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OtherREGULAR ARTICLE

The Performance of Incarcerated Juveniles on the MacArthur Competence Assessment Tool-Criminal Adjudication (MacCAT-CA)

Susan LaVelle Ficke, Kathleen J. Hart and Paul A. Deardorff
Journal of the American Academy of Psychiatry and the Law Online September 2006, 34 (3) 360-373;
Susan LaVelle Ficke
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Kathleen J. Hart
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Paul A. Deardorff
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  • Figure 1
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    Figure 1

    Mean MacCAT scores by age. The cut-off for clinically significant impairment is 7 or lower for the Understanding Scale and 8 or lower for the Reasoning and Appreciation Scales. The range of possible scores is 0 to 16 for Understanding and Reasoning and 0 to 12 for Appreciation.

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    Figure 2

    Percentage of youth with IQ scores above or below 60 whose scores on the Understanding scale were in the clinically significant impairment range. No youth in the 17- to 18-year age group had an IQ score below 60.

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    Figure 3

    Percentage of youth with IQ scores above and below 60 whose Reasoning score was in the clinically significant impairment range.

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    Figure 4

    Percentage of youth with IQ scores above and below 60 whose Appreciation scores were in the clinically significant impairment range. No youth in the 17- to 18-year age group had an IQ score below 60.

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    Table 1

    Demographic Variables and Test Scores by Age Group

    Variable9–12 Years (n = 26)13–14 Years(n = 74)15–16 Years(n = 100)17–18 Years(n = 47)Fp
    GradeM5.07.38.710.0142.1.001
    SD1.21.01.01.1
    Estimated IQM73.774.372.687.611.7.001
    SD14.115.515.712.4
    WRAT
        ReadM73.081.682.783.42.7.05
    SD21.915.115.716.4
        SpellM78.682.384.483.91.0.40
    SD19.416.515.416.2
        Arith*M77.280.083.085.42.9.03
    SD14.513.811.315.2
    BPRS-C
        Internal†M6.145.975.806.14.53.66
    SD8.46.66.18.0
        External‡M5.014.054.093.826.95.001
    SD1.581.061.07.91
        DevMal§M7.316.816.656.471.41.24
    SD2.081.961.721.53
    Number of chargesM9.114.517.718.74.9.003
    SD6.211.113.012.3
    • Data are the mean (M) ± SD.

    • * Arithmetic subtest of the WRAT-3.

    • † Internalization factor of the BPRS-C.

    • ‡ Externalization factor of the BPRS-C.

    • § Developmental maladjustment factor of the BPRS-C.

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    Table 2

    Correlation Coefficients and Probability Levels for the Study Variables

    IQWRATReadWRATSpellWRATArithNumber ofChargesBPRS-CInternalBPRS-CExternalBPRS-CDevelopmentalMaladjustmentMacCATUnderstandMacCATReasoningMacCATApprec.
    Age.192.152.106.247.245.009−.261−.070.338.388.201
    .002.017.097.001.001.892.001.275.001.001.001
    Estimated.553.492.514−.108.017−.173−.240.417.434.329
    IQ.001.001.001.092.788.007.001.001.001.001
    WRAT.863.523−.144−.033−.306−.269.467.423.296
    Reading.001.001.023.611.001.001.001.001.001
    WRAT.516−.183−.043−.237−.236.374.337.242
    Spelling.001.004.501.001.001.001.001.001
    WRAT−.065−.121−.240−.266.460.420.354
    Arithmetic.310.058.001.001.001.001.001
    Number of.116.109.021.050.079.138
    Charges.070.089.746.434.214.030
    BPRS-C−.088.119.029−.042−.122
    Internal.169.062.647.514.055
    BPRS-C.298−.392−.306−.219
    External.001.001.001.001
    BPRS-C−.154−.136−.231
    Developmental Maladjustment.015.033.001
    MacCAT-CA.530.452
    Understand.001.001
    MacCAT-CA.490
    Reasoning.001
    • View popup
    Table 3

