Douglas mossman competency to stand trial

Archives of general psychiatry, , 46 7 , Assessing improvements in the dexamethasone suppression test using receiver operating characteristics analysis. Biological psychiatry, , 25 2 , Bad for your health. Mental illness and creativity. Arana, G W; Mossman, D The dexamethasone suppression test and depression. Approaches to the use of a laboratory test in psychiatry. Endocrinology and metabolism clinics of North America, , 17 1 , Neurologic clinics, , 6 1 , United States v.

Lyons: toward a new conception of legal insanity. Coerced outpatient treatment. Lithium-responsive depressed patients. The American journal of psychiatry, , 3 , Psychological assessment, , More Information. The journal of the American Academy of Psychiatry and the Law, , 39 2 , Psychological Assessment, , More Information. Mossman, Douglas; Peng, Hongying Medical Decision Making, , 36 3 , More Information. Constructing "proper" ROCs from ordinal response data using weighted power functions.

Medical decision making, , 34 4 , More Information. A Bayesian approach to mixed group validation of performance validity tests. Psychological assessment, , 27 3 , More Information. The association between salivary hormone levels and children's inpatient aggression: a pilot study.

The Psychiatric quarterly, , 84 4 , More Information. From group data to useful probabilities: the relevance of actuarial risk assessment in individual instances. Journal of the American Academy of Psychiatry and the Law, , 43 1 , Mossman, Douglas Evaluating risk assessments using receiver operating characteristic analysis: rationale, advantages, insights, and limitations. Correlations of inflammatory gene pathways, corticolimbic functional activities, and aggression in pediatric bipolar disorder: a preliminary study.

Psychiatry research, , 2 , More Information. The journal of the American Academy of Psychiatry and the Law, , 40 3 , Malpractice and the psychiatrist : a primer for residents. Debra A Pinals, Douglas Mossman Evaluation for Civil Commitment.

Toggle navigation Research Directory. Home Facilities. More ». Journal of the American Academy of Psychiatry and the Law, , 37 1 , Mossman, Douglas The imperfection of protection through detection and intervention. The British journal of psychiatry : the journal of mental science, , ,; author reply 56 More Information Mossman, Douglas Comprehensive psychiatry, , 47 3 , More Information Mossman, Douglas Sexual abuse : a journal of research and treatment, , 18 1 , More Information Mossman, Douglas Law and human behavior, , 27 3 , Mossman, Douglas The American journal of psychiatry, , 6 , Mossman, D Journal of clinical psychopharmacology, , 19 1 , Mossman, D Medical decision making : an international journal of the Society for Medical Decision Making, , 15 4 , Mossman, D International journal of law and psychiatry, , 17 4 , Mossman, D The Journal of neuropsychiatry and clinical neurosciences, , 4 3 , Somoza, E; Mossman, D Comparing and optimizing diagnostic tests: an information-theoretical approach.

Another is to ask the defendant if he recalls the events and feels able to relate an account to his attorney. The assessment of CST is a common forensic evaluation. This article provided a brief review of the assessment process. Clinicians who undertake the responsibility for conducting these evaluations should undergo sufficient training with supervision. In addition, they will need to be familiar with the local rules regarding reports, testimony, and treatment of defendants found to be incompetent to stand trial.

In this article, instruments developed by that group are discussed. The author receives compensation from the sale of those instruments. National Center for Biotechnology Information , U. Journal List Indian J Psychiatry v. Indian J Psychiatry. Steven K. Author information Copyright and License information Disclaimer. E-mail: moc. Abstract The legal concept of competence to stand trial has ancient roots.

Keywords: Competence to stand trial, Process of clinical evaluation, Expert opinion. Accuracy of criminal process The participation of a competent defendant is important to achieving reliable outcomes in the judicial process.

Autonomy Under the law, certain decisions are to be made by the criminal defendant. Preparation for the assessment The forensic clinician should prepare for the interview by reviewing records, speaking with the defendant's attorney, and determining whether more information should be gathered.

Table 1 Preparing for assessment. Open in a separate window. Assessment content The assessment content should follow the legal test as outlined by Dusky.

Competency to assist counsel Understanding of criminal charges Understanding of the implications of being a defendant Understanding of the adversarial nature of the proceedings Understanding of the role of defense counsel, prosecutor, judge, and jury Ability to work with attorney and relate pertinent information.

Decisional competency Ability to make important decisions that arise in the course of adjudication: how to plead, considering plea agreements, strategy of defense. Attorney interactions The defendant should be asked about the quality of their interactions with defense counsel. Observations and inferences The forensic evaluator must make inferences based on the defendant's responses. Account of event The defendant's ability to provide an account of the alleged offense may be important to the defense attorney.

Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest. Attorney-client decision-making in criminal cases: Client competence and participation as perceived by their attorneys. Behav Sci Law. Client abilities to assist counsel and make decisions in criminal cases: Findings from three studies. Law Hum Behav. In cross-validation simulations, predictive equations had ROC areas of 0.

These findings provide scientific support for testimony that two types of incompetent evaluees have well-below-average probabilities of being restored: chronically psychotic defendants with histories of lengthy inpatient hospitalizations and defendants whose incompetence stems from irremediable cognitive disorders such as mental retardation. By surveying a variety of practices and approaches to data gathering and case analysis, the authors believe that this Guideline will stimulate additional collegial discussion about what is necessary and sufficient for adequate evaluations of adjudicative competence.

The notion that psychiatrists should apply expertise to competence assessments stems from the principal that, before allowing a defendant to face criminal prosecution and possible punishment, courts need reasonable assurance--based, if necessary, on a careful, individualized evaluation--that the defendant has adequate mental capacity to make a defense.

At a minimum, a psychiatrist's opinion about adjudicative competence should reflect an understanding of the jurisdictional standard and of how the defendant's mental condition affects competence as defined with the jurisdiction.