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Chapter 6 - A Survey of National Trends in Psychiatric Patients Found Incompetent to Stand Trial: Reasons for the Reinstitutionalization of People with Serious Mental Illness in the United States
- from Part I - Introduction/Description of the Problem
- Edited by Katherine Warburton, University of California, Davis, Stephen M. Stahl, University of California, San Diego
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- Book:
- Decriminalizing Mental Illness
- Published online:
- 19 October 2021
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- 07 January 2021, pp 53-59
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Summary
Recent information indicates that the number of forensic patients in state hospitals has been increasing, largely driven by an increase in patients referred as incompetent to stand trial (IST). The surge in referrals for the evaluation and restoration of patients found IST is taxing state hospital systems, as well as the jails that must care for these patients when state hospitals are unable to accommodate the increased referrals. Many state mental health authorities are facing litigation pressure to admit IST patients more quickly, raising concerns about overcrowding and reinstitutionalization. Little is known about these national trends of increasing IST populations, and even less is known about what is driving them. This survey was intended to broaden the understanding of IST population trends on a national level.
A survey of national trends in psychiatric patients found incompetent to stand trial: reasons for the reinstitutionalization of people with serious mental illness in the United States
- Katherine Warburton, Barbara E. McDermott, Anthony Gale, Stephen M. Stahl
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- Journal:
- CNS Spectrums / Volume 25 / Issue 2 / April 2020
- Published online by Cambridge University Press:
- 09 January 2020, pp. 245-251
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Objective.
Recent information indicates that the number of forensic patients in state hospitals has been increasing, largely driven by an increase in patients referred to state hospitals as incompetent to stand trial (IST). This survey was intended to broaden the understanding of IST population trends on a national level.
Methods.The authors developed a 30-question survey to gather specific information on IST commitments in each state and the District of Columbia. The survey was administered to all 50 states and the District of Columbia via email. Specific individuals identified as primary administrators responsible for the care and evaluation of IST admissions in each state were contacted.
Results.A total of 50 out of the 51 jurisdictions contacted completed the survey. Fully 82% of states indicated that referrals for competency evaluation were increasing. Additionally, 78% of respondents thought referrals for competency restoration were increasing. When asked to rank factors that led to an increase, the highest ranked response was inadequate general mental health services in the community. Inadequate crisis services were the second ranked reason. Inadequate number of inpatient psychiatric beds in the community was the third highest, with inadequate assertive community treatment services ranking fourth.
Conclusions.Understanding the national trend and causes behind the recent surge in referrals for IST admissions will benefit states searching for ways to remedy this crisis. Our survey indicates most states are facing this issue, and that it is largely related to insufficient services in the community.
Contributors
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- By Rose Teteki Abbey, K. C. Abraham, David Tuesday Adamo, LeRoy H. Aden, Efrain Agosto, Victor Aguilan, Gillian T. W. Ahlgren, Charanjit Kaur AjitSingh, Dorothy B E A Akoto, Giuseppe Alberigo, Daniel E. Albrecht, Ruth Albrecht, Daniel O. Aleshire, Urs Altermatt, Anand Amaladass, Michael Amaladoss, James N. Amanze, Lesley G. Anderson, Thomas C. Anderson, Victor Anderson, Hope S. Antone, María Pilar Aquino, Paula Arai, Victorio Araya Guillén, S. Wesley Ariarajah, Ellen T. Armour, Brett Gregory Armstrong, Atsuhiro Asano, Naim Stifan Ateek, Mahmoud Ayoub, John Alembillah Azumah, Mercedes L. García Bachmann, Irena Backus, J. Wayne Baker, Mieke Bal, Lewis V. Baldwin, William Barbieri, António