Table of Study Characteristics

CitationStudy TypeStudy N% Non-White% Female% RTCStatistical AnalysisRaters Agreed on Quality RatingFinal Quality Rating
Advokat CD, Guidry D, Burnett DM, Manguno-Mire G, Thompson J,Jr. Competency restoration treatment: differences between defendants declared competent or incompetent to stand trial. J Am Acad Psychiatry Law. 2012;40(1):89-97. http://jaapl.org/content/jaapl/40/1/89.full.pdfCase control6373.017.568.3Chi-squares, paired t-testsYesFair
Anderson SD, Hewitt J. The effect of competency restoration training on defendants with mental retardation found not competent to proceed. Law Hum Behav. 2002;26(3):343-351. doi:10.1023/a:1015328505884Case series7557.36.733.3Logistic regressionNoPoor
Arredondo BC, Marcopulos BA, Brand JG, Campbell KT, Kent JA. Cognitive functioning and adjudicative competence: Defendants referred for neuropsychological evaluation in a psychiatric inpatient setting. Clin Neuropsychol. 2017;31(8):1432-1448. doi:10.1080/13854046.2017.1317032Case series4546.733.366.7Chi-squares, t-testsYesFair
Bartos BJ, Renner M, Newark C, McCleary R, Scurich N. Characteristics of forensic patients in California with dementia/Alzheimer’s disease. Journal of Forensic Nursing. 2017;13(2):77-80. doi:10.1097/JFN.0000000000000143Case series46,79859.814.5n/aChi-squares, t-testsNoPoor
Beckham JC, Annis LV, Bein MF. Don't pass go: Predicting who returns from court as remaining incompetent for trial. Crim Justice Behav. 1986;13(1):99-109. doi:10.1177/0093854886013001007Case series101n/an/an/aStepwise discriminant analysisYesFair
Bertman LJ, et al. Effect of an individualized treatment protocol on competency restoration in pretrial forensic inpatients. J Am Acad Psychiatry Law. 2003;31(1): 27-35. https://jaapl.org/content/31/1/27Case control2626.90.0n/aPower analysis, intraclass correlations, ANOVAYesFair
Blancett SL. The predictive utility of the California Verbal Learning Test, Second Edition, for adjudicative competency restoration length of stay. Proquest Dissertation Order No. 3604309 ed. Dissertation. Fielding Graduate University; 2013.Case series11471.936.048.3Power analysis, data screening, correlational analyses, hierarchical linear regressionYesFair
Bloom JD, Hansen TE, Blekic A. Competency to stand trial, civil commitment, and Oregon State Hospital. J Am Acad Psychiatry Law. 2022;50(1): 67-73. https://jaapl.org/content/early/2021/12/08/JAAPL.210055-21Survey8,269n/an/an/aDescriptiveYesPoor
Broderick C, Azizian A, Warburton K. Length of stay for inpatient incompetent to stand trial patients: importance of clinical and demographic variables. CNS Spectr. 2020;25(5):734-742. doi:10.1017/S1092852920001273Case series20,04064.318.7n/aKaplan-Meier analyses, Weibull parametric survival regressionNoGood
Cabeldue M, Green D, McGrath RE, Belfi B. Factors related to repeat forensic hospital admissions for restoration of competency to stand trial. Journal of Forensic Psychology Research and Practice. 2021;21(2):91-117. doi:10.1080/24732850.2020.1834834Case series46585.610.3n/aDescriptive, Chi-squares, t-tests, logistic regressionYesFair
Colwell LH, Gianesini J. Demographic, criminogenic, and psychiatric factors that predict competency restoration. J Am Acad Psychiatry Law. 2011;39(3):297-306. http://jaapl.org/content/jaapl/39/3/297.full.pdfCase series7160.60.074.7Logistic regressionNoPoor
Davis DL. Assessment of competency to stand trial. American Journal of Forensic Psychology. 1986;4(1):5-17. https://psycnet.apa.org/record/1987-04372-001Case series25n/a24.0n/aDescriptive, t-testYesPoor
