Adjudicative competence

PURPOSE OF REVIEWAlthough the basic standards of adjudicative competence were specified by the US Supreme Court in 1960, there remain a number of complex conceptual and practical issues in interpreting and applying these standards. In this report we provide a brief overview regarding the general con...

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Veröffentlicht in:Current opinion in psychiatry 2008-09, Vol.21 (5), p.490-494
Hauptverfasser: Dawes, Sharron E, Palmer, Barton W, Jeste, Dilip V
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container_title Current opinion in psychiatry
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creator Dawes, Sharron E
Palmer, Barton W
Jeste, Dilip V
description PURPOSE OF REVIEWAlthough the basic standards of adjudicative competence were specified by the US Supreme Court in 1960, there remain a number of complex conceptual and practical issues in interpreting and applying these standards. In this report we provide a brief overview regarding the general concept of adjudicative competence and its assessment, as well as some highlights of recent empirical studies on this topic. RECENT FINDINGSMost adjudicative competence assessments are conducted by psychiatrists or psychologists. There are no universal certification requirements, but some states are moving toward required certification of forensic expertise for those conducting such assessments. Current data indicate inconsistencies in application of the existing standards even among forensic experts, but the recent publication of consensus guidelines may foster improvements in this arena. There are also ongoing efforts to develop and validate structured instruments to aid competency evaluations. Telemedicine-based competency interviews may facilitate evaluation by those with specific expertise for assessment of complex cases. There is also interest in empirical development of educational methods to enhance adjudicative competence. SUMMARYAdjudicative competence may be difficult to measure accurately, but the assessments and tools available are advancing. More research is needed on methods of enhancing decisional capacity among those with impaired competence.
doi_str_mv 10.1097/YCO.0b013e328308b2ee
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subjects Adult
Ethics, Medical
Expert Testimony - ethics
Expert Testimony - legislation & jurisprudence
Humans
Informed Consent - ethics
Informed Consent - legislation & jurisprudence
Interview, Psychological
Mental competency
Mental Competency - legislation & jurisprudence
Mental Disorders - diagnosis
Mental Disorders - psychology
Observer Variation
Performance evaluation
Studies
Telemedicine
title Adjudicative competence
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