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Research ArticleRegular Article

A Training Program for Defendants With Intellectual Disabilities Who Are Found Incompetent to Stand Trial

Barry W. Wall and Paul P. Christopher
Journal of the American Academy of Psychiatry and the Law Online September 2012, 40 (3) 366-373;
Barry W. Wall
Dr. Wall is Clinical Associate Professor, Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, and Director, Forensic Service, Eleanor Slater Hospital, Department of Behavioral Health, Developmental Disabilities and Hospitals, RI. Dr. Christopher is Assistant Professor, Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI.
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Paul P. Christopher
Dr. Wall is Clinical Associate Professor, Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, and Director, Forensic Service, Eleanor Slater Hospital, Department of Behavioral Health, Developmental Disabilities and Hospitals, RI. Dr. Christopher is Assistant Professor, Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI.
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Abstract

In this study, we examined whether a specialized training program, the Slater Method, affects rates at which persons with intellectual disabilities attain competence to stand trial. We reviewed records of all 30 persons with Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) clinical diagnoses of mental retardation (in this article, intellectual disability) or borderline intellectual functioning whom courts sent to Eleanor Slater Hospital for competency restoration from 2001 through 2006. Significantly more persons exposed to the Slater Method attained clinical trial competence (61.1%) than did persons who received traditional treatment alone (16.7%). Discussion focuses on potential limitations of the study, ethics-related concerns regarding use of the Slater Method, and directions for future research.

Footnotes

  • Disclosures of financial or other potential conflicts of interest: None.

  • © 2012 American Academy of Psychiatry and the Law
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Journal of the American Academy of Psychiatry and the Law Online: 40 (3)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 40, Issue 3
1 Sep 2012
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A Training Program for Defendants With Intellectual Disabilities Who Are Found Incompetent to Stand Trial
Barry W. Wall, Paul P. Christopher
Journal of the American Academy of Psychiatry and the Law Online Sep 2012, 40 (3) 366-373;

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A Training Program for Defendants With Intellectual Disabilities Who Are Found Incompetent to Stand Trial
Barry W. Wall, Paul P. Christopher
Journal of the American Academy of Psychiatry and the Law Online Sep 2012, 40 (3) 366-373;
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