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Article CommentaryCommentary

Data on Evaluations as a Foundation for States Rethinking Competency to Stand Trial

Hallie Fader-Towe and Debra A. Pinals
Journal of the American Academy of Psychiatry and the Law Online October 2021, JAAPL.210108-21; DOI: https://doi.org/10.29158/JAAPL.210108-21
Hallie Fader-Towe
Ms. Fader-Towe is a Program Director in the Behavioral Health Division at the Council of State Governments Justice Center, New York, NY. Dr. Pinals is Clinical Professor of Psychiatry and Director of the Program in Psychiatry, Law and Ethics at the University of Michigan, Ann Arbor, MI, and Medical Director of behavioral health and forensic programs for the Michigan Department of Health and Human Services, Ann Arbor, MI.
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Debra A. Pinals
Ms. Fader-Towe is a Program Director in the Behavioral Health Division at the Council of State Governments Justice Center, New York, NY. Dr. Pinals is Clinical Professor of Psychiatry and Director of the Program in Psychiatry, Law and Ethics at the University of Michigan, Ann Arbor, MI, and Medical Director of behavioral health and forensic programs for the Michigan Department of Health and Human Services, Ann Arbor, MI.
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    Table 1

    Rethinking Competency to Stand Trial: The Just & Well Strategies

    Strategy 1Convene diverse stakeholders to develop a shared understanding of the current CST process
    Strategy 2Examine system data and information to pinpoint areas for improvement
    Strategy 3Provide training for professionals working at the intersection of criminal justice and behavioral health
    Strategy 4Create and fund a robust system of community-based care and supports that is accessible for all before, during, and after criminal justice contact
    Strategy 5Expand opportunities for diversion to treatment at all points in the criminal justice system, including after competency has been raised
    Strategy 6Limit the use of the CST process to cases that are inappropriate for dismissal or diversion
    Strategy 7Promote responsibility and accountability across systems
    Strategy 8Improve efficiency at each step of the CST process
    Strategy 9Conduct evaluations and restoration in the community, when possible
    Strategy 10Provide high-quality and equitable evaluations and restoration services, and ensure continuity of clinical care before, during, and after restoration and upon release
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Journal of the American Academy of Psychiatry and the Law Online: 53 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 53, Issue 1
1 Mar 2025
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Data on Evaluations as a Foundation for States Rethinking Competency to Stand Trial
Hallie Fader-Towe, Debra A. Pinals
Journal of the American Academy of Psychiatry and the Law Online Oct 2021, JAAPL.210108-21; DOI: 10.29158/JAAPL.210108-21

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Data on Evaluations as a Foundation for States Rethinking Competency to Stand Trial
Hallie Fader-Towe, Debra A. Pinals
Journal of the American Academy of Psychiatry and the Law Online Oct 2021, JAAPL.210108-21; DOI: 10.29158/JAAPL.210108-21
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Keywords

  • competency to stand trial
  • competency evaluations
  • state policy

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