ch 8 + 10 (final)

Question 1

describe Sean Clifton’s case. what happened to him?

Answer 1

-stabbed + almost killed Julie Bouvier
-history of mental illness
-sought treatment prior to attack, but was unsuccessful

-found NCR, spent time in a psychiatric facility + released to live in the community
-victim has publicly forgiven him

Question 2

what is psycholegal ability? what are the 2 primary issues in its assessment?

Answer 2

-mental capacity to understand + participate in legal proceedings:
-comprehension of legal concepts
-understanding of legal consequences
-ability to communicate effectively with legal professionals

-does this person have a mental disorder?
-does the mental disorder cause psycholegal impairments?

Question 3

what is the legal definition of mental disorder?

Answer 3

-any illness, disorder, or abnormal condition that impairs the human mind + its fnxing (excluding self induced states caused by alc/drugs)

Question 4

what is competence / competence to stand trial (CST)?

Answer 4

-competence: whether an indiv has sufficient present ability to meaningfully participate in + perform necessary personal / legal fnxns
-diff types - eg competency to waive an attorney, to plead guilty, confess etc

-CST = the mental state of the accused AT THE TIME of the trial

Question 5

what is looked at for a person to be found not criminally responsible on account of mental disorder (NCRMD)? what is the principle behind this?

Answer 5

-defendant’s mental state at the time of the alleged offense
-person must be considered responsible for behavior to be convicted

Question 6

who proves the defendant is NCRMD and how?

Answer 6

-prosecution must prove:
-actus reus: physical act of crime
-mens rea: mental capacity + intent to commit the crime

Question 7

how much does having psychosis affect CST?

Answer 7

-psychosis is an important factor; increases likelihood accused will be found unfit
-not the only factor; ~50% of defendants diagnosed w psychosis are found fit to stand trial

Question 8

what is the standard for CST in the US?

Answer 8

-Dusky v United States (1960): must be able to consult rationally w counsel; must understand the legal implications of the charges

-Indiana v Edwards (2008): higher std than Dusky is needed to waive counsel; must meet std of knowing, voluntary, and intelligence

Question 9

who is colin ferguson?

Answer 9

-Ferguson had paranoid delusions, shot 25 train passengers
-despite clear issues of CST, insisted on representing himself
-arguments were at times nonsensical, incoherent, delusional
-competency was never challenged

Question 10

who can raise the issue of CST? who proves it?

Answer 10

-any party, at any stage
-the party who raises it has the burden of proving it

Question 11

what is the criteria for determining “unfit to stand trial” in Ca?

Answer 11

-must be a mental disorder that causes the accused to be unable to conduct a defense
-could be any of the following:
a) Unable to understand the nature / object of the proceedings
b) Unable to understand the possible consequences of the proceedings
c) Unable to communicate w counsel

Question 12

what is Canada’s limited cognitive capacity test? (1992) what are the requirements of it?

Answer 12

the test for determining the accused’s ability to communicate with counsel

→ to effectively communicate w lawyer, must be able to recall necessary details of the offence in a way that enables counsel to mount a defence

Question 13

who can evaluate CST in Ca?

Answer 13

-In Ca, “medical practitioner or any other person who has been designated by the Attorney General as being qualified to conduct an assessment of the mental condition of the accused”
-ie, a psychiatrist

Question 14

describe the Fitness Interview Test-Revised (FIT-R; Roesch et al); give an example of questions from each section

Answer 14

-semi structured interview + rating scale for assessing fitness to stand trial; 16 items divided into 3 sections:

1.Understanding the nature + severity of charges
→ eg what are you charged with?; how serious is that charge?; do you think that people might be afraid of you because of what you’re charged with?

2. Appraisal of available legal defenses
   → eg how do you think you can be defended against these charges? How can you explain your way out of these charges? What do you think your lawyer should [ ] on in order to defend you best?
3. Capacity to plan legal strategy
   -eg what will you do if you disagree with your lawyer about how to handle your case?; should you talk with a lawyer before pleading guilty?; if your lawyer decides that you shouldn’t testify, would you go along with them?

