Skip to main content

Main menu

  • Home
  • Current Issue
  • Ahead of Print
  • Past Issues
  • Info for
    • Authors
    • Print Subscriptions
  • About
    • About the Journal
    • About the Academy
    • Editorial Board
  • Feedback
  • Alerts
  • AAPL

User menu

  • Alerts

Search

  • Advanced search
Journal of the American Academy of Psychiatry and the Law
  • AAPL
  • Alerts
Journal of the American Academy of Psychiatry and the Law

Advanced Search

  • Home
  • Current Issue
  • Ahead of Print
  • Past Issues
  • Info for
    • Authors
    • Print Subscriptions
  • About
    • About the Journal
    • About the Academy
    • Editorial Board
  • Feedback
  • Alerts
Research ArticleRegular Articles

Using the HCR-20V3 to Differentiate Insanity Acquittees Based on Opinions of Readiness for Transfer

Mollimichelle Cabeldue, Debbie Green, Hali Griswold, Melanie Schneider, Jacqueline Smith, Brian Belfi and Michal Kunz
Journal of the American Academy of Psychiatry and the Law Online September 2018, 46 (3) 339-350; DOI: https://doi.org/10.29158/JAAPL.003769-18
Mollimichelle Cabeldue
Ms. Cabeldue is a PhD candidate in clinical psychology at Fairleigh Dickinson University, New Jersey. Dr. Green is a psychologist in private practice in New York. Dr. Griswold is a psychology post doctoral fellow at Eastern State Hospital, Virginia. Ms. Schneider and Ms. Smith are PhD candidates in clinical psychology at Fairleigh Dickinson University, New Jersey. Dr. Belfi is a Clinical Instructor, Department of Psychiatry, NYU School of Medicine, and Deputy Director of Operations at Kirby Forensic Psychiatric Center, New York. Dr. Kunz is Clinical Associate Professor, Department of Psychiatry, NYU School of Medicine, New York and Clinical Director at Kirby Forensic Psychiatric Center, New York. This paper was presented at the American Psychology-Law Society Conference, Seattle, Washington, March 16–18, 2017. Data collection for the research was supported in part by a grant from the American Academy of Psychiatry and the Law Institute for Education and Research awarded in December 2016.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Debbie Green
Ms. Cabeldue is a PhD candidate in clinical psychology at Fairleigh Dickinson University, New Jersey. Dr. Green is a psychologist in private practice in New York. Dr. Griswold is a psychology post doctoral fellow at Eastern State Hospital, Virginia. Ms. Schneider and Ms. Smith are PhD candidates in clinical psychology at Fairleigh Dickinson University, New Jersey. Dr. Belfi is a Clinical Instructor, Department of Psychiatry, NYU School of Medicine, and Deputy Director of Operations at Kirby Forensic Psychiatric Center, New York. Dr. Kunz is Clinical Associate Professor, Department of Psychiatry, NYU School of Medicine, New York and Clinical Director at Kirby Forensic Psychiatric Center, New York. This paper was presented at the American Psychology-Law Society Conference, Seattle, Washington, March 16–18, 2017. Data collection for the research was supported in part by a grant from the American Academy of Psychiatry and the Law Institute for Education and Research awarded in December 2016.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Hali Griswold
Ms. Cabeldue is a PhD candidate in clinical psychology at Fairleigh Dickinson University, New Jersey. Dr. Green is a psychologist in private practice in New York. Dr. Griswold is a psychology post doctoral fellow at Eastern State Hospital, Virginia. Ms. Schneider and Ms. Smith are PhD candidates in clinical psychology at Fairleigh Dickinson University, New Jersey. Dr. Belfi is a Clinical Instructor, Department of Psychiatry, NYU School of Medicine, and Deputy Director of Operations at Kirby Forensic Psychiatric Center, New York. Dr. Kunz is Clinical Associate Professor, Department of Psychiatry, NYU School of Medicine, New York and Clinical Director at Kirby Forensic Psychiatric Center, New York. This paper was presented at the American Psychology-Law Society Conference, Seattle, Washington, March 16–18, 2017. Data collection for the research was supported in part by a grant from the American Academy of Psychiatry and the Law Institute for Education and Research awarded in December 2016.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Melanie Schneider
