RT Journal Article SR Electronic T1 Using the HCR-20V3 to Differentiate Insanity Acquittees Based on Opinions of Readiness for Transfer JF Journal of the American Academy of Psychiatry and the Law Online JO J Am Acad Psychiatry Law FD American Academy of Psychiatry and the Law SP 339 OP 350 DO 10.29158/JAAPL.003769-18 VO 46 IS 3 A1 Cabeldue, Mollimichelle A1 Green, Debbie A1 Griswold, Hali A1 Schneider, Melanie A1 Smith, Jacqueline A1 Belfi, Brian A1 Kunz, Michal YR 2018 UL http://jaapl.org/content/46/3/339.abstract AB After adjudication by the courts that an individual is not criminally responsible for the offense committed, forensic psychiatrists/psychologists are tasked with evaluating an acquittees' ongoing risk of violence. These findings determine whether an acquittee is retained in a forensic hospital or transferred to a civil psychiatric setting or into the community. Better understanding of risk factors that affect decisions to retain or release acquittees from secure forensic facilities would increase clarity in decision-making, assist evaluators in identifying who may be successful outside of secure settings, and potentially assist in the development and implementation of targeted treatments to address risk factors before and after transfer. The current study evaluated which risk factors of the Historical-Clinical-Risk Management 20, Version 3 differentiated acquittees whom clinicians opined to have a dangerous mental disorder and required retention from those whom clinicians opined to be ready for transfer to a less secure setting. Results indicated that the Clinical and Risk Management scales predicted opinions regarding readiness for transfer, even after accounting for acts of violence in the hospital. These findings suggest clinicians are attuned to relevant and current risk factors in evaluations, rather than disproportionately focused on historical factors. Implications for practice and future research are discussed.