Stopping (or slowing) the revolving door: Factors related to NGRI acquittees' maintenance of a conditional release.

Monson, Candice M.; Gunnin, Deborah D.; Fogel, Michael H.; Kyle, Lori L.

doi:10.1023/a:1010745927735

Cited by 37 publications

(55 citation statements)

References 38 publications

(32 reference statements)

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“…Having a substance use disorder has been shown to place an individual at risk for conditional release failure (Callahan & Silver, 1998; Monson et al ., 2001; Vitacco et al ., 2008). Data indicate that substance abuse and co-occurring disorders are highly prevalent among mentally disordered offenders (Hoff et al ., 1999; SAMHSA, 2004).…”

Section: Discussionmentioning

confidence: 99%

“…For convenience and ease of discussion, the variables were classified based on the type of variable under consideration (i.e., demographic, clinical/diagnostic, legal, and program), consistent with previous studies of conditional release (Callahan & Silver, 1998; Monson et al ., 2001; Vitacco et al ., 2008, 2011, 2013). …”

Section: Methodsmentioning

confidence: 99%

“…The majority of studies focus on the conditional release of NGRI acquittees (Callahan & Silver, 1998; Monson, Gunnin, Fogel, & Kyle, 2001; Parker 2004; Vitacco et al ., 2008, 2011, 2013), although Bertman-Pate and colleagues (2004) and Wilson and colleagues (1995) evaluated conditional release in a mixed sample of mentally disordered offenders.…”

mentioning

confidence: 99%

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What Factors Are Related to Success on Conditional Release/Discharge? Findings from the New Orleans Forensic Aftercare Clinic: 2002‐2013

Manguno-Mire

Coffman

Deland

et al. 2014

Behavioral Sci & The Law

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The present study investigated the empirically based factors that predicted success on conditional release among a sample of individuals conditionally discharged in Louisiana. Not guilty by reason of insanity acquittees and individuals on conditional release/discharge for incompetency to stand trial were included in the study. Success on conditional release was defined as maintenance of conditional release during the study period. Recidivism (arrest on new charges) and incidents were empirically evaluated. Success on conditional release was maintained in over 70% of individuals. Recidivism was low, with only five arrests on new charges. Success on conditional release was predicted by financial resources, not having a personality disorder, and having fewer total incidents in the program. After controlling for the influence of other variables, having an incident on conditional release was predicted by a substance use diagnosis and being released from jail. Individuals conditionally released from jail showed fewer number of days to first incident (67 vs. 575 days) compared with individuals discharged from the hospital. These data provide support for the successful management of forensic patients in the community via conditional release, although they highlight specific factors that should be considered when developing community-based release programming. Conditional release programs should consider empirical factors in the development of risk assessment and risk management approaches to improve successful maintenance of community-based forensic treatment alternatives.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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What Factors Are Related to Success on Conditional Release/Discharge? Findings from the New Orleans Forensic Aftercare Clinic: 2002‐2013

Manguno-Mire

Coffman

Deland

et al. 2014

Behavioral Sci & The Law

View full text Add to dashboard Cite

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“…Prior research examining the success of release decisions indicates that significant differences have been found for the following variables: Length of stay in forensic setting, race, and type of crime (Monson, Gunnin, & Fogel, 2001). Therefore, separate analyses were conducted to determine whether there were differences in recommendation decisions based on any of these variables.…”

Section: Review Panel Recommendationsmentioning

confidence: 99%

Are release recommendations for NGRI acquittees informed by relevant data?

Manguno-Mire

Thompson

Bertman-Pate

et al. 2007

Behavioral Sci & The Law

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We conducted a retrospective review of factors involved in clinical recommendations for release of patients adjudicated not guilty by reason of insanity (NGRI). Medical records from 91 patients in a maximum security forensic hospital who participated in a formal hearing process to determine suitability for release were reviewed. The purpose of the study was twofold: (1) to examine the process involved in day to day clinical decision-making regarding release from a maximum security forensic hospital and (2) to determine what factors in a patient's clinical and legal history were related to recommendation decisions. Multivariate statistical methods revealed that among the clinical, demographic, and legal information available to clinicians at the time a formal release recommendation was made two factors emerged that were significantly related to release recommendations: PCL-R score and the age at which the patient committed his first criminal offense. Patients with high levels of psychopathy and those who engaged in criminal behavior at a younger age were less likely to be recommended for release from a maximum security forensic hospital.

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“…Although the public perceives the role of forensic hospitals to maintain public safety by removing "dangerous" disordered offenders from the street 2 (Steadman, 1981), programs for NGRI patients have a higher purpose. Primarily, forensic hospitals exist to provide intensive treatment to reduce symptoms of mental illness and dangerousness (Monson, Gunnin, Fogel, & Kyle, 2001), while preparing patients for potential community return (Luettgen, Chrapko, & Reddon, 1998). Nonetheless, pitfalls abound in the treatment of NGRI patients.…”

mentioning

confidence: 99%

Treating Insanity Acquittees with Personality Disorders: Implementing Dialectical Behavior Therapy in a Forensic Hospital

Vitacco¹,

Rybroek²

2006

Journal of Forensic Psychology Practice

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Treating personality disordered patients in forensic settings is a daunting task for mental health practitioners. Such patients are frequently violent and disruptive to traditional treatment programs. Given this diagnostic group, forensic programs must implement specialized treatment for patients with borderline and antisocial personality disorders that demonstrate effectiveness in reducing violence and assist in preparing patients for potential release back to the community. In addition, treatment programs should enhance institution safety. This paper provides a theoretical backdrop for implementing dialectical behavior therapy in forensic settings. We outline how this treatment provides a core set of skills consistent with the goals of the forensic hospital and the Michael J. Vitacco and Gregory J. Van Rybroek are both affiliated with the Mendota Mental Health Institute.individual patient. Furthermore, we provide a foundation for applying dialectical behavior therapy with insanity acquittees.

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Stopping (or slowing) the revolving door: Factors related to NGRI acquittees' maintenance of a conditional release.

Cited by 37 publications

References 38 publications

What Factors Are Related to Success on Conditional Release/Discharge? Findings from the New Orleans Forensic Aftercare Clinic: 2002‐2013

What Factors Are Related to Success on Conditional Release/Discharge? Findings from the New Orleans Forensic Aftercare Clinic: 2002‐2013

Are release recommendations for NGRI acquittees informed by relevant data?

Treating Insanity Acquittees with Personality Disorders: Implementing Dialectical Behavior Therapy in a Forensic Hospital

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