Ms. Cabeldue is a PhD candidate in clinical psychology at Fairleigh Dickinson University, New Jersey. Dr. Green is a psychologist in private practice in New York. Dr. Griswold is a psychology post doctoral fellow at Eastern State Hospital, Virginia. Ms. Schneider and Ms. Smith are PhD candidates in clinical psychology at Fairleigh Dickinson University, New Jersey. Dr. Belfi is a Clinical Instructor, Department of Psychiatry, NYU School of Medicine, and Deputy Director of Operations at Kirby Forensic Psychiatric Center, New York. Dr. Kunz is Clinical Associate Professor, Department of Psychiatry, NYU School of Medicine, New York and Clinical Director at Kirby Forensic Psychiatric Center, New York. This paper was presented at the American Psychology-Law Society Conference, Seattle, Washington, March 16–18, 2017. Data collection for the research was supported in part by a grant from the American Academy of Psychiatry and the Law Institute for Education and Research awarded in December 2016.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jacqueline Smith
Ms. Cabeldue is a PhD candidate in clinical psychology at Fairleigh Dickinson University, New Jersey. Dr. Green is a psychologist in private practice in New York. Dr. Griswold is a psychology post doctoral fellow at Eastern State Hospital, Virginia. Ms. Schneider and Ms. Smith are PhD candidates in clinical psychology at Fairleigh Dickinson University, New Jersey. Dr. Belfi is a Clinical Instructor, Department of Psychiatry, NYU School of Medicine, and Deputy Director of Operations at Kirby Forensic Psychiatric Center, New York. Dr. Kunz is Clinical Associate Professor, Department of Psychiatry, NYU School of Medicine, New York and Clinical Director at Kirby Forensic Psychiatric Center, New York. This paper was presented at the American Psychology-Law Society Conference, Seattle, Washington, March 16–18, 2017. Data collection for the research was supported in part by a grant from the American Academy of Psychiatry and the Law Institute for Education and Research awarded in December 2016.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Brian Belfi
Ms. Cabeldue is a PhD candidate in clinical psychology at Fairleigh Dickinson University, New Jersey. Dr. Green is a psychologist in private practice in New York. Dr. Griswold is a psychology post doctoral fellow at Eastern State Hospital, Virginia. Ms. Schneider and Ms. Smith are PhD candidates in clinical psychology at Fairleigh Dickinson University, New Jersey. Dr. Belfi is a Clinical Instructor, Department of Psychiatry, NYU School of Medicine, and Deputy Director of Operations at Kirby Forensic Psychiatric Center, New York. Dr. Kunz is Clinical Associate Professor, Department of Psychiatry, NYU School of Medicine, New York and Clinical Director at Kirby Forensic Psychiatric Center, New York. This paper was presented at the American Psychology-Law Society Conference, Seattle, Washington, March 16–18, 2017. Data collection for the research was supported in part by a grant from the American Academy of Psychiatry and the Law Institute for Education and Research awarded in December 2016.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Michal Kunz
Ms. Cabeldue is a PhD candidate in clinical psychology at Fairleigh Dickinson University, New Jersey. Dr. Green is a psychologist in private practice in New York. Dr. Griswold is a psychology post doctoral fellow at Eastern State Hospital, Virginia. Ms. Schneider and Ms. Smith are PhD candidates in clinical psychology at Fairleigh Dickinson University, New Jersey. Dr. Belfi is a Clinical Instructor, Department of Psychiatry, NYU School of Medicine, and Deputy Director of Operations at Kirby Forensic Psychiatric Center, New York. Dr. Kunz is Clinical Associate Professor, Department of Psychiatry, NYU School of Medicine, New York and Clinical Director at Kirby Forensic Psychiatric Center, New York. This paper was presented at the American Psychology-Law Society Conference, Seattle, Washington, March 16–18, 2017. Data collection for the research was supported in part by a grant from the American Academy of Psychiatry and the Law Institute for Education and Research awarded in December 2016.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Tables