Question 15

what happens if a person is found fit?

Answer 15

-trial proceeds as normal, still possible to be found NCR

Question 16

what is NCRMD also known as? what does it mean to be found not criminally responsible on account of mental disorder?

Answer 16

-insanity defense: defendant not fully responsible due to mental state at time of offense

Question 17

what happens if a defendant is found unfit to stand trial? why?

Answer 17

-competency doctrine: court proceedings can be postponed if mental state of accused prevents them from participating in their defence (given time to restore fitness)

–> accused has rights that can’t be exercised if they’re incompetent
–> unfair to try defendant if unable to participate meaningfully in proceedings

Question 18

what treatment options are available for restoring fitness? what 4 criteria must it meet? how long does this usually take?

Answer 18

-can incl meds, therapy, other forms of intervention

-treatment order must meet following criteria:
1. Evaluators must specify anticipated time to restore fitness
2. Benefits of treatment must outweigh risks
3. Least intrusive option available should be ordered
4. Should include medication and/or training in court processes

-usu within 6 months; nearly all restored within a year

Question 19

can a person be unfit forever? what happens in this case?

Answer 19

-if fitness isn’t restored by specified treatment period, there is a stay of proceedings: temporary halt of criminal trial process
→ accused person put under jurisdiction of provincial review board
→ review board decides: if they should remain under supervision of Review Board, or can live in community w conditions (eg in a group home)
→ prosecution must reestablish case every 2 years – burden on prosecution to prove they will eventually be put on trial; if they can’t, must issue an absolute discharge

Question 20

who makes up a review board in a CST case?

Answer 20

-specialized tribunal of ~6 people to make decisions similar to how a court would
-has to be chaired by a judge + include 1 psychiatrist and a MH professional w experience in conditions being evaluated, or 2 psychiatrists

Question 21

who inspired / what are the origins of the insanity defense? describe the standard that was used.

Answer 21

-Daniel M’Naghten: woodworker who believed he was target of a conspiracy involving the pope and British PM, mistakenly shot + killed PM’s secretary (1883)
-several psychiatrists testified M’Naghten was delusional
-jury agreed, declaring him not guilty by reason of insanity, held in mental hospital for life

-M’Naghten Standard: presumed sane unless the following can be proven:
a) Accused suffered from a mental disorder at time of offense, AND
b) The disorder prevented either of the following:
-understanding the nature/quality of the offence
-understanding that the offence was wrong

Question 22

a survey found that respondents:
a) estimated the NCR defense is frequently used (37% of all US felony cases)
b) that it’s frequently successful (44%)
c) that NCR is a loophole to avoid punishment
how accurate are these perceptions?

Answer 22

a) NCR is uncommon: <1% of all US felony cases; 8/10 000 in Ca
b) NCR defense only has a 24% acquittal rate
c) NCR plea –> equal or longer time in custody

Question 23

what are 3 general issues with assessing NCR(MD)?

Answer 23

-metal state at time of offence:
→ retrospective assessment
→ no criterion / gold standard
→ comprehensive eval of mental disorder
→ need to est they were experiencing symptoms at time of crime
→ also that the symptoms made them unable to understand what they were doing / consequences / what they did was wrong
→ need to est that mental disorder CAUSED them to be unable to understand right + wrong (if they don’t understand for another reason it doesn’t count)
→ multiple sources of data
→ attempt to corroborate: (eg in sleepwalking how do you confirm if someone had memory of doing smth?)

Question 24

describe why the Rogers Criminal Responsibility Assessment Scale was developed

Answer 24

-developed to systematically quantify relevant psychological variables (eg seriousness of hallucinations) + situational variables (eg lvl of intoxication) at time of the offence that are salient for evaluating competence

Question 25

after NCR finding, what are the 3 dispositions they could make?

Answer 25

1. absolute discharge
2. conditional discharge
3. detention

Question 26

what would cause someone to be considered a significant threat?

