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1.
Cell ; 166(5): 1061-1064, 2016 Aug 25.
Artigo em Inglês | MEDLINE | ID: mdl-27565333
2.
Proc Natl Acad Sci U S A ; 120(41): e2303592120, 2023 10 10.
Artigo em Inglês | MEDLINE | ID: mdl-37782808

RESUMO

Houston TX experienced a widely known failure of its police forensic laboratory. This gave rise to the Houston Forensic Science Center (HFSC) as a separate entity to provide forensic services to the City of Houston. HFSC is a very large forensic laboratory and has made significant progress at remediating the past failures and improving public trust in forensic testing. HFSC has a large and robust blind testing program, which has provided many insights into the challenges forensic laboratories face. HFSC's journey from a notoriously failed lab to a model also gives perspective to the resource challenges faced by all labs in the country. Challenges for labs include the pervasive reality of poor-quality evidence. Also that forensic laboratories are necessarily part of a much wider system of interdependent functions in criminal justice making blind testing something in which all parts have a role. This interconnectedness also highlights the need for an array of oversight and regulatory frameworks to function properly. The major essential databases in forensics need to be a part of blind testing programs and work is needed to ensure that the results from these databases are indeed producing correct results and those results are being correctly used. Last, laboratory reports of "inconclusive" results are a significant challenge for laboratories and the system to better understand when these results are appropriate, necessary and most importantly correctly used by the rest of the system.


Assuntos
Crime , Medicina Legal , Humanos , Ciências Forenses , Polícia , Direito Penal
3.
Proc Natl Acad Sci U S A ; 120(23): e2301990120, 2023 06 06.
Artigo em Inglês | MEDLINE | ID: mdl-37252970

RESUMO

Risk assessment instruments (RAIs) are widely used to aid high-stakes decision-making in criminal justice settings and other areas such as health care and child welfare. These tools, whether using machine learning or simpler algorithms, typically assume a time-invariant relationship between predictors and outcome. Because societies are themselves changing and not just individuals, this assumption may be violated in many behavioral settings, generating what we call cohort bias. Analyzing criminal histories in a cohort-sequential longitudinal study of children, we demonstrate that regardless of model type or predictor sets, a tool trained to predict the likelihood of arrest between the ages of 17 and 24 y on older birth cohorts systematically overpredicts the likelihood of arrest for younger birth cohorts over the period 1995 to 2020. Cohort bias is found for both relative and absolute risks, and it persists for all racial groups and within groups at highest risk for arrest. The results imply that cohort bias is an underappreciated mechanism generating inequality in contacts with the criminal legal system that is distinct from racial bias. Cohort bias is a challenge not only for predictive instruments with respect to crime and justice, but also for RAIs more broadly.


Assuntos
Crime , Direito Penal , Criança , Humanos , Adolescente , Adulto Jovem , Adulto , Estudos Longitudinais , Estudos de Coortes , Medição de Risco
4.
PLoS Med ; 21(8): e1004418, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39134041