    • View popup
    Table 1

    Demographic, Clinical, and Criminal Variables of Patients

    VariablesN%
    Demographic variables
        Gender
            Males11481.4
            Females2618.6
        Race
            Black6143.6
            Caucasian3122.1
            Hispanic2618.6
            Asian42.9
            Other1410.0
            Not reported42.9
        Marital status
            Never married9668.6
            Married139.3
            Divorced/separated2417.1
            Widowed53.6
            Not reported21.4
        Years of education
            Did not graduate/obtain GED6244.1
            Graduated high school/obtained GED6725.7
            Completed some college1712.1
            Completed 4-years of college75.0
            Attended graduate school42.8
            Not reported140.8
    Clinical variables at the time of coded evaluation
        Psychotic disorder9970.8
        Mood disorder2216.1
        Other disorder139.4
    Criminal history and NGRI variables
        At least one prior arrest9467.1
        NGRI offense charge
            Murder/manslaughter4834.3
            Attempted murder/attempted manslaughter3525.0
            Aggravated assault or other assault2014.3
            Arson107.1
            Robbery64.3
            Other crimes2115.0
        Recommitted patients3726.4
    • N = 140.

    • View popup
    Table 2

    Inter-Rater Reliability for Items and Scales of the HCR-20V3

    Scale and ItemICC95% CI
    Historical (N = 74 paired ratings)
        H1. Violence1.001.00–1.00
        H2. Other antisocial behavior0.85**0.77–0.91
        H3. Relationships0.52*0.23–0.70
        H4. Employment0.59**0.34–0.74
        H5. Substance abuse0.95**0.91–0.97
        H6. Major mental illness0.83**0.73–0.89
        H7. Personality disorder0.92**0.88–0.95
        H8. Traumatic experiences0.80**0.69–0.88
        H9. Violent attitudes0.50*0.21–0.69
        H10. Treatment or supervision response0.81**0.69–0.88
        Historical Total0.87**0.79–0.92
    Clinical (N = 74 paired ratings)
        C1. Insight0.92**0.88–0.95
        C2. Violent ideation or intent0.62**0.40–0.76
        C3. Symptoms of major mental disorder0.86**0.78–0.91
        C4. Instability0.79**0.67–0.87
        C5. Treatment or supervision response0.84**0.75–0.90
        Clinical Total0.88**0.81–0.92
    Risk Management (N = 74 paired ratings)
        R1. Professional services and plans0.76**0.61–0.85
        R2. Living situations0.60**0.36–0.75
        R3. Personal support0.74**0.59–0.84
        R4. Treatment or supervision response0.79**0.66–0.87
        R5. Stress and coping0.62**0.39–0.76
        Risk Management Total0.87**0.79–0.92
    • ↵* p < .01;

    • ↵** p < .001.

    • View popup
    Table 3

    Means and Comparisons of HCR-20V3 Items and Scale Scores by Evaluator Opinion Status

    Scale and ItemTransfer (n = 57) MRetain (n = 83) MpCohen's d
    Historical
        H1. Violence1.982.000.321.43
        H2. Other antisocial behavior0.911.160.120.28
        H3. Relationships1.651.810.090.31
        H4. Employment1.041.34<0.050.44
        H5. Substance abuse1.441.640.150.25
        H6. Major mental illness1.951.940.88-0.04
        H7. Personality disorder1.141.240.500.12
        H8. Traumatic experiences1.491.640.200.23
        H9. Violent attitudes0.570.86<0.050.37
        H10. Treatment or supervision response1.661.810.140.28
        Historical Total13.7015.37<0.010.57
    Clinical
        C1. Insight0.651.72<.0011.70
        C2. Violent ideation or intent0.040.42<.0010.74
        C3. Symptoms of major mental disorder0.591.37<.0011.09
        C4. Instability0.341.02<.0010.94
        C5. Treatment or supervision response0.341.42<.0011.76
        Clinical Total1.955.96<.0011.90
    Risk Management
        R1. Professional services and plans0.491.65<.0011.87
        R2. Living situations1.021.80<.0011.28
        R3. Personal support0.981.63<.0010.98
        R4. Treatment or supervision response0.841.72<.0011.68
        R5. Stress and coping0.931.73<.0011.45
        Risk Management Total4.258.53<.0011.97
    • View popup
    Table 4

