“…In particular, while legal standards of competence focus on whether a defendant has impaired legal capacities as a result of mental health issues (Dusky v. United States, 1960;Drope v. Missouri, 1975;Grisso, 2003), historically, mental health clinicians often ignored or confused these legal standards, and sometimes simply equated mental illness with incompetence (Hess & Thomas, 1963;McGarry, 1965;Roesch & Golding, 1980). Over the past several decades, there have been significant efforts to improve the quality of competence evaluations.…”