Einzig SS. Predicting New York's Jacksoned defendants. Proquest Order No. 10142344 ed. Dissertation. University of Hartford; 2016.Case control4481.825.050.0Chi-squares, t-tests, logistic regressionYesPoor
Ghossoub E, Minchin S, Hayreh D, Newman WJ. Long-Acting Injectable versus oral antipsychotics for restoration of competency to stand trial. J Am Acad Psychiatry Law. 2019;47(4):440-447. doi:10.29158/JAAPL.003866-19Case series30738.118.279.5Chi-squares, Mann-Whitney test, hierarchical linear regressionYesFair
Ghossoub E, Salem A, Minchin S, Hayreh D, Newman WJ. A retrospective review of the use of Clozapine in restoration of competency to stand trial. J Am Acad Psychiatry Law. 2021;49(1):42-48. doi:10.29158/JAAPL.200051-20Case control24040.420.081.3Descriptive, Chi-squares, Mann-Whitney testYesFair
Gillis A, Holoyda B, Newman WJ, Wilson MD, Xiong GL. Characteristics of misdemeanants treated for competency restoration. J Am Acad Psychiatry Law. 2016;44(4):442-450. http://jaapl.org/content/jaapl/44/4/442.full.pdfCase series22157.926.268.8Chi-squares, t-tests, multiple logistic regressionYesFair
Grandjean NR. Neuropsychological predictors of incompetency to stand trial in defendants referred for competency restoration. Dissertation Abstracts International, 66
(7-B), 3947.
Case series48n/a18.837.5Multiple regression, ANOVAYesPoor
Green D. Utility of cognitive malingering measures in a forensic psychiatric sample. Proquest Dissertation Order No. 3438475 ed. Dissertation. Fordham University; 2010.Case control11889.811.0n/aReceiver operator characteristics, Chi-squares, Mann-Whitney test, logistic regressionYesFair
Grossi LM, Green D, Cabeldue M, Pivovarova E. Assessing feigning with the Feigning Evaluation INtegrating Sources (FEINS) in a forensic psychiatric sample. Psychol Serv. 2022;19(2):213-224. doi:10.1037/ser0000513Case series5889.70.0n/aIntraclass correlation coefficients, ANOVA, Pearson correlations, hierarchical linear regressionYesGood
Grossi LM, Green D, Schneider M, Belfi B, Segal S. Personality, psychiatric, and cognitive predictors of length of time for competency to stand trial restoration. The International Journal of Forensic Mental Health. 2018;17(2):167-180. doi:10.1080/14999013.2018.1459964Case series13677.20.097.8t-tests, correlational analysisYesFair
Herbel BL, Stelmach H. Involuntary medication treatment for competency restoration of 22 defendants with delusional disorder. J Am Acad Psychiatry Law. 2007;35(1):47-59. http://jaapl.org/content/jaapl/35/1/47.full.pdfCase series2231.80.077.3DescriptiveNoPoor
Hoge SK, Poythress N, Bonnie R, et al. Mentally ill and nonmentally ill defendants' abilities to understand information relevant to adjudication: a preliminary study. Bull Am Acad Psychiatry Law. 1996;24(2):187-97. https://jaapl.org/content/24/2/187Case control8446.40.0n/at-testsYesFair
Karyadis KA, Nitch SR, Kinney DI, Britt WG 3rd. Decision making of forensic psychiatric inpatients deemed incompetent to stand trial. Appl Neuropsychol Adult. 2022;29(1):66-76. doi:10.1080/23279095.2019.1709847Case series4165.622.0n/at-tests, Mann-Whtiney test, Wilcoxon signed rank tests, repeated measures ANOVAYesFair
Kennedy JD. Diagnosis, instant offense, substance history, and trial competency: An explorative study. Proquest Dissertation Order No. 3286468 ed. Dissertation. George Fox University; 2007.Case series24029.617.9n/aDescriptive, Spearman correlation, ANOVAYesFair
Kivisto AJ, Porter Staats ML, Connell R. Development and validation of a typology of criminal defendants admitted for inpatient competency restoration: A latent class analysis. Law Hum Behav. 2020;44(6):449-460. doi:10.1037/lhb0000398Case series49239.00.087.8Latent class analysisYesGood
