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17 - Decision-Making About Restoration of Defendants Who Are Incompetent to Stand Trial

from Part II - Pretrial Phase Decision-Making

Published online by Cambridge University Press:  22 February 2024

By
Kirk Heilbrun  and
Heidi Zapotocky
Edited by
Monica K. Miller ,
Logan A. Yelderman ,
Matthew T. Huss  and
Jason A. Cantone
Monica K. Miller
Affiliation:
University of Nevada, Reno
Logan A. Yelderman
Affiliation:
Prairie View A & M University, Texas
Matthew T. Huss
Affiliation:
Creighton University, Omaha
Jason A. Cantone
Affiliation:
George Mason University, Virginia
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Summary

This chapter addresses decision-making about the restoration of defendants who are adjudicated as incompetent to stand trial (IST) in an era in which there has been deemed a competency crisis that the number of impacted defendants has grown significantly. It describes the rationale for the importance of this topic and associated decisions, and provides the context for such decisions: hospital, jail, and outpatient. After reviewing the existing scientific literature on the frequency of restoration decisions and the duration and outcomes of relevant interventions, it describes a proposal for an approach to evaluating restorability that is more consistent with the available scientific evidence and a better fit for clinical and forensic practice. The chapter concludes with a more detailed discussion of both clinical and legal decisions in this area, elaborating on why this approach appears to offer a better fit for practice. Implications for future research, clinical and legal decision-making, and bias reduction are described.

Keywords

decision-makingincompetent to stand trial (IST)restorationrestorabilitydefendants
Type
Chapter
Information
The Cambridge Handbook of Psychology and Legal Decision-Making , pp. 259 - 273
Publisher: Cambridge University Press
Print publication year: 2024