RESUMO

BACKGROUND: Traumatic brain injury (TBI) is disproportionately prevalent among individuals who intersect or are involved with the criminal justice system (CJS). In the absence of appropriate care, TBI-related impairments, intersecting social determinants of health, and the lack of TBI awareness in CJS settings can lead to lengthened sentences, serious disciplinary charges, and recidivism. However, evidence suggests that most clinical practice guidelines (CPGs) overlook equity and consequently, the needs of disadvantaged groups. As such, this review addressed the research question "To what extent are (1) intersections with the CJS considered in CPGs for TBI, (2) TBI considered in CPGs for CJS, and (3) equity considered in CPGs for CJS?". METHODS AND FINDINGS: CPGs were identified from electronic databases (MEDLINE, Embase, CINAHL, PsycINFO), targeted websites, Google Search, and reference lists of identified CPGs on November 2021 and March 2023 (CPGs for TBI) and May 2022 and March 2023 (CPGs for CJS). Only CPGs for TBI or CPGs for CJS were included. We calculated the proportion of CPGs that included TBI- or CJS-specific content, conducted a qualitative content analysis to understand how evidence regarding TBI and the CJS was integrated in the CPGs, and utilised equity assessment tools to understand if and how equity was considered. Fifty-seven CPGs for TBI and 6 CPGs for CJS were included in this review. Fourteen CPGs for TBI included information relevant to the CJS, but only 1 made a concrete recommendation to consider legal implications during vocational evaluation in the forensic context. Two CPGs for CJS acknowledged the prevalence of TBI among individuals in prison and one specifically recommended considering TBI during health assessments. Both CPGs for TBI and CPGs for CJS provided evidence specific to a single facet of the CJS, predominantly in policing and corrections. The use of equity best practices and the involvement of disadvantaged groups in the development process were lacking among CPGs for CJS. We acknowledge limitations of the review, including that our searches were conducted in English language and thus, we may have missed other non-English language CPGs in this review. We further recognise that we are unable to comment on evidence that is not integrated in the CPGs, as we did not systematically search for research on individuals with TBI who intersect with the CJS, outside of CPGs. CONCLUSIONS: Findings from this review provide the foundation to consider CJS involvement in CPGs for TBI and to advance equity in CPGs for CJS. Conducting research, including investigating the process of screening for TBI with individuals who intersect with all facets of the CJS, and utilizing equity assessment tools in guideline development are critical steps to enhance equity in healthcare for this disadvantaged group.


Assuntos
Lesões Encefálicas Traumáticas , Direito Penal , Guias de Prática Clínica como Assunto , Humanos , Lesões Encefálicas Traumáticas/terapia , Equidade em Saúde , Disparidades em Assistência à Saúde , Determinantes Sociais da Saúde
5.
BMC Med ; 22(1): 157, 2024 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-38609939

RESUMO

BACKGROUND: Autism spectrum disorder (hereafter referred to as autism) is characterised by difficulties with (i) social communication, social interaction, and (ii) restricted and repetitive interests and behaviours. Estimates of autism prevalence within the criminal justice system (CJS) vary considerably, but there is evidence to suggest that the condition can be missed or misidentified within this population. Autism has implications for an individual's journey through the CJS, from police questioning and engagement in court proceedings through to risk assessment, formulation, therapeutic approaches, engagement with support services, and long-term social and legal outcomes. METHODS: This consensus based on professional opinion with input from lived experience aims to provide general principles for consideration by United Kingdom (UK) CJS personnel when working with autistic individuals, focusing on autistic offenders and those suspected of offences. Principles may be transferable to countries beyond the UK. Multidisciplinary professionals and two service users were approached for their input to address the effective identification and support strategies for autistic individuals within the CJS. RESULTS: The authors provide a consensus statement including recommendations on the general principles of effective identification, and support strategies for autistic individuals across different levels of the CJS. CONCLUSION: Greater attention needs to be given to this population as they navigate the CJS.


Assuntos
Transtorno do Espectro Autista , Transtorno Autístico , Humanos , Transtorno Autístico/diagnóstico , Transtorno Autístico/epidemiologia , Transtorno Autístico/terapia , Transtorno do Espectro Autista/diagnóstico , Transtorno do Espectro Autista/epidemiologia , Transtorno do Espectro Autista/terapia , Direito Penal , Comunicação , Reino Unido/epidemiologia
6.
Milbank Q ; 102(1): 43-63, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38219273

RESUMO

Policy Points People with disabilities experience a vicious cycle of poverty, poor health, and marginalization partly because of the inequitable implementation and enforcement of laws, including underenforcement of civil rights and housing laws and overenforcement of punitive nuisance and criminal laws. Inequitable enforcement reflects policy choices that prioritize powerful entities (e.g., landlords, developers) to the detriment of people who experience intersectional structural discrimination based on, for example, race, disability, and income. Equitable enforcement, a process of ensuring compliance with the law while considering and minimizing harms to marginalized people, can promote health and disability justice by increasing access to safe, stable, and accessible housing.