Ladds B, Convit A, Zito J, Vitrai J. Involuntary medication of patients who are incompetent to stand trial: A descriptive study of the New York experience with judicial review. Bull Am Acad Psychiatry Law. 1994;21(4):529-45. https://jaapl.org/content/21/4/529Case series6863.21.557.4Chi-squares, t-testsYesFair
Ladds B, Convit A, Zito J, Vitrai J. The disposition of criminal charges after involuntary medication to restore competency to stand trial. J Forensic Sci. 1993;38(6):1442-59. https://doi.org/10.1520/jfs13550jCase series68n/a1.5n/aDescriptiveYesPoor
Lemons A, Iuppa CA, Kriz CR, et al. Antipsychotic factors related to time to competency for forensic inpatients in a state psychiatric facility. Ment Health Clin. 2022;12(3):175-180. doi:10.9740/mhc.2022.06.175Case series11728.226.5100.0Welch ANOVA, Welch t-test, Kruskal-Wallis testYesFair
Lesser, FI. Formulating a prediction model for regaining competency to stand trial. Proquest Dissertation Order No. 9016493 ed. Dissertation. Florida State University; 1989.Case series13660.30.061.0t-tests, discriminant factor analysisYesFair
McDermott BE, Newman WJ, Meyer J, Scott CL, Warburton K. The utility of an admission screening procedure for patients committed to a state hospital as incompetent to stand trial. The International Journal of Forensic Mental Health. 2017;16(4):281-292. doi:10.1080/14999013.2017.1356890Case series83758.38.583.8MANOVA, Chi-squaresYesFair
McDermott BE, Warburton K, Auletta-Young C. A longitudinal description of incompetent to stand trial admissions to a state hospital. CNS Spectr. 2020;25(2):223-236. doi:10.1017/S1092852919001342Case series3,15857.225.4n/aFrequency distribution, Chi-squares, ANOVANoFair
Morris DR. Charge, severity, and aggression during competence restoration. J Am Acad Psychiatry Law. 2022;JAAPL; 50(3):388-395. https://jaapl.org/content/50/3/388Case series655n/a0.0n/aTests of proportionsYesFair
Morris DR, DeYoung NJ. Long-term competence restoration. J Am Acad Psychiatry Law. 2014;42(1):81-90. http://jaapl.org/content/jaapl/42/1/81.full.pdfCase series8148.20.064.3Multivariate logistic regressionYesFair
Morris DR, DeYoung NJ. Psycholegal abilities and restoration of competence to stand trial. Behav Sci Law. 2012;30(6):710-28. doi:10.1002/bsl.2040Case series45548.10.081.3Odds ratios, logistic regression, principal component analysis, ANOVAYesFair
Morris DR, Parker GF. Effects of advanced age and dementia on restoration of competence to stand trial. Int J Law Psychiatry. 2009;32(3):156-60. doi:10.1016/j.ijlp.2009.02.009Case control7829.59.065.4Chi-squares, t-tests, multiple logistic regressionYesFair
Morris DR, Parker GF. Jackson's Indiana: State hospital competence restoration in Indiana. J Am Acad Psychiatry Law. 2008;36(4):522-34. http://jaapl.org/content/jaapl/36/4/522.full.pdfCase series1,47542.312.378.5Tests of proportion, t-tests, multiple logistic regressionYesFair
Mossman D. Predicting restorability of incompetent criminal defendants. J Am Acad Psychiatry Law. 2007;35(1):34-43. http://jaapl.org/content/jaapl/35/1/34.full.pdfCase series32857.014.070.1Stepwise logistic regression, k-fold cross validation, receiver operating characteristicsYesFair
Mossman D, Bowen MD, Vanness DJ, et al. Quantifying the accuracy of forensic examiners in the absence of a "gold standard". Law Hum Behav. 2010;34(5):402-17. doi:10.1007/s10979-009-9197-5Case series156n/an/an/aMaximum likelihood estimation algorithm, ROC analysisYesFair
