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Research ArticleRegular Articles

Predictors of Competency to Stand Trial in Connecticut's Inpatient Juvenile Competency Restoration Program

Joseph Chien, Kendell L. Coker, Susan Parke, Nabyl Tejani, Remy A. Sirken, Christina Sanchez-Jaquez, Fernando Rausch and Muhammad W. Azeem
Journal of the American Academy of Psychiatry and the Law Online December 2016, 44 (4) 451-456;
Joseph Chien
Dr. Chien is Staff Psychiatrist, Portland VA Health Care System, Portland, OR. Dr. Coker is Assistant Professor, Department of Psychology and Criminal Justice, University of New Haven, New Haven, CT. Dr. Parke is Assistant Professor, Division of Law and Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Tejani is Staff Psychiatrist, San Quentin State Prison, San Quentin, CA.; Dr. Sirken is Staff Psychiatrist, Western Connecticut Health Network, Danbury, CT. Dr. Sanchez-Jaquez is Attending Psychiatrist, El Paso Immigration Processing Center, El Paso, TX. Mr. Rausch is Intake Coordinator, Albert. J. Solnit Children's Center, Middletown, CT. Dr. Azeem is Chief of Psychiatry and Medical Director, Albert J. Solnit Children's Center, Middletown, CT, and Associate Clinical Professor, Yale Child Study Center, Yale University, New Haven, CT.
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Kendell L. Coker
Dr. Chien is Staff Psychiatrist, Portland VA Health Care System, Portland, OR. Dr. Coker is Assistant Professor, Department of Psychology and Criminal Justice, University of New Haven, New Haven, CT. Dr. Parke is Assistant Professor, Division of Law and Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Tejani is Staff Psychiatrist, San Quentin State Prison, San Quentin, CA.; Dr. Sirken is Staff Psychiatrist, Western Connecticut Health Network, Danbury, CT. Dr. Sanchez-Jaquez is Attending Psychiatrist, El Paso Immigration Processing Center, El Paso, TX. Mr. Rausch is Intake Coordinator, Albert. J. Solnit Children's Center, Middletown, CT. Dr. Azeem is Chief of Psychiatry and Medical Director, Albert J. Solnit Children's Center, Middletown, CT, and Associate Clinical Professor, Yale Child Study Center, Yale University, New Haven, CT.
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Susan Parke
Dr. Chien is Staff Psychiatrist, Portland VA Health Care System, Portland, OR. Dr. Coker is Assistant Professor, Department of Psychology and Criminal Justice, University of New Haven, New Haven, CT. Dr. Parke is Assistant Professor, Division of Law and Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Tejani is Staff Psychiatrist, San Quentin State Prison, San Quentin, CA.; Dr. Sirken is Staff Psychiatrist, Western Connecticut Health Network, Danbury, CT. Dr. Sanchez-Jaquez is Attending Psychiatrist, El Paso Immigration Processing Center, El Paso, TX. Mr. Rausch is Intake Coordinator, Albert. J. Solnit Children's Center, Middletown, CT. Dr. Azeem is Chief of Psychiatry and Medical Director, Albert J. Solnit Children's Center, Middletown, CT, and Associate Clinical Professor, Yale Child Study Center, Yale University, New Haven, CT.
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Nabyl Tejani
Dr. Chien is Staff Psychiatrist, Portland VA Health Care System, Portland, OR. Dr. Coker is Assistant Professor, Department of Psychology and Criminal Justice, University of New Haven, New Haven, CT. Dr. Parke is Assistant Professor, Division of Law and Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Tejani is Staff Psychiatrist, San Quentin State Prison, San Quentin, CA.; Dr. Sirken is Staff Psychiatrist, Western Connecticut Health Network, Danbury, CT. Dr. Sanchez-Jaquez is Attending Psychiatrist, El Paso Immigration Processing Center, El Paso, TX. Mr. Rausch is Intake Coordinator, Albert. J. Solnit Children's Center, Middletown, CT. Dr. Azeem is Chief of Psychiatry and Medical Director, Albert J. Solnit Children's Center, Middletown, CT, and Associate Clinical Professor, Yale Child Study Center, Yale University, New Haven, CT.