    MacCAT-CA Scale for Each Age Group

    MacCAT-CAScoresAge Group (years)ANCOVA
    9−12(n = 26)13–14(n = 74)15–16(n = 100)17–18(n = 47)Fp
    UnderstandingM7.29.89.911.28.6.001
    SD3.22.82.83.0
    Range2–144–162–164−16
    ReasoningM8.210.410.912.18.6.001
    SD3.12.92.63.2
    Range1–142–163–163–16
    AppreciationM7.38.98.89.54.0.009
    SD3.22.32.12.2
    Range0–120–123−123−12
    • Estimated full-scale IQ served as the covariate in the three ANCOVA analyses. The means (M) and SDs listed above represent their true values. There has been no adjustment for the covariate. Post hoc analyses using the LSD test revealed that, after allowance for intelligence, the 9–12 group differed significantly from the remaining three age groups, which did not differ significantly from each other.

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    Table 4

    Multiple Regression Results: Predicting Scores on the MacCAT-CA

    Variablesβtp
    Age in months (squared).142.48.01
    Number of Charges.101.76.08
    WRAT
        Reading.312.90.004
        Spelling−.12−1.14.26
        Arithmetic.223.32.001
    Estimated Full Scale IQ.142.20.03
    BPRS-C
        Internalization.010.27.79
        Externalization−.25−4.38.001
        Developmental maladjustment.101.79.07
    • View popup
    Table 5

    Multiple Regression Results: Predicting Scores on the Reasoning Scale of the MacCAT-CA

    Variablesβtp
    Age in months (squared).213.8.001
    Number of Charges.111.8.06
    WRAT
        Reading.262.4.02
        Spelling−.10−1.0.33
        Arithmetic.152.2.02
    Estimated Full Scale IQ.223.4.001
    BPRS-C
        Internalization−.06−1.18.24
        Externalization−.16−2.96.003
        Developmental Maladjustment.111.99.05
    • View popup
    Table 6

    Multiple Regression Results: Predicting Scores on the Appreciation Scale of the MacCAT-CA

    Variablesβtp
    Age in months (squared).010.16.88
    Number of Charges.213.35.001
    WRAT
        Reading.120.97.34
        Spelling−.05−0.44.66
        Arithmetic.172.37.02
    Estimated Full Scale IQ.192.65.01
    BPRS-C
        Internalization−.14−2.29.03
        Externalization−.14−2.16.03
        Developmental Maladjustment−.040.65.52
    • View popup
    Table 7

    Percentage of Youth Whose Scores Fall in the Minimal or No Impairment, Mild Impairment, or Clinically Significant Impairment Ranges on the MacCAT-CA

    Minimal or No ImpairmentMildImpairmentClinically SignificantImpairment
    Understanding
        9–12 years26.9211.5461.54
        13–14 years54.0524.3221.62
        15–16 years61.0022.0018.51
        17–18 years76.068.5114.89
    Reasoning
        9–12 years15.3834.6250.00
        13–14 years56.7621.6221.62
        15–16 years63.0020.0017.00
        17–18 years76.068.5114.89
    Appreciation
        9–12 years19.2315.3865.38
        13–14 years22.9744.9531.08
        15–16 years22.0036.0042.00
        17–18 years42.5529.7927.66
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Journal of the American Academy of Psychiatry and the Law Online: 34 (3)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 34, Issue 3
September 2006
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The Performance of Incarcerated Juveniles on the MacArthur Competence Assessment Tool-Criminal Adjudication (MacCAT-CA)
Susan LaVelle Ficke, Kathleen J. Hart, Paul A. Deardorff
Journal of the American Academy of Psychiatry and the Law Online Sep 2006, 34 (3) 360-373;

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The Performance of Incarcerated Juveniles on the MacArthur Competence Assessment Tool-Criminal Adjudication (MacCAT-CA)
Susan LaVelle Ficke, Kathleen J. Hart, Paul A. Deardorff
Journal of the American Academy of Psychiatry and the Law Online Sep 2006, 34 (3) 360-373;
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