Table 4

Summary of Needed Areas of Research

Competency to Stand Trial (CST) Assessments in PWID/SC
 Assess whether prior education affects evaluators’ comfort in detecting intellectual disabilities and understanding how they manifest in CST assessments
 Assess the degree to which PWID/SC understand disclosures made prior to CST assessments and to what degree lack of understanding affects their engagement in these evaluations and what they disclose to examiners
 Determine rates of incompetency to stand trial among PWID/SC
 Explore the role of bias in CST assessments in PWID/SC
Defenses of Mental Illness or Impairment in PWID/SC
 Evaluate how often PWID/SC raise an NGRI defense and how often it is successful
 Explore whether lack of appreciation of societal standards and lack of sexual education may, at times, meet insanity defense standards
 Determine appropriate guidelines for the evaluation of diminished capacity in defendants with PWID/SC
SVP Assessments for PWID/SC
 Determine the prevalence of PWID/SC who are committed under these statutes
 Determine how often competency to consent to be interviewed is determined by forensic evaluators for these evaluations
 Assess whether forensic clinicians feel comfortable evaluating the role an intellectual disability may have on determining whether a person is at risk for violent recidivism
 Assess how accurate psychiatrists are in diagnosing a paraphilic disorder in a PWID/SC
“Chemical Castration” for PWID/SC
 Determine how often these agents are being used on PWID/SC
 Determine the process for obtaining informed consent (written, verbal) and how well those with ID understand the agents that they are receiving
 Determine how comfortable psychiatrists are in treating those with PWID/SC with anti-libidinal agents