Assuntos
Pessoas com Deficiência , Habitação , Humanos , Promoção da Saúde , Direitos Civis , Direito Penal , Aplicação da Lei
8.
BMC Psychiatry ; 24(1): 199, 2024 Mar 12.
Artigo em Inglês | MEDLINE | ID: mdl-38475800

RESUMO

BACKGROUND: Globally, individuals with mental illness get in contact with the law at a greater rate than the general population. The goal of this review was to identify and describe: (1) effectiveness of mental health interventions for individuals with serious mental illness (SMI) who have criminal legal involvement; (2) additional outcomes targeted by these interventions; (3) settings/contexts where interventions were delivered; and (4) barriers and facilitating factors for implementing these interventions. METHODS: A systematic review was conducted to summarize the mental health treatment literature for individuals with serious mental illness with criminal legal involvement (i.e., bipolar disorder, schizophrenia, major depressive disorder). Searches were conducted using PsychINFO, Embase, ProQuest, PubMed, and Web of Science. Articles were eligible if they were intervention studies among criminal legal involved populations with a mental health primary outcome and provided description of the intervention. RESULTS: A total of 13 eligible studies were identified. Tested interventions were categorized as cognitive/behavioral, community-based, interpersonal (IPT), psychoeducational, or court-based. Studies that used IPT-based interventions reported clinically significant improvements in mental health symptoms and were also feasible and acceptable. Other interventions demonstrated positive trends favoring the mental health outcomes but did not show statistically and clinically significant changes. All studies reported treatment outcomes, with only 8 studies reporting both treatment and implementation outcomes. CONCLUSION: Our findings highlight a need for more mental health research in this population. Studies with randomized design, larger sample size and studies that utilize non-clinicians are needed.


Assuntos
Direito Penal , Transtornos Mentais , Humanos , Transtornos Mentais/terapia , Transtornos Mentais/psicologia , Criminosos/psicologia
9.
Alcohol Alcohol ; 59(2)2024 Jan 17.
Artigo em Inglês | MEDLINE | ID: mdl-38266072

RESUMO

BACKGROUND: Alcohol use and the criminal justice (CJ) system have long been integrally connected in the United States and have both disproportionally impacted Communities of Color. Despite this connection, scholarly literature has largely focused on substance use as a whole, and little literature has examined the influence of race on CJ referral to alcohol treatment and treatment outcomes. METHODS: A total of 749,349 cases from the treatment episodes dataset discharge were used in the current study. A series of ANOVA and logistic regression analyses were conducted to examine the impact of race on (i) likelihood of referral to alcohol treatment by the CJ system and (ii) the association between CJ referral and treatment completion. RESULTS: Results revealed significant disparities in both who is referred to alcohol treatment by the CJ system and the association of that referral to treatment completion. Notably, American Indian/Alaska Native people were significantly more likely than people of all other races to be referred by the CJ system. However, American Indian/Alaska Native people showed the smallest association between CJ referral and treatment completion. CONCLUSIONS: Contrary to previous literature, findings showed that referral of and positive association between CJ referral and treatment completion are not equal across people of different races. Taken together, these results highlight continued racial inequities in the role of the CJ system in alcohol treatment and the unique potential for non-CJ-related treatment to best serve people combatting alcohol use disorder.


Assuntos
Alcoolismo , Direito Penal , Humanos , Consumo de Bebidas Alcoólicas , Alcoolismo/epidemiologia , Alcoolismo/terapia , Etanol , Encaminhamento e Consulta
10.
Demography ; 61(1): 141-164, 2024 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-38235802

RESUMO

Intergenerational transmission processes have long been of interest to demographers, but prior research on the intergenerational transmission of criminal justice contact is relatively sparse and limited by its lack of attention to the correlated "family troubles" and familial incarceration that predate criminal justice contact. In this article, we provide a test of the intergenerational transmission of criminal justice contact after adjusting extensively for these factors that predate such contact by linking longitudinal data from the Project on Human Development in Chicago Neighborhoods with official arrest histories from 1995 to 2020. The results provide support for three conclusions. First, parental criminal justice contact is associated with a shorter time to first arrest and a larger number of arrests even after rigorously accounting for selection. Second, robustness checks demonstrate that neither the magnitude nor the significance of the findings is sensitive to model choices. Third, associations are strongest among White individuals and inconsistently significant for African American and Hispanic individuals. Despite large recent crime declines, the results indicate that parental criminal justice contact elevates the criminal justice contact of the adult children of the prison boom, independent of the often-overlooked troubles that predate criminal justice contact, and that these associations are strongest among the White population.


