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Are release recommendations for NGRI acquittees informed by relevant data?
Gina M Manguno-Mire1, John W Thompson, Lisa J Bertman-Pate
1Tulane University Health Sciences Center, School of Medicine, Department of Psychiatry and Neurology, 1440 Canal Street TB 53, New Orleans, LA 70112, USA. gmire@Tulane.edu
Abstract:
We conducted a retrospective review of factors involved in clinical recommendations for release of patients adjudicated not guilty by reason of insanity (NGRI). Medical records from 91 patients in a maximum security forensic hospital who participated in a formal hearing process to determine suitability for release were reviewed. The purpose of the study was twofold: (1) to examine the process involved in day to day clinical decision-making regarding release from a maximum security forensic hospital and (2) to determine what factors in a patient's clinical and legal history were related to recommendation decisions. Multivariate statistical methods revealed that among the clinical, demographic, and legal information available to clinicians at the time a formal release recommendation was made two factors emerged that were significantly related to release recommendations: PCL-R score and the age at which the patient committed his first criminal offense. Patients with high levels of psychopathy and those who engaged in criminal behavior at a younger age were less likely to be recommended for release from a maximum security forensic hospital.
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