Competencies, Sanity, Death Penalty Flashcards
Decisional competence
Defendants competence to make choices in the criminal process
(Pleas, jury v bench trial, raise certain defenses)
Assessment aimed at protecting the autonomy of the defendant
Amendment most heavily related to competency to proceed
Sixth amendment
Represented effectively, confront accusers, present evidence…
Dusky Standard
Capacity to understand the criminal process (in general and specific case)
Ability to function in the court process, usually through counsel to assist in their defense
PRESENT ABILITY (capacity v willingness, reasonable degree of understanding)
Wilson v United States
Amnesia doesn’t equate to competence
Ability to consult, ability to testify, if evidence can be extrinsically reconstructed, strength of prosecution’s case
United States v Stubblefield - prosecution has an obligation to assist
When can competency concerns be raised
At any point during the criminal process
Drope v Missouri
Prosecution-raised (or judge-raised) competency concern
The eval may happen without the defense counsels knowledge, or may happen before counsel is appointed
Skirts the protections afforded in Estelle v Smith
Reasons defense may resist comp eval
Plea bargain may be preferable to lengthy hospital admission
Want them to look crazy at trial
Desire to do clients bidding (client does not think they are mentally ill)
Percentage of evaluator-judge agreement
90% (despite competency ultimately being a LEGAL decision and not a criminal one)
Zapf et al found this was because of the belief that MH experts are more qualified to answer the question of competency than a judge or legal professional
Competency restoration until the 1970s
Defendants were sent to a state hospital or long term facility indefinitely…treatment was only a secondary objective
No trial or conviction of their crime
Then came Jackson v Indiana in 1972
Competency restoration post-Jackson
Many states limited the amount of time a defendant could be confined (but some don’t)
May only commit someone for a “reasonable period of time”
But these time limits are arbitrary
Rate of competency restoration
75% are returned and found competent within six months (think mental illness and med issues)
Incompetent defendants have the right to refuse medication
Per Sell, someone can only be force medicated for competency if it is least intrusive, medically appropriate, and does not infringe on trial rights (eg right to testify)
Three situations for involuntary medication per Sell
Defendants who are dangerous and need meds to reduce danger to self or others
Any defendant that is incompetent to make treatment decisions can be involuntary medicated
Nondangerous defendants who can make tx decisions but have “serious” charges
(If someone doesn’t meet these situations, Sell suggests they be released)
Competency to be sentenced
More informal process
Fewer or no constitutional rights to waive for comp to be sentenced
Standard parallels Dusky…needs ability to offer mitigating information
Features of incompetent defendants
Psychotic disorder Extensive MH/legal hx Marginalized group Below avg education Higher rates of unemployment
Competency screening instruments
Competency Screening Test - 22 item sentence completion test
False positive because those with LD/low edu may bomb items
Georgia Court Competency Test - 17 questions in fixed order
Argued it, or the revised form with more items, fails to tap into decisional capacities or deep understanding
Computer-Assisted Determination of Competency to Proceed - 272 questions including social hx and psych fxning
Poor predictive validity, reliance on self report, takes so long to give
DONT USE IT
Semi-structured Interviews for Competency to Proceed
Competency Assessment Inventory - not standardized with Likert scoring on items, can’t interpret the ratings you give the responses
Fitness Interview Test-Revised - 16 items for adults or kids, provides structure for an examiners assessment of CST // fac, cwc, consequences
Interdisciplinary Fitness Interview - covers five aspects of comp based on Dusky, requires the presence of an attorney and to be administered with another MH professional // still considered experimental
Second-Generation Adjudicative Competence Measures
MacCAT-CA - three domains (fac, rac, assist), vignette based, education as necessary, is NOT a test for competency (you should still do an evaluation above and beyond this)
ECST-R - content formed by a panel of legal and MH professionals, map directly onto Dusky, also includes atypical presentation scale for feigning detection
Good psychometric, allows for educating, standardized, feigning scale
Some issues with internal validity, rating format dilutes impairment
CAST-MR
Competency measure for defendants with ID, 4th gr reading level
Multiple choice, which authors argue is better suited for an MR population, unlike the open-ended approach of other instruments
Recommended use alongside another structured instrument/inquiry
Competency to proceed in juveniles
15yo and younger were less likely to appreciate risks and think about long term consequences
But most juveniles transferred to adult court were 16-17, and less immature
Juvenile Adjudicative Competence Interview (JACI)
Questions about 12 areas of inquiry related to ability to understand legal progress and problem solve
No ratings, scores, or norms
Asking MSO-type questions in a comp eval
Cons: may be used later on if MSO is raised, can impeach a defendant who testifies in a trial, could lead to prosecutorial leads
Pros: can discuss real life and case-related information
Per AAPL, best to ask about it and place caveats if asked during testimony…definitely leave it out of your report
If you need to provide an opinion about restorability…
Address issues of probability of restoration under various treatment regimens
Whether such tx can be administered on an outpatient basis
Length of time that would constitute a “reasonable” treatment trial under the proposed regimens
Some predictors of restorability (or not)
Less likely to restore: tx refractory, older, chronic
More likely to restore: axis 2, criminal histories, nonpsychotic disorders
Restoration rates for those with ID
24-33%