and legal factors</title><author>Paradis, Cheryl M. ; 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| subjects | Adolescent Adult Aged Competency Competency to stand trial Cultural Diversity Demography Diagnostic and Statistical Manual of Mental Disorders Emigrants and Immigrants - legislation & jurisprudence Emigrants and Immigrants - psychology Female Forensic evaluation Humans Intellectual Disability - diagnosis Intellectual Disability - ethnology Interdisciplinary Communication Intersectoral Collaboration Interview, Psychological Male Mental Competency - legislation & jurisprudence Mental Competency - psychology Mental Disorders - diagnosis Mental Disorders - ethnology Middle Aged Observer Variation Patient Care Team - legislation & jurisprudence Psychotic Disorders - diagnosis Psychotic Disorders - ethnology Translating United States Urban Population Young Adult |
| title | Competency to stand trial evaluations in a multicultural population: Associations between psychiatric, demographic, and legal factors |
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