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OtherREGULAR ARTICLE

Civil Commitment Outcomes of Incompetent Defendants

Gwen A. Levitt, Illa Vora, Kelly Tyler, Liliane Arenzon, David Drachman and Gilbert Ramos
Journal of the American Academy of Psychiatry and the Law Online September 2010, 38 (3) 349-358;
Gwen A. Levitt
DO
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Illa Vora
MD
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Kelly Tyler
MD
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Liliane Arenzon
MD
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David Drachman
PhD
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Gilbert Ramos
MA
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Article Figures & Data

Tables

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    Table 1

    Demographic Profile of Study Subjects

    Non-NCNRNCNR
    Male, %7478
    Average Age, y37.437.6
    Paranoid schizophrenia, %2528
    Schizoaffective disorder, %1923
    Bipolar one disorder, %53
    Mood disorder, %42
    Unspecified psychotic disorder, %1317
    Other diagnosis, %*3427
    • The other category includes, among others, drug-induced states, personality disorders, uncommon forms of schizophrenia and mood disorders, dementia, mental retardation, adjustment disorders, anxiety disorders, and attention deficit disorder.

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    Table 2

    Court-Ordered Treatment Status

    StatusNon-NCNRNCNR
    CountPercentageCountPercentage
    Voluntary69253913
    Court-ordered treatment1936924784
    Court-ordered evaluation dropped10462
    Unclear/unknown8300
    Total280100293100
    • Statistically significant difference (χ2 with 1 df = 23.72, p < .001).

    • View popup
    Table 3

    Evaluation Status for Patients Receiving Court-Ordered Treatment

    Non-NCNRNCNRχ2*p*
    CountPercentageCountPercentage
    Persistently or acutely disabled
        Absent168429.63.002
        Present1779224398
    Danger to self
        Absent134692309340.9.0001
        Present5931177
    Danger to others
        Absent134692329444.7.0001
        Present5931156
    Gravely disabled
        Absent18998235951.67.196
        Present42125
    Voluntary
        Absent19310024699.6†—
        Present0010.4
    Amended court-ordered treatment
        Absent1849624699.6†—
        Present9410.4
    • * Yates’ correction for continuity was used.

    • † Insufficient observations for significance testing.

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    Table 4

    Length of Stay

    Non-NCNR (n = 280)NCNR (n = 293)U*p*
    MeanMedianMeanMedian
    Admission to discharge-ready14.311.014.310.037926.5.885
    Discharge-ready to actual discharge9.73.029.67.027832.5.001
    Total LOS24.116.043.722.032276.0.001
    • * Mann-Whitney U test results (for comparison of medians).

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    Table 5

    Admission Criteria Met

    Admission CriterionNon-NCNRNCNRχ2*p*
    CountPercentageCountPercentage
    Suicidality
        Absent12946292100211.19.001
        Present1515400
    Violence
        Absent19068293100109.31.001
        Present903200
    Threatening
        Absent26795291997.32.007
        Present13521
    Impulsivity
        Absent280100290991.25.264
        Present0031
    Hallucinations
        Absent25491271930.82.365
        Present269207
    Delusions
        Absent162582217620.33.001
        Present118427024
    Weight loss
        Absent27799292100.30.584
        Present3110
    Disability
        Absent188672348011.29.001
        Present92335920
    Cognition
        Absent2559126089.62.431
        Present2593311
    Electroconvulsive therapy
        Absent2779929199.001.00
        Present3121
    • * Yates’ correction for continuity was used.

    • View popup
    Table 6

    Forced Medication

    AdministeredNon-NCNRNCNRχ2*p*
    CountPercentageCountPercentage
    No25491282966.37.012
    Yes269114
    • * Yates’ correction for continuity was used.

    • View popup
    Table 7

    Reason for Forced Medication

    Non-NCNRNCNRp*
    CountPercentageCountPercentage
    No danger to self/others72700.064
    Danger to self/others197311100
    • * Fisher's exact test results (used due to small expected cell counts).

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Journal of the American Academy of Psychiatry and the Law Online: 38 (3)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 38, Issue 3
September 2010
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Civil Commitment Outcomes of Incompetent Defendants
Gwen A. Levitt, Illa Vora, Kelly Tyler, Liliane Arenzon, David Drachman, Gilbert Ramos
Journal of the American Academy of Psychiatry and the Law Online Sep 2010, 38 (3) 349-358;

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Civil Commitment Outcomes of Incompetent Defendants
Gwen A. Levitt, Illa Vora, Kelly Tyler, Liliane Arenzon, David Drachman, Gilbert Ramos
Journal of the American Academy of Psychiatry and the Law Online Sep 2010, 38 (3) 349-358;
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