Assuntos
Filhos Adultos , Direito Penal , Família , Trauma Histórico , Adulto , Humanos , Filhos Adultos/etnologia , Filhos Adultos/estatística & dados numéricos , Negro ou Afro-Americano/estatística & dados numéricos , Direito Penal/estatística & dados numéricos , Prisões/estatística & dados numéricos , Características de Residência/estatística & dados numéricos , Trauma Histórico/epidemiologia , Trauma Histórico/etnologia , Família/etnologia , Brancos/estatística & dados numéricos , Hispânico ou Latino/estatística & dados numéricos , Encarceramento/etnologia , Encarceramento/estatística & dados numéricos , Prisioneiros/estatística & dados numéricos
11.
Psychol Res ; 88(2): 639-651, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37477730

RESUMO

Mistaken eyewitness identifications continue to be a major contributor to miscarriages of justice. Previous experiments have suggested that implicit identification procedures such as the Concealed Information Test (CIT) might be a promising alternative to classic lineups when encoding conditions during the crime were favorable. We tested this idea by manipulating view congruency (frontal vs. profile view) between encoding and test. Participants witnessed a videotaped mock theft that showed the thief and victim almost exclusively from frontal or profile view. At test, viewing angle was either congruent or incongruent with the view during encoding. We tested eyewitness identification with the RT-CIT (N = 74), and with a traditional simultaneous photo lineup (N = 97). The CIT showed strong capacity to diagnose face recognition (d = 0.91 [0.64; 1.18]), but unexpectedly, view congruency did not moderate this effect. View congruency moderated lineup performance for one of the two lineups. Following these unexpected findings, we conducted a replication with a stronger congruency manipulation and larger sample size. CIT (N = 156) showed moderate capacity to diagnose face recognition (d = 0.63 [0.46; 0.80]) and now view congruency did moderate the CIT effect. For lineups (N = 156), view congruency again moderated performance for one of the two lineups. Capacity for diagnosing face recognition was similar for lineups and RT-CIT in our first comparison, but much stronger for lineups in our second comparison. Future experiments might investigate more conditions that affect performance in lineups vs. the RT-CIT differentially.


Assuntos
Reconhecimento Facial , Reconhecimento Psicológico , Humanos , Tempo de Reação , Direito Penal/métodos , Crime , Rememoração Mental
12.
Soc Psychiatry Psychiatr Epidemiol ; 59(2): 305-313, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37322292

RESUMO

PURPOSE: The rise of fatal stimulant use among adults who use opioids is a public health problem. Internalized stigma is a barrier to substance use treatment, which is greater for women and populations with criminal justice involvement. METHODS: Using a nationally representative sample of adults in the United States from a probability-based survey on household opinions in 2021, we examined characteristics of women (n = 289) and men (n = 416) who misuse opioids. In gender-stratified multivariable linear regression, we investigated factors associated with internalized stigma, and tested for the interaction of stimulant use and criminal justice involvement. RESULTS: Compared to men, women reported greater mental health symptom severity (3.2 vs. 2.7 on a 1 to 6 scale, p < 0.001). Internalized stigma was similar between women (2.3 ± 1.1) and men (2.2 ± 0.1). Among women and not men, however, stimulant use was positively associated with internalized stigma (0.36, 95% CI [0.07, 0.65]; p = 0.02). Interaction between stimulant use and criminal justice involvement was negatively associated with internalized stigma among women (- 0.60, 95% CI [- 1.16, -0.04]; p = 0.04); among men, the interaction was not significant. Predictive margins illustrate among women, stimulant use eliminated the gap in internalized stigma such that women with no criminal justice involvement had a similar level of internalized stigma as women with criminal justice involvement. CONCLUSION: Internalized stigma between women and men who misuse opioids differed based on stimulant use and criminal justice involvement. Future research should assess whether internalized stigma influences treatment utilization among women with criminal justice involvement.