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References

Advokat, C. D., Guidry, D., Burnett, D., Manguno-Mire, G., & Thompson, J. W. (2012). Competency restoration treatment: Differences between defendants declared competent or incompetent to stand trial. Journal of American Academy of Psychiatry and Law, 40, 89–97.Google Scholar
Anderson, S. D., & Hewitt, J. (2002). The effect of competency restoration training on defendants with mental retardation found not competent to proceed. Law and Human Behavior, 26, 343–351. https://doi.org/10.1023/a:1015328505884.Google Scholar
Callahan, L., & Pinals, D. (2020). Challenges to reforming the competence to stand trial and competence restoration system. Psychiatric Services Online, 71(7), 691–697. https://doi.org/10.1176/appi.ps.201900483.Google Scholar
Carabello, K. (2013). Jail-Based Restoration of Competency Program fact sheet. www.leg.state.nv.us/Session/77th2013/Exhibits/Senate/JUD/SJUD623F.pdf.Google Scholar
Colorado Department of Human Services. (2015). Needs analysis: Current status, strategic positioning, and future planning. National Association of State Mental Health Program Directors Research Institute.Google Scholar
Colwell, L. H., & Gianesini, J. (2011). Demographic, criminogenic, and psychiatric factors that predict competency restoration. Journal of American Academy of Psychiatry and Law, 39, 297–306. PMID: 22396346.Google Scholar
Demakis, G. J. (2018). Assessment and restoration of competency to stand trial with older adults. In Bush, S. S & Heck, A. L (Eds.), Forensic geropsychology: Practice essentials (pp. 117–133). American Psychological Association. https://doi.org/10.1037/0000082-007.Google Scholar
Drope v. Missouri, 420 US 162 (1975).Google Scholar
Dusky v. United States, 362 US 402 (1960).Google Scholar
Gay, J. G., Vitacco, M. J., & Ragatz, L. (2017). Mental health symptoms predict competency to stand trial and competency restoration success. Legal and Criminological Psychology, 22(2), 288–301. https://doi.org/10.1111/lcrp.12100.Google Scholar
Georgia Department of Behavioral Health and Developmental Disabilities. (2014, September 24th). From waiting lists to recovery: Jail-based restoration, inpatient specialization and the peer recovery movement in inpatient forensic services. National Association of State Mental Health Program Directors.Google Scholar
Ghossoub, E., Minchin, S., Hayreh, D., & Newman, W. J. (2019). Long-acting injectable versus oral antipsychotics for restoration of competency to stand trial. Journal of American Academy of Psychiatry and the Law, 47(4), 1–8. https://doi.org/10.29158/jaapl.003866-19.Google Scholar
Gowensmith, N. W., Frost, L. E., Speelman, D. W., & Therson, D. E. (2016). Lookin’ for beds in all the wrong places: Outpatient competency restoration as a promising approach to modern challenges. Psychology, Public, Policy, and Law, 22, 239–305. https://doi.org/10.1037/law0000088.Google Scholar
Gowensmith, W. N., Murrie, D. C., & Packer, I. K. (2017). Analysis of current Washington competency restoration services. Groundswell Services, Inc.Google Scholar
Heilbrun, K., Giallella, C., Wright, H. J., et al. (2019). Treatment for restoration of competence to stand trial: Critical analysis and policy recommendations. Psychology, Public Policy, and Law, 25(4), 266–283. https://doi.org/10.1037/law0000210.Google Scholar
Heilbrun, K., Giallella, C., Wright, H. J., et al. (2021). Jackson-based restorability to competence to stand trial: Critical analysis and recommendations. Psychology, Public Policy, and Law. https://doi.org/10.1037/law0000307.Google Scholar
Heilbrun, K., Giallella, C., Wright, H. J., et al. (in pressb). Appraising Jackson-based unrestorability to competence to stand trial: The demonstration model. Psychological Services.Google Scholar
Hubbard, K. L., Zapf, P. A., & Ronan, K. A. (2003). Competency restoration: An examination of the differences between defendants predicted restorable and non-restorable to competency. Law and Human Behavior, 27(2), 127–139. https://doi.org/10.1023/a:1022566328781.Google Scholar
Jackson v. Indiana, 406 US 715 (1972).Google Scholar
Jennings, J. L. (2014). The ROC Program: Accelerated restoration of competency in a jail setting. Journal of Correctional Health Care, 20, 59–69. https://doi.org/10.1177/1078345813505067.Google Scholar
Jennings, J. L., & Bell, J. D. (2012). The “ROC” model: Psychiatric evaluation, stabilization, and restoration of competency in a jail setting. In L’Abate, L (Ed.), Mental illnesses: Evaluation, treatments, and implications (pp. 75–88). InTech Open. https://doi.org/10.5772/30040.Google Scholar
Jennings, J. L., Rice, K., & Baglio, C. (2021). Jail-based competency treatment outcomes of age: Multi-site outcomes and challenges to the implementation of an evidence-based forensic continuum. Behavioral Sciences & the Law, 39(1), 83–105. https://doi.org/10.1002/bsl.2501.Google Scholar