Mueller C, Wylie AM. Examining the effectiveness of an intervention designed for the restoration of competency to stand trial. Behav Sci Law. 2007;25(6):891-900. doi:10.1002/bsl.775Controlled Intervention2833.914.3n/aDescriptive, ANOVAYesFair
Naughton M, Nulty A, Abidin Z, Davoren M, O'Dwyer S, Kennedy HG. Effects of group metacognitive training (MCT) on mental capacity and functioning in patients with psychosis in a secure forensic psychiatric hospital: a prospective-cohort waiting list controlled study. BMC Res Notes. 2012;5:302. doi:10.1186/1756-0500-5-302Case control19n/a0.0n/aDescriptive, asymptotic 2-tailed probabilityYesFair
Nicholson RA, Barnard GW, Robbins L, Hankins G. Predicting treatment outcome for incompetent defendants. Bull Am Acad Psychiatry Law. 1994;22(3):367-77. https://jaapl.org/content/22/3/367Case series13364.70.089.5Descriptive, correlational analysis, multiple regression analysisYesPoor
Nicholson RA, Kugler KE. Competent and incompetent criminal defendants: a quantitative review of comparative research. Psychol Bull. 1991;109(3):355-370. doi:10.1037/0033-2909.109.3.355Meta-analysis8,17036.610.5n/aEffect size estimate, Pearson product-moment, Fisher’s Z, Cohen’s H,YesFair
Nicholson RA, McNulty JL. Outcome of hospitalization for defendants found incompetent to stand trial. Behav Sci Law. 1992;10(3):371-83. doi:10.1002/bsl.2370100307Case series49346.911.894.7Power analysis, multiple regressionYesFair
Norko MA, Cotterell MS, Hollis T. The Connecticut experience with Sell legislation. J Am Acad Psychiatry Law. 2020;48(4):473-483. doi:10.29158/JAAPL.200005-20Case series17742.025.372.9DescriptiveYesPoor
Patterson HR. Length of stay in forensic inpatients adjudicated as incompetent to stand trial. Proquest Dissertation Order No. 3155890 ed. Dissertation. The University of Alabama; 2004.Case series61765.50.0n/aPoisson stepwise regressionYesFair
Pirelli G, Gottdiener WH, Zapf PA. A meta-analytic review of competency to stand trial research. Psychology, Public Policy, and Law. 2011;17(1):1-53. doi:10.1037/a0021713Meta-analysis26,139n/an/an/aInter-rater reliability, odds ratios, effect size, Cohen’s D, homogeneity analysisYesGood
Pirelli G, Zapf PA. An attempted meta-analysis of the competency restoration research: Important findings for future directions. Journal of Forensic Psychology Research and Practice. 2020;20(2):134-162. doi:10.1080/24732850.2020.1714398Meta-analysis12,781n/an/a81.0Inter-rater reliability, odds ratios, mean differences,YesGood
Porter-Staats ML, Kivisto AJ, Connell RE. The role of cognitive functioning in predicting restoration among criminal defendants committed for inpatient restoration of competence to stand trial. Int J Law Psychiatry. 2021;74:101654. doi:10.1016/j.ijlp.2020.101654Case series375n/a0.090.4Descriptive, logistic regressionYesFair
Randolph JJ, Hicks T, Mason D, & Cuneo DJ. The competency screening test: Validation study in Cook County, Illinois. Criminal Justice and Behavior. 1982;9(4):495-500. https://doi.org/10.1177/0093854882009004006Case series39n/a0.0n/aInter-rater reliability, descriptiveYesFair
Renner M, Newark C, Bartos BJ, McCleary R, Scurich N. Length of stay for 25,791 California patients found incompetent to stand trial. J Forensic Leg Med. 2017;51:22-26. doi:10.1016/j.jflm.2017.07.006Case series25,79163.217.0n/aWeibull parametric survival modelNoFair
Rodenhauser P, Khamis HJ. Predictors of improvement in maximum security forensic hospital patients. Behav Sci Law. 1988;6(4):531-542. doi:10.1002/bsl.2370060409Case series186n/an/a56.5Logit model analysis, logistic regression, ANOVAYesFair