Answer 26

-risk of serious physical / psychological harm, including to a victim or witness of the crime
-needs to be real risk of nontrivial harm
(neither a high risk of inconsequential harm, nor a miniscule risk of significant harm, will suffice)

Question 27

how does mental condition affect assessment of significant threat? how does it compare to mental disorder?

Answer 27

-must be linked to the significant threat

-mental condition is broader than mental disorder; includes mental disorder /symptoms but also includes stress, anxiety, attitudes, ideation, perceptions

Question 28

in assessment of significant threat, what are 6 reintegration needs that are considered?
what is something else that needs to be considered/types?

Answer 28

-housing
-unemployment
-education
-social support
-access to services
-transportation

-treatment (medication, psychoeducation, social skills training, cog behavioral treatment, anger management, substance use treatment, sex offender treatment)

Question 29

what would cause someone to be considered high-risk accused?

Answer 29

-serious personal injury offence
-substantial likelihood of violence that could endanger life or safety
-brutality of previous acts indicates risk of grave phys / psychological harm

Question 30

what 5 things must be considered in regards to high risk accused?

Answer 30

1. nature + circumstances of offence
2. pattern of repetitive behavior of which the offence forms a part
3. current mental condition
4. past + current response to treatment + willingness to engage in treatment
5. expert opinions

Question 31

what happens to high risk accused? is this permanent?

Answer 31

-must be detained in psychiatric hospital

-don’t need to be there forever, but time between Review Board hearings can be ↑ to 36mos if:
a) the patient consents, or
b) the accused has committed a serious offence + Review Board is satisfied their cond will not improve

Question 32

are recidivism rates for those found NCR high or low?

Answer 32

-relatively low; <10% were charged with violent offenses within 5yrs

Question 33

What are 2 common characteristics of those who have been found unfit to stand trial?

Answer 33

-personality disorder (eg Schizophrenia)
-psychotic disorder (eg Schizophrenia)

Question 34

2. What is the most common form of treatment administered to restore defendants’ competency in forensic institutions?

Answer 34

-medication (and therapy)

Question 35

What is malingering? What is the goal of malingering? Give an example

Answer 35

-faking/exaggerating mental illness or symptoms of one for a lesser sentence
-eg pretending to have a mental illness to be found NCRMD / receiving a lighter sentence

Question 36

4. Who makes the ultimate decision concerning fitness to stand trial, judge or the mental health professional?

Answer 36

-judge

Question 37

what is the Court’s phrase that means there shouldn’t be a variety of diff competency standards at diff phases of the criminal legal process?

Answer 37

-harmony of competencies

Question 38

2. How is criminal responsibility determined?
   a. What are the criteria for a finding of Not Criminally Responsible on account of mental disorder (a.k.a. insanity) in Canada (3 points)?

Answer 38

-suffering from a mental disorder that rendered the person incapable of EITHER:
-Appreciating the nature + quality of the act
→ do they understand that their actions have consequences? That what they did isn’t societelly accepted?
-Knowing that it was wrong
-eg: stole a TV because they thought they were invisible but knew it was wrong doesn’t count

Question 39

b. Name the measure for assessing criminal responsibility that was discussed in class and describe its five sections (6 points).

Answer 39

-Roger’s Criminal Responsibility Assessment Scale

→ sections
1.Organicity: assess for brain damage, intellectual disability
2. Psychopathology: assess for mental illness
3. Cognitive control: assess for impairment in verbal abilities, awareness of the criminal behavior, capacity for planning
4. Behavioral control: assess for capacity to control criminal behavior
5. Reliability of the report: assess for malingering, accuracy of recall

Question 40

c. If someone is found not criminally responsible, list and describe four factors to consider when assessing the risk of releasing the person back into the community (4 points)?

Answer 40

-** safety of the public **
-mental condition of the accused
-reintegration of the accused into society
-other needs of the accused

Question 41

d. In Canadian law, what happens if the person is not assessed to be a significant threat (1 point)?

Answer 41

absolute discharge