Consideration for Victim Restitution with Guilty Except Insane Conviction

  • Journal of the American Academy of Psychiatry and the Law Online
  • September 2025,
  • 53
  • (3)
  • 336-338;
  • DOI: https://doi.org/10.29158/JAAPL.250054L1-25

Guilty Except Insane Convictions Confer Defendant’s Responsibility for Crime Restitution to Victim

In Gilpin v. Harris, 553 P.3d 169 (Ariz. 2024), the Arizona Supreme Court considered whether the putative victim, Lisa Gilpin, should receive restitution after the defendant, Marco Martinez, was “convicted” of criminal conduct by a finding of guilty except insane (GEI) for the murder of his grandmother. This consideration followed the court of appeals’s rejection of a special action review based on jurisdiction and the lower court’s denial of Ms. Gilpin’s petition for restitution because of Mr. Martinez’s GEI status. The Arizona Supreme Court held that, despite a defendant’s GEI “conviction,” one is entitled to restitution under Arizona’s Victim’s Bill of Rights if the defendant’s criminal conduct caused the victim to suffer serious harm, death, or threat of serious harm or death.

Facts of the Case

Marcos Martinez pleaded GEI for the murder of his grandmother. As part of his plea agreement, Mr. Martinez was sentenced to the Arizona State Hospital system under Arizona jurisdiction for life. He was tried in Pinal County, Arizona and found GEI for first-degree murder.

Lisa Gilpin asserted that she was a victim of the crime committed by Mr. Martinez, although her connection to both the crime and Mr. Martinez’s grandmother remained unclear. She claimed she was entitled to restitution under the Victim’s Bill of Rights, totaling approximately $18,300. Judge Harris for the Pinal County Superior Court denied Ms. Gilpin’s restitution request based on prior case law, specifically in State v. Heartfield, 998 P.2d 1080 (Ariz. Ct. App. 2000). According to the Pinal County Superior Court’s interpretation of Heartfield, restitution was not required from Mr. Martinez because he had been convicted GEI. Ms. Gilpin later requested a special action review from the court of appeals, but the court declined jurisdiction over the matter. The Arizona Supreme Court granted a review because of the recurring, statewide nature of the problem.

Ruling and Reasoning

The Arizona Supreme Court ruled that a finding of GEI should be regarded as a guilty conviction for the purpose of restitution. A GEI defendant is criminally responsible if the defendant’s actions caused a victim to face an actual or threatened loss of life or serious injury. This interpretation satisfies the criteria outlined in the Victim’s Bill of Rights for restitution under the Arizona Constitution.

The Arizona Constitution does not explicitly define the term “convicted.” Interpreting Arizona statutory and constitutional matters de novo falls to the Arizona Supreme Court. Without clarity from statutes referencing GEI, the court had to determine the plain meaning of “convicted” using secondary interpretive techniques. This method has been employed to clarify definitions in other matters before this court. Understanding the definition of “conviction” was crucial for interpreting the Arizona constitutional requirement for victim restitution by the convicted individual or individuals, as described in Ariz. Const. art. 2, § 2.1(A)(8) (2022), along with the definition of the term “guilty.” The court examined both the dictionary definitions of these terms and the contextual intent of the Arizona state legislature. This ruling represented a shift from the earlier decision in Heartfield, which concluded that those adjudicated GEI lacked culpability for the crime and were thereby exempt from victim restitution. In overruling Heartfield, the Arizona Supreme Court criticized the Heartfield court’s interpretation of the textual changes regarding GEI in Ariz. Rev. Stat. § 13-502 (1993). The Arizona Supreme Court described the Heartfield court’s analysis as “flawed” and as “focused too narrowly on some textual changes to § 13-502, while it ignored others and supported its textual analysis with discarded public policy to reach its conclusion” (Gilpin, p 175). Although the Arizona Supreme Court reviewed other precedents and Arizona statutes involving GEI, the court made no suggestions regarding the ineligibility of GEI findings in sentencing enhancements, consideration for acquittal, or allowance for modification of commitment terms for those adjudged GEI.

Over the past 125 years, Arizona’s understanding of insanity and views on criminal culpability for individuals considered insane have evolved. Numerous high-profile acquittals in the 1980s and 1990s resulted in significant changes in the state’s perspective on the insanity defense. In 1993, Arizona replaced not guilty by reason of insanity with GEI, narrowing the scope of the insanity plea while emphasizing criminal culpability. The court reviewed this historical perspective to understand the legislature’s objective and in overruling Heartfield.

Discussion

Gilpin underscores key considerations for the ethical practice of forensic psychiatry. It is essential to recognize that forensic psychiatrists are generally not responsible for determining the ultimate question of guilt or innocence. In this case, although Mr. Martinez was found GEI, based on the court’s findings, he was viewed as criminally responsible for his actions for purposes of restitution. According to the Arizona Supreme Court’s interpretation of “conviction” and “guilty,” criminal responsibility ultimately imposed an obligation for victim restitution, which was the matter before this court. At first glance, this outcome may seem contradictory to our understanding of insanity through a psychiatric or historical lens, such as the M’Naughten rule from the 19th century. But, upon further analysis, this court’s ruling illustrates the complexities inherent in the insanity defense and sheds light on the nuanced relationship between mental illness and criminal responsibility. Forensic psychiatrists have a vital role, not in determining guilt or innocence, but in emphasizing the mental health implications relevant to the case, providing valuable insights that inform the legal process without overstepping or blurring their boundaries. It is crucial for forensic practitioners to navigate these nuances carefully, ensuring that their assessments are both ethically sound and reflect a deep understanding of mental health as they may relate to various legal standards.

Ultimately, states in the United States possesses considerable discretion in assessing insanity defenses and their implications on other areas of law. Although the majority allow some variation of an insanity defense in criminal cases, notable exceptions exist. It is imperative to fully grasp the specific laws within each state to carry out a comprehensive evaluation rooted in factual evidence and jurisdictional nuances. This understanding is crucial when offering expert opinions regarding criminal responsibility and the profound impact of mental health on these important concerns.

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