Rogers, TT. Post-Sell v United States: Involuntary medication for restoration of competence in a federal hospital. Proquest Dissertation Order No. 3254385 ed. Dissertation. Illinois Institute of Technology; 2007.Pre-Post34870.10.064.1t-tests, Spearman’s correlationNoFair
Roye S, Coffey CA, Nitch SR, Glassmire DM, Kinney DI. The clinical utility of the NAB Judgment Subtest among individuals diagnosed with schizophrenia spectrum disorder within a forensic inpatient setting. Assessment. 2022;29(8):1686-1699. doi:10.1177/10731911211027637Case series6381.027.0n/aSpearman’s rho, hierarchical linear regression, classification accuracy, t-testsYesFair
Schneider MA. Competency restoration across the United States. Proquest Dissertation Order No. 28963258 ed. Dissertation. Fairleigh Dickinson University; 2021Surveyn/an/an/an/aDescriptive, multiple regression, Chi-squaresYesFair
Schreiber JM. The Miranda rights abilities of defendants found incompetent to stand trial. Proquest Dissertation Order No. 27546270 ed. Dissertation. Fairleigh Dickinson University; 2020.Case series6271.012.9n/aPrincipal component analysis, ANOVA, multiple regressionYesFair
Secarea CM, Cleary SD, Candilis PJ. Factors influencing adjudicative competence and length of time to restoration. J Forensic Sci. 2021;66(3):982-991. doi:10.1111/1556-4029.14669Case series36593.222.585.5Chi-squares, t-tests, multiple logistic regressionYesFair
Shook, J. Demographic, legal, and clinical predictors of long-term trial competency restoration. Proquest Dissertation Order No. 27664746 ed. Dissertation. Nova Southeastern University; 2020.Case series26172.415.739.1Consecutive cases, adequate follow-upYesFair
Simon A. The restoration of competency to stand trial: An analysis of intervention efficacy. Proquest Dissertation Order No. 9923859 ed. Dissertation. Miami Institute of Psychology of the Caribbean Center for Advanced Studies; 1999.Case series14185.09.2100.0Descriptive, multiple regression, ANOVAYesFair
Singh A, Delgado D, Ventura MI, Schwartz E, Williams J, Meyer JM. Clozapine use and forensic outcomes in psychiatric inpatients deemed Incompetent to Stand Trial. J Am Acad Psychiatry Law. 2022;50(30): 427-433. https://jaapl.org/content/50/3/427Case series19182.726.239.8Chi-squares, post-hoc Tukey comparisonYesFair
Smith J. The evaluation of Competency to Stand Trial-Revised and time until competence restoration. Proquest Dissertation Order No. 28155072 ed. Dissertation. Fairleigh Dickinson University; 2021.Case series21078.619.5n/aChi-squares, t-tests, ANOVAYesFair
Stafford KP, Wygant DB. The role of competency to stand trial in mental health courts. Behav Sci Law. 2005;23(2):245-58. doi:10.1002/bsl.649Case series8564.715.3n/aChi-squares, t-testsYesFair
Stimmel M, Green D, Belfi B, Klaver J. Exploring the accuracy and utility of the Rey Fifteen Item Test (RMT) with recognition trial in a forensic psychiatric population. The International Journal of Forensic Mental Health. 2012;11(1):51-58. doi:10.1080/14999013.2012.676148Case-control11689.711.2n/aROC curvesYesFair
Tarescavage AM, Glassmire DM. Differences between Structured Interview of Reported Symptoms (SIRS) and SIRS-2 sensitivity estimates among forensic inpatients: A criterion groups comparison. Law Hum Behav. 2016;40(5):488-502. doi:10.1037/lhb0000191Case-control26377.218.2n/aSensitivity, specificity, correlationalYesFair
Thomas TA. Predicting restoration of competence to stand trial: Demographic, clinical, and legal variables. Proquest Dissertation Order No. 3420401 ed. Dissertation. West Virginia University; 2010.Case series8018.80.071.3Chi-squares, t-tests, Fisher’s exact, logistic regressionYesFair
