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Related Experiment Videos

Incompetent misdemeanants--pseudocivil commitment.

S Rachlin, C L Stokman, S Grossman

    The Bulletin of the American Academy of Psychiatry and the Law
    |January 1, 1986
    PubMed
    Summary
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    New York’s laws for incompetent misdemeanants, designed to increase review, resulted in longer hospital stays without improving public safety or patient therapy. These individuals are treated more like criminals than patients.

    Area of Science:

    • Forensic Psychiatry
    • Mental Health Law
    • Criminal Justice

    Background:

    • Historically, individuals found incompetent to stand trial (IST) faced prolonged psychiatric hospitalization, disproportionately affecting those accused of misdemeanors.
    • A high-profile case prompted New York to implement stringent legal and review processes for IST patients committed via criminal court orders.

    Purpose of the Study:

    • To evaluate the impact of new legal procedures on the patient care and hospital course of incompetent misdemeanants in New York.
    • To compare the treatment and outcomes of incompetent misdemeanants with civilly committed patients and convicted individuals in county penitentiaries.

    Main Methods:

    • Retrospective analysis of the hospital course for 52 incompetent misdemeanants at a state psychiatric facility.
    • Comparison of demographic and clinical data with a control group of civilly committed patients.

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  • Comparative analysis with individuals committed to county penitentiaries post-conviction.

    • Main Results:

    • Incompetent misdemeanants showed demographic and clinical similarities to civilly committed patients but experienced significantly longer inpatient stays.
    • Compared to convicted individuals, the study population differed on key parameters, suggesting disparate treatment.
    • Despite appearing as patients, incompetent misdemeanants were treated more like criminals, with no evidence of enhanced public safety or therapeutic benefit.

    Conclusions:

    • The implemented legal framework for incompetent misdemeanants in New York has led to extended hospitalizations without demonstrable improvements in public safety or therapeutic outcomes.
    • The current system appears to prioritize punitive or custodial measures over patient-centered care for this population.