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Remy A. Sirken
Dr. Chien is Staff Psychiatrist, Portland VA Health Care System, Portland, OR. Dr. Coker is Assistant Professor, Department of Psychology and Criminal Justice, University of New Haven, New Haven, CT. Dr. Parke is Assistant Professor, Division of Law and Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Tejani is Staff Psychiatrist, San Quentin State Prison, San Quentin, CA.; Dr. Sirken is Staff Psychiatrist, Western Connecticut Health Network, Danbury, CT. Dr. Sanchez-Jaquez is Attending Psychiatrist, El Paso Immigration Processing Center, El Paso, TX. Mr. Rausch is Intake Coordinator, Albert. J. Solnit Children's Center, Middletown, CT. Dr. Azeem is Chief of Psychiatry and Medical Director, Albert J. Solnit Children's Center, Middletown, CT, and Associate Clinical Professor, Yale Child Study Center, Yale University, New Haven, CT.
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Christina Sanchez-Jaquez
Dr. Chien is Staff Psychiatrist, Portland VA Health Care System, Portland, OR. Dr. Coker is Assistant Professor, Department of Psychology and Criminal Justice, University of New Haven, New Haven, CT. Dr. Parke is Assistant Professor, Division of Law and Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Tejani is Staff Psychiatrist, San Quentin State Prison, San Quentin, CA.; Dr. Sirken is Staff Psychiatrist, Western Connecticut Health Network, Danbury, CT. Dr. Sanchez-Jaquez is Attending Psychiatrist, El Paso Immigration Processing Center, El Paso, TX. Mr. Rausch is Intake Coordinator, Albert. J. Solnit Children's Center, Middletown, CT. Dr. Azeem is Chief of Psychiatry and Medical Director, Albert J. Solnit Children's Center, Middletown, CT, and Associate Clinical Professor, Yale Child Study Center, Yale University, New Haven, CT.
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Fernando Rausch
Dr. Chien is Staff Psychiatrist, Portland VA Health Care System, Portland, OR. Dr. Coker is Assistant Professor, Department of Psychology and Criminal Justice, University of New Haven, New Haven, CT. Dr. Parke is Assistant Professor, Division of Law and Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Tejani is Staff Psychiatrist, San Quentin State Prison, San Quentin, CA.; Dr. Sirken is Staff Psychiatrist, Western Connecticut Health Network, Danbury, CT. Dr. Sanchez-Jaquez is Attending Psychiatrist, El Paso Immigration Processing Center, El Paso, TX. Mr. Rausch is Intake Coordinator, Albert. J. Solnit Children's Center, Middletown, CT. Dr. Azeem is Chief of Psychiatry and Medical Director, Albert J. Solnit Children's Center, Middletown, CT, and Associate Clinical Professor, Yale Child Study Center, Yale University, New Haven, CT.
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Muhammad W. Azeem
Dr. Chien is Staff Psychiatrist, Portland VA Health Care System, Portland, OR. Dr. Coker is Assistant Professor, Department of Psychology and Criminal Justice, University of New Haven, New Haven, CT. Dr. Parke is Assistant Professor, Division of Law and Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Tejani is Staff Psychiatrist, San Quentin State Prison, San Quentin, CA.; Dr. Sirken is Staff Psychiatrist, Western Connecticut Health Network, Danbury, CT. Dr. Sanchez-Jaquez is Attending Psychiatrist, El Paso Immigration Processing Center, El Paso, TX. Mr. Rausch is Intake Coordinator, Albert. J. Solnit Children's Center, Middletown, CT. Dr. Azeem is Chief of Psychiatry and Medical Director, Albert J. Solnit Children's Center, Middletown, CT, and Associate Clinical Professor, Yale Child Study Center, Yale University, New Haven, CT.
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Article Figures & Data

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    Figure 1.