Toofanian Ross P, Padula CB, Nitch SR, Kinney DI. Cognition and competency restoration: using the RBANS to predict length of stay for patients deemed incompetent to stand trial. Clin Neuropsychol. 2015;29(1):150-65. doi:10.1080/13854046.2015.1005678Case series28860.127.8n/aHierarchical linear regression, logistic regressionYesFair
Upton MA, Muschett A, Kurian K, James B, Sherron T. Determining reasonableness: Identification of the nonrestorable person adjudicated incompetent to stand trial. Journal of Forensic Psychiatry & Psychology. 2020. doi:10.1080/14789949.2020.1711958.Case series27171.215.547.2Logistic regressionYesFair
Ustad KL, Rogers R, Sewell KW, Guarnaccia CA. Restoration of competency to stand trial: Assessment with the Georgia Court Competency Test and the Competency Screening Test. Law Hum Behav. 1996;20(2):131-146. doi:10.1007/BF01499351Case series11165.80.0n/aDescriptive, Cronbach’s coefficient, factor analysisYesFair
Wall BW, Christopher PP. A training program for defendants with intellectual disabilities who are found incompetent to stand trial. J Am Acad Psychiatry Law. 2012;40(3):366-73. http://jaapl.org/content/jaapl/40/3/366.full.pdfCase-control3040.020.086.7DescriptiveYesPoor
Wall BW, Krupp BH, Guilmette T. Restoration of competency to stand trial: A training program for persons with mental retardation. J Am Acad Psychiatry Law. 2003;31(2):189-201. http://jaapl.org/content/jaapl/31/2/189.full.pdf.Case series15n/an/a33.3NoneYesPoor
Warburton K, McDermott BE, Gale A, Stahl SM. A survey of national trends in psychiatric patients found incompetent to stand trial: reasons for the reinstitutionalization of people with serious mental illness in the United States. CNS Spectr. 2020;25(2):245-251. doi:10.1017/S1092852919001585Surveyn/an/an/an/aDescriptiveNoFair
Warren JI, Chauhan P, Kois L, Dibble A, Knighton J. Factors influencing 2,260 opinions of defendants’ restorability to adjudicative competency. Psychology, Public Policy, and Law. 2013;19(4):498-508. doi:10.1037/a0034740Case series2,26047.215.6n/aChi-squares, Bonferroni correction, CHAID analysisYesGood
Warren JI, Murrie DC, Stejskal W, et al. Opinion formation in evaluating the adjudicative competence and restorability of criminal defendants: A review of 8,000 evaluations. Behav Sci Law. 2006;24(2):113-32. doi:10.1002/bsl.699Case series8,41627.99.9n/aDescriptive, concordance, Chi-squares, multivariate analysis, hierarchical logistic regressionYesGood
Williams W, Miller KS. The processing and disposition of incompetent mentally ill offenders. Law Hum Behav. 1981;5(4):245-261. doi:10.1007/BF01044941Case series431n/a0.081.4Descriptive, difference in mean squares, discriminant analysis,YesGood
Wilson JK. Competence through cognition: Cognitive remediation and restoration of trial competence. Proquest Dissertation Order No. 3726144 ed. The University of Alabama; 2015.Controlled Intervention3378.80.0n/aMann-Whitney U, Chi-squares, Pearson correlationsYesFair
Wolber GJ. The unrestorable incompetent defendant: Length of attempted restoration and factors contributing to a decision of unrestorable. American Journal of Forensic Psychology. 2008;26(3):63-77. https://psycnet.apa.org/record/2008-10732-004Surveyn/an/an/an/aDescriptiveYesPoor
Wood ME, Anderson JL, Gillespie ML, Alexander AA, Backstrom-Sieh T, Glassmire DM. The association between specific competence-related abilities and competence restoration treatment. Journal of Forensic Psychiatry & Psychology. 2019;30(2):250-269. doi:10.1080/14789949.2018.1542448Case series9359.166.7100.0MANOVA, hierarchical linear regression, ROC analysisYesFair