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
OtherREGULAR ARTICLE

Jackson's Indiana: State Hospital Competence Restoration in Indiana

Douglas R. Morris and George F. Parker
Journal of the American Academy of Psychiatry and the Law Online December 2008, 36 (4) 522-534;
Douglas R. Morris
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
George F. Parker
  • 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

    Demographics of the Study Population (1988–2005)

    CategoryTotalForensic HospitalOther HospitalsP*
    nDatanDatanData
    Age at admission1,47536.6 y1,06536.1 y41038.2 y<.05
    Sex
        Male1,29387.7%97091.1%32378.8%<.0001
        Female18212.3%958.9%8721.2%<.0001
    Race
        White85157.7%57554.0%27667.3%<.0001
        Black58139.4%45442.6%12731.0%<.0001
        Other432.9%363.4%71.7%.08
    Diagnosis
        Psychotic disorder98867.0%73268.7%25662.4%.02
        Mood disorder20113.6%14213.3%5914.4%.6
        Mental Retardation only1117.5%716.7%409.8%.6
        MR and MI634.3%403.8%235.6%.1
        Other disorders24116.3%16115.1%8019.5%.04
    • Percentages may total >100% as individuals could be placed in multiple categories.

    • * Forensic hospital versus other hospitals.

    • View popup
    Table 2

    Changes in Demographics and Diagnoses over the Study Period

    Annual AdmissionsMean Age at AdmissionDemographic DataPrevalence of Diagnosis
    MaleFemaleWhiteBlackOther RacePsychotic DisorderMood DisorderMR OnlyMR and MIOther Disorder
    Forensic hospital
        1988–199249.635.8*92.3%†7.7%†59.7%*39.1%1.2%57.7%10.9%6.1%‡2.4%*25.8%
        2001–200565.636.1§89.3%10.7%53.7%44.2%‖2.1%78.1%¶19.8%#5.2%4.9%6.4%‖¶
    Other state hospitals
        1988–199210.231.9**68.6%31.4%74.5%25.5%0.0%43.1%9.8%19.6%9.8%29.4%
        2001–200530.440.084.2%††15.8%††63.2%34.2%2.6%75.0%¶19.1%5.9%#5.3%11.8%#
    All hospitals
        1988–199259.835.2‡‡88.3%11.7%62.2%36.8%1.0%55.8%9.0%8.4%3.7%26.4%
        2001–200596.037.487.7%12.3%56.7%41.0%2.3%77.1%¶19.6%¶5.4%5.0%8.1%¶
    • * p < .05 versus other hospitals, 1988–1992.

    • † p < .0001 versus other hospitals, 1988–1992.

    • ‡ p < .01 versus other hospitals, 1988–1992.

    • § p < .01 versus other hospitals, 2001–2005.

    • ‖ p < .05 versus other hospitals, 2001–2005.

    • ¶ p < .0001 versus 1988–1992.

    • # p < .01 versus 1988–1992.

    • ** p < .001 versus 2001–2005.

    • †† p < .05 versus 1988–1992.

    • ‡‡ p < .05 versus all hospitals, 2001–2005.

    • View popup
    Table 3

    Total (1988–2004) and Five-year Mean Restoration Rates by Hospital (1988–1992 versus 2000–2004)

    Admissions (n)Six-Month RTCOne-Year RTC
    n% RTCn% RTC
    Forensic Hospital
        1988–200499173974.6%*85686.4%†
        1988–199224820482.2%‡23092.7%‡
        2000–200431521568.3%26082.5%
    Other state hospitals
        1988–200438925966.6%30277.6%
        1988–1992514078.4%4486.3%
        2000–200416411067.1%12676.8%
    All hospitals
        1988–2004138099872.3%115883.9%
        1988–199229924481.6%§27491.6%§
        2000–200447932567.8%38680.6%
    • * p < .01 versus other state hospitals, 1988–2004.

    • † p < .0001 versus other state hospitals, 1988–2004.

    • ‡ p < .001 versus forensic hospital, 2000–2004.

    • § p < .0001 versus all hospitals, 2000–2004.

    • View popup
    Table 4

    Six-Month and One-Year Restoration Rates by Diagnosis (1988–2004)

    DiagnosisNSix-Month RTCOne-Year RTC
    Psychotic disorder92272.8%83.8%
    Mood disorder17581.7%*92.6%*
    MR only10861.1%†75.9%‡
    MR and MI6050.0%§60.0%‖
    Other disorders23076.1%87.4%
    • * p < .05 versus psychotic disorders.

    • † p < .05 versus psychotic disorders, mood disorders and other disorders.

    • ‡ p < .05 versus all other diagnositic categories.

    • § p < .001 versus psychotic disorders, mood disorders and other disorders.

    • ‖ p < .0001 versus psychotic disorders, mood disorders and other disorders; p < .05 versus MR only.

    • View popup
    Table 5

    Multiple Regression Model for Factors Affecting Rate of Competence Restoration

    VariableStatus ModeledRestoration Within Six MonthsRestoration Within One Year
    Estimated Log Odds Exp (Estimate)*pEstimated Log Odds Exp (Estimate)*p
    Age at admission<.01<.01
    SexFemale1.44<.011.67<.01
    Admitting hospitalForensic1.24<.011.39<.01
    Psychotic disorderDisorder present.77<.01.72<.01
    Mood disorderDisorder present1.24.041.49.01
    Mental retardationDisorder present.60<.01.51.01
    RaceWhiteNS.63<.01
    • * The estimated log odds provides the odds of an individual with a given demographic factor or diagnosis being successfully restored within six months or one year. NS, not significant.

PreviousNext
Back to top

In this issue

Journal of the American Academy of Psychiatry and the Law Online: 36 (4)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 36, Issue 4
December 2008
  • 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.
Jackson's Indiana: State Hospital Competence Restoration in Indiana
(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
Jackson's Indiana: State Hospital Competence Restoration in Indiana
Douglas R. Morris, George F. Parker
Journal of the American Academy of Psychiatry and the Law Online Dec 2008, 36 (4) 522-534;

Citation Manager Formats

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

Share
Jackson's Indiana: State Hospital Competence Restoration in Indiana
Douglas R. Morris, George F. Parker
Journal of the American Academy of Psychiatry and the Law Online Dec 2008, 36 (4) 522-534;
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Acknowledgments
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

Related Articles

Cited By...

More in this TOC Section

  • A Forensic Science-Based Model for Identifying and Mitigating Forensic Mental Health Expert Biases
  • Bias in Peer Review of Forensic Psychiatry Publications
  • Reconsidering the Relationship Between Criminal Insanity and Delusions
Show more Regular Article

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 © 2025 by The American Academy of Psychiatry and the Law