Assuntos
Analgésicos Opioides , Transtornos Relacionados ao Uso de Substâncias , Adulto , Humanos , Masculino , Feminino , Estados Unidos/epidemiologia , Analgésicos Opioides/uso terapêutico , Identidade de Gênero , Direito Penal , Estigma Social
13.
Behav Sci Law ; 42(1): 56-64, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38163822

RESUMO

The neuropsychiatric contribution to capital sentencing proceedings has grown substantially in recent decades as the consideration of neurological and psychiatric factors in criminal behavior has been increasingly accepted as relevant to the quest for justice. This review article will focus on the legal theories underlying neuropsychiatric input into capital sentencing decisions, as well as some of the investigative techniques and resulting data which may be offered by forensic neuropsychiatrists in this context. The death penalty is unique in its severity and irreversibility, as the courts, including the U.S. Supreme Court, have noted repeatedly. "Death is different," and the recognition of this has generated a set of court decisions and statutes pertinent specifically to capital proceedings, both procedural and substantive.


Assuntos
Pena de Morte , Neuropsiquiatria , Psiquiatria , Humanos , Aplicação da Lei , Direito Penal
14.
Behav Sci Law ; 42(2): 65-78, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38263548

RESUMO

Neurobiological evidence has grown increasingly relevant in U.S. criminal proceedings, particularly during sentencing. Neuroimaging, such as functional Magnetic Resonance Imaging and Positron Emission Tomography scans, may be introduced by defense counsel to demonstrate brain abnormalities to argue for more lenient sentencing. This practice is common for penalty mitigation in cases eligible for capital punishment. This article reviews the history of the use of neuroscience in criminal cases from the early 20th Century to present, noting pertinent legal and ethical considerations for the use of such evidence. The authors review important empirical research conducted in recent years regarding the use of neurobiological evidence in legal proceedings (such as mock-juror studies) and guidance from the federal sentencing guidelines and the American Bar Association. The discussion also notes relevant case law in which neuroimaging, behavioral genetics, or other neurobiological data were introduced in criminal proceedings, particularly precedent-setting U.S. Supreme Court cases.


Assuntos
Pena de Morte , Aplicação da Lei , Humanos , Estados Unidos , Direito Penal
15.
Behav Sci Law ; 42(1): 1-10, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-37966983

RESUMO

Persons with neuropsychiatric disorders present specific and unique challenges for forensic experts and defense attorneys in the criminal justice system. This article reviews two potential criminal defenses: legal insanity and the various legal standards or tests of criminal responsibility that are used in jurisdictions throughout the United States (i.e., the M'Naghten standard and the American Law Institute's Model Penal Code), and the partial legal defense of diminished capacity (lacking the mental state necessary to be found guilty of a specific intent crime). The process of evaluating criminal responsibility or diminished capacity is also presented with a specific emphasis on common issues that arise in evaluating defendants with Intellectual Developmental Disorder (Intellectual Disability), Parasomnias, Seizure Disorders, and Neurocognitive Disorders.


Assuntos
Criminosos , Deficiência Intelectual , Transtornos Mentais , Transtornos Psicóticos , Humanos , Estados Unidos , Defesa por Insanidade , Psiquiatria Legal , Transtornos Mentais/psicologia , Saúde Mental , Direito Penal
16.
Behav Sci Law ; 42(3): 176-185, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38450830

RESUMO

Behaviors that would otherwise be considered criminal acts, but occur in the context of a sleep disorder, pose challenges to the traditional application of legal principles of criminal responsibility. Determining the degree to which consciousness is present during such behaviors becomes a necessary step in assigning criminal culpability. Historically, legal defense theories of unconsciousness, automatism, and insanity have been raised to negate culpability for parasomnia related behaviors. Accordingly, proper assessment of sleep disorders in the context of criminal charges becomes critical in assisting the functions of the justice system. This article reviews principles related to the legal tradition, expert assessment, and elements of expert testimony related to criminal behaviors and sleep disorders.