Barbosa da Silva, David Basinger, Bolaji Olukemi Bateye, Oswald Bayer, Daniel H. Bays, Rosalie Beck, Nancy Elizabeth Bedford, Guy-Thomas Bedouelle, Chorbishop Seely Beggiani, Wolfgang Behringer, Christopher M. Bellitto, Byard Bennett, Harold V. Bennett, Teresa Berger, Miguel A. Bernad, Henley Bernard, Alan E. Bernstein, Jon L. Berquist, Johannes Beutler, Ana María Bidegain, Matthew P. Binkewicz, Jennifer Bird, Joseph Blenkinsopp, Dmytro Bondarenko, Paulo Bonfatti, Riet en Pim Bons-Storm, Jessica A. Boon, Marcus J. Borg, Mark Bosco, Peter C. Bouteneff, François Bovon, William D. Bowman, Paul S. Boyer, David Brakke, Richard E. Brantley, Marcus Braybrooke, Ian Breward, Ênio José da Costa Brito, Jewel Spears Brooker, Johannes Brosseder, Nicholas Canfield Read Brown, Robert F. Brown, Pamela K. Brubaker, Walter Brueggemann, Bishop Colin O. Buchanan, Stanley M. Burgess, Amy Nelson Burnett, J. Patout Burns, David B. Burrell, David Buttrick, James P. Byrd, Lavinia Byrne, Gerado Caetano, Marcos Caldas, Alkiviadis Calivas, William J. Callahan, Salvatore Calomino, Euan K. Cameron, William S. Campbell, Marcelo Ayres Camurça, Daniel F. Caner, Paul E. Capetz, Carlos F. Cardoza-Orlandi, Patrick W. Carey, Barbara Carvill, Hal Cauthron, Subhadra Mitra Channa, Mark D. 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Yee, Viktor Yelensky, Yeo Khiok-Khng, Gustav K. K. Yeung, Angela Yiu, Amos Yong, Yong Ting Jin, You Bin, Youhanna Nessim Youssef, Eliana Yunes, Robert Michael Zaller, Valarie H. Ziegler, Barbara Brown Zikmund, Joyce Ann Zimmerman, Aurora Zlotnik, Zhuo Xinping
- Edited by Daniel Patte, Vanderbilt University, Tennessee
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- Book:
- The Cambridge Dictionary of Christianity
- Published online:
- 05 August 2012
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- 20 September 2010, pp xi-xliv
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An Early Neolithic Grave and Occupation, and an Early Bronze Age Hearth on the Thames Foreshore at Yabsley Street, Blackwall, London
- Sarah Coles, Steve Ford, Andy Taylor, Sian Anthony, Rowena Gale, Michael Keith-Lucas, Frances Raymond, Mark Robinson, Alan Vince
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- Journal:
- Proceedings of the Prehistoric Society / Volume 74 / 2008
- Published online by Cambridge University Press:
- 18 February 2014, pp. 215-234
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- 2008
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Excavation on the Thames floodplain in London revealed traces of Early Neolithic occupation and burial on a sand and gravel bar beneath alluvium. A large expanse of peat also buried by alluvium was recorded between these finds and the modern river Thames suggesting that the occupation was situated on or close to the foreshore. A single grave cut into the natural sand contained a poorly preserved crouched inhumation, possibly of a woman. The burial was accompanied by a fragment of carinated bowl, a flint knife, and other struck flints. A radiocarbon date from an oak retaining plank within the grave of 5252±28 BP (4220–3970 cal BC: KIA20157) makes this burial one of the earliest from the British Isles and the earliest known for London. A scatter of struck flint and pottery predominantly of Early Neolithic date was recovered from adjacent areas of the sand. A nearby hearth contained fragments of Early Bronze Age pottery pointing to later prehistoric activity nearby.
Charred plant remains indicate both the collection of wild plant foods and cultivated cereals in the Early Neolithic. Radiocarbon dating of the adjacent peat deposits indicated their rapid growth within the Middle Bronze Age with a marked decline in woodland cover at the start of the sequence and a rise in grassland and herb species. Cereal pollen then briefly became a significant component of the sequence before declining to more modest levels.
Carol Zander Malatesta and Carroll E. Izard (eds.), Emotion in Adult Development, Sage Publications, Beverly Hills, 1984, 343 pp., £27.50, ISBN 0 8039 2156 X.
- Anthony Gale
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- Journal:
- Ageing & Society / Volume 7 / Issue 1 / March 1987
- Published online by Cambridge University Press:
- 14 November 2008, pp. 115-117
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- March 1987
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