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OtherREGULAR ARTICLE

Predicting Restorability of Incompetent Criminal Defendants

Douglas Mossman
Journal of the American Academy of Psychiatry and the Law Online March 2007, 35 (1) 34-43;
Douglas Mossman
Dr. Mossman is Professor and Director, Division of Forensic Psychiatry, Wright State University Boonshoft School of Medicine, Dayton, OH, and Administrative Director, Glenn M. Weaver Institute of Law and Psychiatry, University of Cincinnati College of Law, Cincinnati, OH
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    Figure 1.

    Selection of files for data analysis, showing the number of patients charged with felonies and misdemeanors and outcomes of restoration efforts.

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    Table 1

    Characteristics of 328 Patients Undergoing Competence Restoration and Performance of Each Characteristic as a Predictorof Restoration

    CharacteristicRestoredNot RestoredTest Statisticsp
    Sex
        Female2818χ2 = 2.2 (df = 1)0.14
        Male20280
    Age
        Mean ± SD35.5 ± 11.839.0 ± 11.2U = 13,3790.0074
        Range18.1–79.218.2–84.5
    Ethnicity
        African-American139430.014*
        European-American8853
        Other32
    Marital status
        Never married141650.61*
        Married143
        Divorced/separated4923
        Widowed31
        Unknown236
    Intellectual functioning
        Mental retardation1517χ2 = 11.5 (df = 2)0.0073
        Borderline205
        Others19576
    Most serious charge
        Felony20167χ2 = 16.6 (df = 1)<10−5
        Misdemeanor2931
    Admission period
        Before mid-199712362χ2 = 2.7 (df = 1)0.10
        After mid-199710736
    Clinical syndrome
        Schizophrenia/schizoaffective103630.0095*†
        Major mood disorders337
        Psychosis NOS6018
        Malingering80
        Other diagnoses‡2610
    Symptom Clusters
        Manic excitement/disorganization36150.31*
        Depression/anxiety50
        Negative symptoms60
        Positive symptoms10451
        No predominance7932
    Substance use disorder
        Present12441χ2 = 8.6 (df = 1)0.0033
        Absent10657
    Prior hospitalizations
        Mean ± SD3.23 ± 5.996.24 ± 7.62U = 14,931.5<10−5
        Range0–370–39
    Previous LOS
        Mean ± SD232 ± 6421,018 ± 1,637U = 15,699.5<10−5
        Range0–63010–8855
    • ↵* By two-sided Fisher exact test for 2× N tables.

    • ↵† Post hoc test, schizophrenia/schizoaffective disorder versus other disorders: χ2 = 10.5 (df = 1), p = 0.0012.

    • ↵‡ This category included patients with various dementias and cognitive disorders, substance-induced disorders, delusional disorder, dysthymic disorder, paraphilias, adjustment disorders, impulse control disorders, and expressive language disorder. It also included patients without primary Axis I disorders (e.g., individuals with personality disorders or mental retardation).

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Journal of the American Academy of Psychiatry and the Law Online: 35 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 35, Issue 1
March 2007
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Predicting Restorability of Incompetent Criminal Defendants
Douglas Mossman
Journal of the American Academy of Psychiatry and the Law Online Mar 2007, 35 (1) 34-43;

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Predicting Restorability of Incompetent Criminal Defendants
Douglas Mossman
Journal of the American Academy of Psychiatry and the Law Online Mar 2007, 35 (1) 34-43;
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