    Regression Model of Significant Covariates and Evaluator Opinions Regarding Transfer Versus Retention

    χ2dfpNagelkerke R2
    98.295<.0010.69
    PredictorsBSEpExp(B)
    Constant−6.631.88<.0010.001
    Months Since the Index Offense0.000.0030.981.00
    Violence in the Hospital−1.810.820.030.16
    HCR-20V3 Historical Total0.140.110.201.15
    HCR-20V3 Clinical Total0.610.17<.0011.83
    HCR-20V3 Risk Management Total0.480.15.0011.62
    • Violence in the hospital refers to acts that took place since the previous evaluation of dangerousness (M = 15.64; SD = 6.31 months). Exp(B) is the odds ratio for the predictor and indicates how likely an outcome is to occur.

    • View popup
    Table 5

    Correlations between Predictor Variables

    Months Since the Index OffenseViolence in the HospitalHCR-20V3 Historical TotalHCR-20V3 Clinical TotalHCR-20V3 Risk Management Total
    Months Since the Index Offense–.23**.41**.30**.25**
    Violence in the Hospital–.22**.41**.31**
    HCR-20V3 Historical Total–.32**.30**
    HCR-20V3 Clinical Total–.76**
    HCR-20V3 Risk Management Total–
    • ↵** p < .001.

PreviousNext
Back to top

In this issue

Journal of the American Academy of Psychiatry and the Law Online: 46 (3)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 46, Issue 3
1 Sep 2018
  • Table of Contents
  • Index by author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in recommending The Journal of the American Academy of Psychiatry and the Law site.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Using the HCR-20V3 to Differentiate Insanity Acquittees Based on Opinions of Readiness for Transfer
(Your Name) has forwarded a page to you from Journal of the American Academy of Psychiatry and the Law
(Your Name) thought you would like to see this page from the Journal of the American Academy of Psychiatry and the Law web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Using the HCR-20V3 to Differentiate Insanity Acquittees Based on Opinions of Readiness for Transfer
Mollimichelle Cabeldue, Debbie Green, Hali Griswold, Melanie Schneider, Jacqueline Smith, Brian Belfi, Michal Kunz
Journal of the American Academy of Psychiatry and the Law Online Sep 2018, 46 (3) 339-350; DOI: 10.29158/JAAPL.003769-18

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
Using the HCR-20V3 to Differentiate Insanity Acquittees Based on Opinions of Readiness for Transfer
Mollimichelle Cabeldue, Debbie Green, Hali Griswold, Melanie Schneider, Jacqueline Smith, Brian Belfi, Michal Kunz
Journal of the American Academy of Psychiatry and the Law Online Sep 2018, 46 (3) 339-350; DOI: 10.29158/JAAPL.003769-18
del.icio.us logo Digg logo Reddit logo Twitter logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Evaluator Decision-Making
    • Factors Associated with Opinions of Dangerousness
    • Current Study
    • Methods
    • Results
    • Discussion
    • Conclusion
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

Related Articles

Cited By...

More in this TOC Section

  • Data on Evaluations as a Foundation for States Rethinking Competency to Stand Trial
  • Adverse Childhood Experiences and Suicidality and Self-Harm in Persons in Secure Forensic Care
  • Estimating Annual Numbers of Competency to Stand Trial Evaluations across the United States
Show more Regular Articles

Similar Articles

Site Navigation

  • Home
  • Current Issue
  • Ahead of Print
  • Archive
  • Information for Authors
  • About the Journal
  • Editorial Board
  • Feedback
  • Alerts

Other Resources

  • Academy Website
  • AAPL Meetings
  • AAPL Annual Review Course

Reviewers

  • Peer Reviewers

Other Publications

  • AAPL Practice Guidelines
  • AAPL Newsletter
  • AAPL Ethics Guidelines
  • AAPL Amicus Briefs
  • Landmark Cases

Customer Service

  • Cookie Policy
  • Reprints and Permissions
  • Order Physical Copy

Copyright © 2022 by The American Academy of Psychiatry and the Law