    Number of Axis 1 diagnoses.

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    Table 1

    Sample Characteristics Based on Age, IQ, Gender, Race, and Type of Crime

    CharacteristicRestored to Competency (n = 40)Not Restored to Competency (n = 18)tχ2
    Age*15.15 (1.7)14.94 (1.9)−0.411
    IQ*71.45 (12.7)62.78 (11.4)−2.481†
    Gender, n (%)0.26
        Male34 (85.0)15 (83.3)
        Female6 (15.0)3 (16.7)
    Race, n (%)1.85
        African American17 (42.5)9 (50.0)
        Caucasian4 (10.0)1 (5.6)
        Hispanic16 (40.0)8 (44.4)
        Asian1 (2.5)–
        Other2 (5.0)–
    Type of crime, n (%)2.93
        Person15 (37.5)9 (50.0)
        Property9 (22.5)1 (5.6)
        Drug2 (5.0)1 (5.6)
        Sex Offense5 (12.5)2 (11.1)
        Weapon1 (2.5)1 (5.6)
        Other8 (20.8)4 (22.2)
    • ↵* Mean ± SD.

    • ↵† p < .05.

    • View popup
    Table 2

    Clinical Characteristics of the Sample

    Clinical CharacteristicRestored to Competency (n = 40)Not Restored to Competency (n = 18)χ2
    Primary discharge diagnosis category7.08
        Psychotic disorder10 (25.0)2 (11.1)
        Mood disorder9 (22.5)5 (27.8)
        Behavioral disorder14 (35.0)5 (27.8)
        Anxiety disorder4 (10.0)2 (11.1)
        Substance Use disorder–1 (5.6)
        Learning disorder1 (2.5)–
        Developmental disorder2 (5.0)2 (11.1)
        Adjustment disorder–1 (5.6)
    Intellectual disability (ID)5.97
        None14 (35.0)3 (16.7)
        Borderline intellectual functioning12 (30.0)3 (16.7)
        Mild ID10 (25.0)9 (50.0)
        Moderate ID3 (7.5)3 (16.7)
    Prescribed psychiatric medication (in hospital)2.01
        Yes26 (65.0)15 (83.3)
        No14 (35.0)3 (16.7)
    Substance use diagnosis0.22
        Yes13 (32.5)7 (38.9)
        No27 (67.5)11 (61.1)
    • Data are expressed as the number (percentage of total group).

    • View popup
    Table 3

    Logistic Regression Analysis Predicting Competency Restoration

    VariableβWald χ2
    Age0.070.17
    Race/ethnicity0.200.61
    Primary discharge diagnosis category−0.030.11
    Total number of psychiatric diagnoses−0.200.68
    Presence of substance use diagnosis−0.280.22
    IQ0.065.25*
    Prescribed psychiatric medication−0.990.17
    Type of crime−0.010.00
    • ↵* p < .05.

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Journal of the American Academy of Psychiatry and the Law Online: 44 (4)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 44, Issue 4
1 Dec 2016
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Predictors of Competency to Stand Trial in Connecticut's Inpatient Juvenile Competency Restoration Program
Joseph Chien, Kendell L. Coker, Susan Parke, Nabyl Tejani, Remy A. Sirken, Christina Sanchez-Jaquez, Fernando Rausch, Muhammad W. Azeem
Journal of the American Academy of Psychiatry and the Law Online Dec 2016, 44 (4) 451-456;

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Predictors of Competency to Stand Trial in Connecticut's Inpatient Juvenile Competency Restoration Program
Joseph Chien, Kendell L. Coker, Susan Parke, Nabyl Tejani, Remy A. Sirken, Christina Sanchez-Jaquez, Fernando Rausch, Muhammad W. Azeem
Journal of the American Academy of Psychiatry and the Law Online Dec 2016, 44 (4) 451-456;
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