Mentally Disordered Sex Offenders

Monahan, John; Davis, Sharon K.

doi:10.1007/978-1-4899-0351-8_6

Cited by 9 publications

(6 citation statements)

References 7 publications

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“…This predominance of whites is substantially higher than the 52% of whites among the U.S. prison population and the 47% of the U.S. jail population in 1982 (Brown et al, 1984). In the 1980 surveys, all Involuntary Criminal Commitments classified as MDSOs were white; this is consistent with the review of California data by Monahan and Davis (1983), in which whites were more likely than blacks or hispanics to be classified as MDSOs.…”

Section: Resultssupporting

confidence: 70%

A profile of mentally disordered offenders admitted to inpatient psychiatric services in the United States.

Steadman

Rosenstein

MacAskill

et al. 1988

Law and Human Behavior

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This research note presents data about mentally disordered offenders (MDOs) treated in inpatient psychiatric services. Data are derived from 1980 admission surveys by the Survey and Reports Branch, National Institute of Mental Health (NIMH). These data report for the first time inpatient services provided to MDOs by non-Federal general and private hospitals. A total of 31,773 MDOs were admitted, with 85% going to state and county mental hospitals. The largest group, including admissions for evaluation, was ISTs (58%), followed by mentally disordered prisoners (32%), NGRIs (8%), and MDSOs (3%). Women and whites tended to be overrepresented among MDOs as compared to prison and jail inmates. Clear diagnostic differences by legal status were found, with schizophrenia predominant among NGRIs (81%) and alcohol and drug abuse disorders more frequent among ISTs. Overall, state and county hospitals in both 1967 and 1980 were the primary locus of care for mentally disordered offenders.

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Section: Resultssupporting

confidence: 70%

A profile of mentally disordered offenders admitted to inpatient psychiatric services in the United States.

Steadman

Rosenstein

MacAskill

et al. 1988

Law and Human Behavior

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“…The diagnosis most commonly responsible for designation as a mentally disordered sex offender under the sexual psychopath laws was one of the paraphilias (almost always pedophilia or sexual sadism) in the Diagnostic and Statistical Manual of MentalDisorders ( DSM; American Psychiatric Association, 1968, 1980, 1987). A diagnosis of antisocial personality disorder, although common among sex offenders, was often not sufficient to qualify one as a mentally disordered sex offender (Monahan & Davis, 1983). Under the sexual predator laws, however, antisocial personality disorder is recognized as sufficient evidence of mental disorder (e.g., the Community Protection Act & WA, 1990).…”

mentioning

confidence: 99%

The treatment of mentally disordered offenders.

Rice¹,

Harris²

1997

Psychology, Public Policy, and Law

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However narrowly defined, mentally disordered offenders (MDOs) are heterogeneous in demographics, diagnoses, offense characteristics, risk, and clinical needs. Treatment planning for MDOs should begin with an assessment of risk of future violent behavior in the community and risk of violence toward self or others inside an institution. Purposes of treatment among MDOs include treatments both to reduce risk of future violence and to alleviate the mental disorder. Relevant outcome measures include criminal and violent behavior, psychiatric symptomatology, admission to correctional or psychiatric facility, and quality of life. Clinical problems include aggression and problems of institutional management, criminal propensity, life skills deficits, substance abuse, active psychotic symptoms, social withdrawal, and depression. Because evidence relating them to risk of future violence is highest for the first 4 problems, it is argued that inpatient treatments should especially target them. Whenever risk levels and legal circumstances permit, community treatment is to be preferred. Sex offenders are discussed as a group for whom specialized services are indicated. Relapse prevention and program development evaluation are recommended methods for guiding treatment planning at both individual and system levels. Obstacles to implementation of empirically based treatments are discussed, as are suggestions for overcoming such obstacles. Finally, promising directions for future research are suggested.The term mentally disordered offender encompasses a heterogeneous and poorly defined group. In its narrowest interpretation, the category is a legal one and includes insanity acquittees, persons found guilty but mentally ill, persons found unfit to stand trial, mentally disordered sex offenders, sexual predators, and prisoners transferred to mental health facilities. In a 1978 survey , 7% of all the offenders detained in the United States were officially designated as mentally disordered. Of these, 8% were insanity acquittees, 32% were incompetent to stand trial, 6% were mentally disordered sex offenders, and the majority (54%) were convicted prisoners who had been transferred to mental health facilities. By any definition, the overwhelming majority of mentally disordered offenders are men (e.g., Menzies, Chunn, & Webster, 1992;Steadman & Halfon, 1971). Even in its narrow interpretation, however, this population includes a diverse group with a wide range of treatment needs.Most would concede that the true number of mentally disordered offenders is many times higher than that described above. Studies of the prevalence of mental disorder among incarcerated offenders reveal a surprisingly high prevalence. In one study (Hodgins & Cote, 1990), which used the Diagnostic Interview Schedule (Robins, Helzer, Croughan, & Ratcliff, 1981) to establish diagnoses, only 5% of penitentiary inmates in one Canadian province were found not to have a mental

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“…In 1944, California replaced its sexual psychopath law with an alternative sentence known as the Mentally Disordered Sex Offender (MDSO) law (Monahan & Davis, 1983; Oliver, 1982; Steadman et al, 1982). Individuals who met the criteria and agreed to treatment were treated at a secure psychiatric hospital.…”

Section: A Brief History Of Sex Offender Civil Commitment (Socc)mentioning

confidence: 99%

A Preliminary Analysis of Sexual Recidivism and Predictive Validity of the Static-99R in Men Discharged From State Hospitals Pursuant to California’s Sexually Violent Predator Act

et al. 2021

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We examined the recidivism rates and the predictive validity of the Static-99R in 335 men who were detained or civilly committed and released from California State Hospitals pursuant to the Sexually Violent Predator (SVP) Act, and followed up for approximately 21 years from date of hospital admission. In all, 8.7% were arrested or convicted for a new sexual offense during the total follow-up ( N = 335) and 7.8% over a fixed 5-year follow-up ( n = 205). The Static-99R demonstrated small in magnitude discrimination for sexual, violent, and general recidivism (area under the curve [AUC]/C = .56 to .63). Calibration analyses, conducted through expected/observed (E/O) index, demonstrated that the Static-99R overpredicted sexual recidivism, irrespective of whether the Routine or High Risk/Need norms were used. Observed recidivism rates were lower than predicted by Static-99R scores and may be the result of the sample’s older age at release, lengthy hospitalization, or other factors.

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Mentally Disordered Sex Offenders

Cited by 9 publications

References 7 publications

A profile of mentally disordered offenders admitted to inpatient psychiatric services in the United States.

A profile of mentally disordered offenders admitted to inpatient psychiatric services in the United States.

The treatment of mentally disordered offenders.

A Preliminary Analysis of Sexual Recidivism and Predictive Validity of the Static-99R in Men Discharged From State Hospitals Pursuant to California’s Sexually Violent Predator Act

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