Melton, G., Petrila, J., Poythress, N., et al. (2018). Psychological evaluations for the courts: A handbook for mental health professionals and lawyers (4th ed.). Guilford.Google Scholar
Mikolajewski, A. J., Manguno-Mire, G. M., Coffman, K. L., Deland, S. M., & ThompsonJr, J. W. (2017). Patient characteristics and outcomes related to successful outpatient competency restoration. Behavioral Sciences & the Law, 35(3), 225–238. https://doi.org/10.1002/bsl.228.Google Scholar
Morenz, B., & Busch, K. (2011). Pima County jail. American Academy of Psychiatry and the Law Newsletter, 36, 25–31.Google Scholar
Morris, D. R., & DeYoung, N. J. (2012). Psycholegal abilities and restoration of competence to stand trial. Behavioral Sciences & the Law, 30(6), 710–728. https://doi.org/10.1002/bsl.2040.CrossRefGoogle ScholarPubMed
Morris, D. R., & DeYoung, N. J. (2014). Long-term competence restoration. Journal of the American Academy of Psychiatry and the Law, 42(1), 81–90. PMID: 24618523.Google Scholar
Morris, D. R., & Parker, G. F. (2008). Jackson’s Indiana: State hospital competence restoration in Indiana. Journal of American Academy of Psychiatry and the Law, 36(4), 522–534. PMID: 19092071.Google Scholar
Morris, D. R., & Parker, G. F. (2009). Effects of advanced age and dementia on restoration of competence to stand trial. International Journal of Law and Psychiatry, 32, 156–160. https://doi.org/10.1016/j.ijlp.2009.02.009.Google Scholar
Mossman, D. (2007). Predicting restorability of incompetent criminal defendants. Journal of American Academy of Psychiatry and the Law, 35(1), 34–43. PMID: 17389343.Google Scholar
Musgrove, L. Gowensmith, W. N., Hyde, J., & Wallerstein, L. P. (2018). Program evaluation and outcomes of an outpatient competency restoration program. University of Denver Graduate School of Professional Psychology Doctoral Papers and Masters Projects. https://digitalcommons.du.edu/capstone_masters/329.Google Scholar
Noffsinger, S. G. (2001). Restoration to competency practice guidelines. International Journal of Offender Therapy and Comparative Criminology, 45, 356–362. https://doi.org/10.1177/0306624X01453007.Google Scholar
Pate v. Robinson, 383 US 375 (1966).Google Scholar
Pinals, D. (2005). Where two roads meet: Restoration of competence to stand trial from a clinical perspective. New England Journal of Civil and Criminal Confinement, 31, 81–108.Google Scholar
Pirelli, G., Gottdiener, W. H., & Zapf, P. A. (2011). A meta-analytic review of competency to stand trial research. Psychology, Public Policy, and Law, 17(1), 1–53. https://doi.org/10.1037/a002171.Google Scholar
Pirelli, G., & Zapf, P. A. (2015, March). A meta-analysis of treatment competence literature. Presented at the Annual Conference of the American Psychology-Law Society, San Diego, CA.Google Scholar
Pirelli, G., & Zapf, P. A. (2020). An attempted meta-analysis of the competency restoration research: Important findings for future directions. Journal of Forensic Psychology Research and Practice, 20(2), 134–162. https://doi.org/10.1080/24732850.2020.1714398.Google Scholar
Rice, K., & Jennings, J. L. (2014). The ROC program: Accelerated restoration of competency in a jail setting. Journal of Correctional Health Care, 20(1), 59–69. https://doi.org/10.1177/1078345813505067.Google Scholar
Shook, J. F. (2019). Demographic, legal, and clinical predictors of long-term trial competency restoration. Doctoral dissertation, Nova Southeastern University. NSU Works. https://nsuworks.nova.edu/cps_stuetd/131/.Google Scholar
Siegel, A. M., & Elwork, A. (1990). Treating incompetence to stand trial. Law and Human Behavior, 14, 57–65. https://doi.org/10.1007/BF01055789.Google Scholar
Stewart, J. (2015). Yavapai RTC [PowerPoint presentation]. www.researchgate.net/publication/311190356_Restoration_To_Competency_in_Arizona.Google Scholar
Warren, J. I., Chauhan, P., Kois, L., Dibble, A., & Knighton, J. (2013). Factors influencing 2,260 opinions of defendants’ restorability to adjudicative competency. Psychology, Public Policy, and Law, 19(4), 498–508. https://doi.org/10.1037/a0034740.Google Scholar
Wik, A. (2018). Alternatives to inpatient competency restoration programs: Community-based competency restoration programs. www.nri-inc.org/our-work/nri-reports/alternatives-to-inpatient-competency-restoration-programs-community-based-competency-restoration-programs/.Google Scholar
Wik, A., Hollen, V., & Fisher, W. H. (2017). Forensic patients in state psychiatric hospitals: 1999–2016. National Association of State Mental Health Program Directors.Google Scholar
Zapf, P. (2013). Standardizing protocols for treatment to restore competency to stand trial: Interventions and clinically appropriate time periods (Document No. 13-01-1901). Olympia: Washington State Institute for Public Policy.Google Scholar
Zapf, P. A., & Roesch, R. (2011). Future directions in the restoration of competency to stand trial. Current Directions in Psychological Science, 20, 43–47. https://doi.org/10.1177%2F0963721410396798.Google Scholar

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