The review panel process

An algorithm for the conditional release of insanity acquittees

Barbara E McDermott, John W. Thompson

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

The release of insanity acquittees requires making informed decisions regarding both the presence and severity of an individuals' mental illness and the dangerousness of these individuals. This study evaluated the usefulness of employing structured assessments of mental health and violence risk factors in the conditional release decision-making process. All persons found Not Guilty by Reason of Insanity at East Louisiana Mental Health System, Forensic Division who underwent a review panel between July 1, 1997 and July 1, 1999 were included in this study. The Classification and Regression Tree analysis was utilized to arrive at cutpoints that would optimize the predictive ability of the decision tree analysis. The results indicated that the Community Outpatient Treatment Readiness Profile score was the strongest predictor - all patients receiving a score of 62 or greater on this scale were recommended to remain at the facility. When women were recommended for release, it was to civil facilities and with moderate levels of symptoms. For males with moderate symptoms, low PCL-R scores were associated with recommendations for release, whereas high scores were associated with recommendations for continued commitment. Our data suggests that algorithms may be useful to governing bodies when making release decisions.

Original languageEnglish (US)
Pages (from-to)101-111
Number of pages11
JournalInternational Journal of Law and Psychiatry
Volume29
Issue number2
DOIs
StatePublished - Mar 2006

Fingerprint

Decision Making
Mental Health
Dangerous Behavior
Decision Trees
Aptitude
Decision Support Techniques
mental health
Violence
outpatient treatment
Outpatients
Regression Analysis
mental illness
decision-making process
commitment
violence
decision making
regression
human being
ability
community

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Applied Psychology
  • Social Psychology
  • Law
  • Psychiatry and Mental health

Cite this

The review panel process : An algorithm for the conditional release of insanity acquittees. / McDermott, Barbara E; Thompson, John W.

In: International Journal of Law and Psychiatry, Vol. 29, No. 2, 03.2006, p. 101-111.

Research output: Contribution to journalArticle

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