Document Detail

Evaluating competency to stand trial with evidence-based practice.
MedLine Citation:
PMID:  20018994     Owner:  NLM     Status:  MEDLINE    
Evaluations for competency to stand trial are distinguished from other areas of forensic consultation by their long history of standardized assessment beginning in the 1970s. As part of a special issue of the Journal on evidence-based forensic practice, this article examines three published competency measures: the MacArthur Competence Assessment Tool-Criminal Adjudication (MacCAT-CA), the Evaluation of Competency to Stand Trial-Revised (ECST-R), and the Competence Assessment for Standing Trial for Defendants with Mental Retardation (CAST-MR). Using the Daubert guidelines as a framework, we examined each competency measure regarding its relevance to the Dusky standard and its error and classification rates. The article acknowledges the past polarization of forensic practitioners on acceptance versus rejection of competency measures. It argues that no valuable information, be it clinical acumen or standardized data, should be systematically ignored. Consistent with the American Academy of Psychiatry and the Law Practice Guideline, it recommends the integration of competency interview findings with other sources of data in rendering evidence-based competency determinations.
Richard Rogers; Jill Johansson-Love
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of the American Academy of Psychiatry and the Law     Volume:  37     ISSN:  1093-6793     ISO Abbreviation:  J. Am. Acad. Psychiatry Law     Publication Date:  2009  
Date Detail:
Created Date:  2009-12-18     Completed Date:  2010-02-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9708963     Medline TA:  J Am Acad Psychiatry Law     Country:  United States    
Other Details:
Languages:  eng     Pagination:  450-60     Citation Subset:  IM    
University of North Texas, Denton, TX, USA.
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MeSH Terms
Crime / legislation & jurisprudence*,  psychology*
Evidence-Based Practice / legislation & jurisprudence*,  standards*
Expert Testimony / legislation & jurisprudence
Guidelines as Topic
Mental Competency / legislation & jurisprudence*,  psychology
Mental Disorders / diagnosis*,  psychology*
Mental Retardation / diagnosis*,  psychology*
Neuropsychological Tests / statistics & numerical data
Psychiatric Status Rating Scales / statistics & numerical data
Reproducibility of Results

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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