Treating incompetence to stand trial.

Abstract

InJackson v. Indiana (1972), the United States Supreme Court held that the primary justification for detaining defendants who are incompetent to stand trial is to provide them with relevant treatment. Unfortunately, the majority of forensic facilities place more emphasis on treating mental disability than on the specific symptoms that legally define incompetence to stand trial. Since this appears to be inconsistent withJackson, a study was conducted to test whether a treatment that deals with the specific symptoms of incompetence to stand trial would be more effective. As predicted, 21 patients who received such treatment showed significantly more improvement on an assessment instrument than 20 patients who received the more common form of treatment. In addition, more patients in the experimental treatment group than in the standard treatment group were able to be recommended to the court as competent. Implications are discussed.