Defendants Not Guilty by Reason of Insanity

Steadman, Henry J.; Braff, Jeraldine

doi:10.1007/978-1-4899-0351-8_4

Cited by 37 publications

(18 citation statements)

References 11 publications

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“…The California Department of Mental Health has funded and administered the locally operated CONREP system since 1986. Client characteristics are similar to those of forensic clients in other states (e.g., McGreevy et al, 1991;Steadman & Braff, 1983). The 641 clients in CONREP programs as of November 1992 were predominantly male (84.4%), White (60.8%), middle aged (M = 43.3 years), and committed for violence (24.3% for murder, 32.3% for assault, 19.8% for sex offenses, and 23.6% for nonviolent offenses).…”

Section: Subjects and Treatment Programmentioning

confidence: 71%

“…Several recent community follow-up studies (e.g., Bieber, Pasewark, Bosten, & Steadman, 1988; Bloom et al, 1986; Lamb, Weinberger, & Gross, 1988; McGreevy, Steadman, Dvoskin, & Dollard, 1991; Spodak et al, 1984; Wiederanders, 1992) have reported many aspects of criminal recidivism but little about the social and psychiatric adjustments of clients to community living. Although Steadman and Braff (1983) in a review several years ago advanced the argument that reducing recidivism “is not an appropriate clinical treatment goal” (p. 127), few researchers seem to have responded with alternative outcome measures. Assigned to carry out a California legislative mandate to evaluate the state's conditional release program (CONREP) not just in terms of recidivism but on the “effectiveness in successfully reintegrating these persons into society after release from state institutions”(California Assembly Bill 2390, 1985), we found few measures of community functioning that had been developed for, or applied to the study of, forensic mental health clients.…”

mentioning

confidence: 99%

“…Clinicians can take neither the mental illness symptoms nor the reoffense potentials of this population lightly: The most common diagnostic category among insanity acquittees has been schizophrenia, and in most states the majority of committing offenses have been violent (Lamb et al, 1988; McGreevy et al, 1991; Steadman & Braff, 1983).…”

mentioning

confidence: 99%

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Beyond recidivism: Measuring community adjustments of conditionally released insanity acquittees.

Wiederanders¹,

Choate²

1994

Psychological Assessment

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This study addressed the understudied topic of community functioning among released insanity acquittees. Items from the Brief Psychiatric Rating Scale, the Short Form of the Jesness Behavior Checklist, and the U.S. Department of Labor's Current Population Survey were used along with some original items to compose a 78-item behavioral and psychiatric functioning questionnaire. Analysis of clinician ratings of California outpatients (mostly male, White, violent insanity acquittees) produced 12 social, behavioral, and psychiatric scales with acceptable internal and interrater reliabilities. Ratings of clients who subsequently received good discharges were higher on all scales (ps < .01) than were ratings of reoffenders and hospital revokees. Clients improved over time (ps < .01) on the Employment, Social Supports, and Independence and Compliance scales. The questionnaire provides richer information about community outcomes than do recidivism statistics alone.

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Section: Subjects and Treatment Programmentioning

confidence: 71%

mentioning

confidence: 99%

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Beyond recidivism: Measuring community adjustments of conditionally released insanity acquittees.

Wiederanders¹,

Choate²

1994

Psychological Assessment

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“…Durch statistische Untersuchungen wurde festgestellt, daß die Unterbringung in einem psychiatrischen Krankenhaus für den Täter kaum einen kürzeren Freiheitsverlust mit sich bringt als die Verurteilung wegen der Tat. Die Dauer der psychiatrischen Unterbringung entspricht im allgemeinen der Schwere des begangenen Delikts und nicht der Schwere der Krankheit (durchschnittlich 3,5 Jahre) (Steadman 1983). M. a. W., die Unterbringung in der psychiatrischen Anstalt dauert durchschnittlich genauso lange wie die Haft gedauert hätte.…”

Section: öFfentliche Diskussion Um Die Insanity Defenseunclassified

Der Hinckley-Fall und einige Folgen für die Psychiatrie

1990

Fortschr Neurol Psychiatr

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After John Warnock Hinckley jr. had fired shots at President Reagan and had severely injured three others, he was considered not guilty by reason of insanity and brought to a psychiatric hospital. The case caused an unprecedented public interest because the psychiatric testimonies were contradictory (schizophrenia vs. personality disorder). According to the known facts it is very unlikely that a German psychiatrist would have diagnosed Hinckley as schizophrenic. One of the sequels of the sentence was a lowering of the reputation of psychiatrists for their inability to arrive at clear diagnosis. Another sequel was to increase the funds for research in biological psychiatry. Still another sequel was an insanity defense reform bill. The scientific debate and public discussions continue.

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“…However, the nature of their relationship is unclear, and has indeed been vigorously debated. Considered broadly, theE is no apparent relationship between crime and mental illness (Steadman & Braff, 1983). However, for a subset of offenders (e.g., those acquitted by reason of insanity), the symptoms of mental illness may at times be causally related to criminal behavior.…”

Section: Specifying the Criterionmentioning

confidence: 99%