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Related Experiment Videos

The review panel process: an algorithm for the conditional release of insanity acquittees.

Barbara E McDermott1, John W Thompson

  • 1UC Davis School of Medicine, Department of Psychiatry, Forensic Division, 2230 Stockton Blvd., Sacramento, CA 95817, USA. bemcdermott@ucdavis.edu

International Journal of Law and Psychiatry
|January 3, 2006
PubMed
Summary

Structured assessments aid release decisions for insanity acquittees. The Community Outpatient Treatment Readiness Profile score effectively identified individuals needing continued commitment, improving risk assessment accuracy.

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Area of Science:

  • Forensic Psychology
  • Clinical Psychiatry
  • Risk Assessment

Background:

  • Conditional release decisions for insanity acquittees require careful evaluation of mental illness severity and dangerousness.
  • Structured assessments can enhance the objectivity and accuracy of these critical decisions.

Purpose of the Study:

  • To evaluate the utility of structured mental health and violence risk assessments in the conditional release process for insanity acquittees.
  • To identify key predictors for release recommendations.

Main Methods:

  • Classification and Regression Tree (CART) analysis was used to optimize predictive cutpoints.
  • Data from individuals found Not Guilty by Reason of Insanity (NGRI) at East Louisiana Mental Health System between 1997-1999 were analyzed.

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Main Results:

  • The Community Outpatient Treatment Readiness Profile (COTRP) score was the strongest predictor; scores ≥62 indicated a recommendation for continued commitment.
  • For women with moderate symptoms, release was to civil facilities. For men with moderate symptoms, low PCL-R scores predicted release, while high scores predicted continued commitment.

Conclusions:

  • Structured assessment algorithms, particularly the COTRP, can significantly aid governing bodies in making informed release decisions for NGRI acquittees.
  • These tools improve the prediction of violence risk and inform appropriate release pathways.