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Published on: November 9, 2018
Incompetent to Stand Trial, Not Restorable, and Dangerous
Joseph D Bloom1, Scott E Kirkorsky2
1Dr. Bloom is Clinical Professor, Department of Psychiatry, University of Arizona College of Medicine, Phoenix, AZ. Dr. Kirkorsky is Assistant Clinical Professor, Department of Psychiatry, Banner University Hospital, Phoenix, AZ. bloomj@ohsu.edu.
Individuals found incompetent to stand trial and deemed dangerous can be committed. This article explores current models and proposes a new approach based on insanity acquittee procedures for public safety.
Area of Science:
- Forensic Psychiatry
- Mental Health Law
- Criminal Justice
Background:
- Focuses on the disposition of individuals charged with serious crimes who are permanently incompetent to stand trial.
- Addresses public safety concerns when criminal charges are dismissed for those deemed dangerous.
- Examines existing legal frameworks in California, Oregon, and Ohio for managing such cases.
Purpose of the Study:
- To analyze current dispositional models for individuals incompetent to stand trial.
- To propose a new model for the commitment and treatment of dangerous individuals found permanently incompetent.
Main Methods:
- Review of current legal and procedural models in three US states (California, Oregon, Ohio).
- Analysis of civil commitment law modifications used in these models.
- Proposal of a new model based on the American Bar Association (ABA) Criminal Justice Mental Health Standards.
Main Results:
- Current models in California, Oregon, and Ohio utilize modified civil commitment procedures.
- These models aim to balance individual rights with public safety concerns.
- A proposed fourth model suggests commitment under procedures similar to those for insanity acquittees.
Conclusions:
- Existing models for permanently incompetent defendants rely on adaptations of civil commitment.
- A proposed model offers a specialized commitment pathway for dangerous, incompetent individuals.
- This approach aims for consistent and effective management of high-risk individuals within the justice system.
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