Assuntos
Comportamento Criminoso , Transtornos do Sono-Vigília , Humanos , Transtornos do Sono-Vigília/psicologia , Prova Pericial , Direito Penal , Crime/psicologia , Defesa por Insanidade , Criminosos/psicologia
17.
Community Ment Health J ; 60(6): 1042-1054, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38730075

RESUMO

Mental health concerns among juvenile-justice-involved youth (JJIY) continue to be a major health crisis in the United States (US). While scholarship has explored mental health concerns among JJIY, and the link to negative life outcomes, there are gaps in the existing research, particularly in effective interventions and models aimed at addressing both the mental health concerns and criminogenic risk contributing to recidivism and other negative life outcomes of this population. In this paper, we present Justice-Based Interdisciplinary Collective Care (JBICC), an innovative framework to address both the mental health needs and delinquent behavior of youth offenders. The model bridges community partners, with the purpose of informing future interventions, implementations, and research in this area. Increased justice-based interdisciplinary collective collaboration between the juvenile justice system and community programs/organizations would be a major benefit to youth offenders and their families. We also focus on the need for cultural responsiveness to be interwoven throughout all aspects of treatment. JBICC offers an opportunity to expanded services outside traditional settings and methods to ensure that youth offenders and their families receive validating and culturally responsive access to services.


Assuntos
Delinquência Juvenil , Humanos , Delinquência Juvenil/reabilitação , Delinquência Juvenil/psicologia , Adolescente , Estados Unidos , Direito Penal , Criminosos/psicologia , Masculino , Serviços Comunitários de Saúde Mental
18.
Community Ment Health J ; 60(4): 699-712, 2024 05.
Artigo em Inglês | MEDLINE | ID: mdl-38280144

RESUMO

This scoping review critically assessed evidence regarding mental disorders among mothers involved with the criminal justice system (CJS) and provided pooled prevalence rates of mental disorders. In total, 27 studies were included in the review, with 23 studies from the United States of America and 26 focused on incarcerated mothers. The findings supported the evidence on substantial burden of mental disorders, among CJS-involved mothers. Several factors contributing to mental disorders were identified, including history of abuse/incarceration/mental illness, a greater number of pregnancies, child-rearing responsibilities, less contact with children, and poor social support, which were organised using a socioecological model. However, significant gaps in the current evidence base were apparent, including inconsistencies in methodologies and outcomes assessed and a lack of large, longitudinal studies. The study highlights the importance of high-quality longitudinal research to extend knowledge around causal pathways between different risk or protective factors and mental disorders among CJS-involved mothers.


Assuntos
Direito Penal , Transtornos Mentais , Feminino , Humanos , Criança , Estados Unidos/epidemiologia , Transtornos Mentais/epidemiologia , Mães , Estudos Longitudinais
19.
Community Ment Health J ; 60(4): 713-721, 2024 05.
Artigo em Inglês | MEDLINE | ID: mdl-38175318

RESUMO

This study investigated the impact of a specialized program aimed at improving substance use disorder and trauma treatment, recovery, and reentry services for adult female offenders. Trained recovery coaches delivered pretreatment interventions such as prescreening, motivational interviewing, and support-building to facilitate treatment entry and improve outcomes. Of 113 participants, 40% identified as racial/ethnic minorities, and 72% fell within the 25-45 age range. A notable 44.5% reduction in self-reported psychiatric symptoms was observed, alongside significant improvements in abstinence and trauma symptoms. Recovery capital and psychosocial functioning showed marked improvement including significant changes in employment status and housing stability and a decrease in criminal justice involvement. The results suggest that targeted, client-centered approaches can effectively improve recovery and psychosocial functioning among female offenders while reducing re-incarceration rates. These findings underscore the importance of addressing the unique needs of this population in both pre-and post-release settings to ensure equitable access to reentry services.


Assuntos
Criminosos , Entrevista Motivacional , Transtornos Relacionados ao Uso de Substâncias , Adulto , Humanos , Feminino , Transtornos Relacionados ao Uso de Substâncias/terapia , Transtornos Relacionados ao Uso de Substâncias/psicologia , Direito Penal , Emprego
20.
Law Hum Behav ; 48(3): 182-202, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38949765

RESUMO

OBJECTIVE: Competence to proceed (CTP) is a constitutional protection intended to facilitate fairness and dignity of court proceedings. Researchers have estimated that between 60,000 and 94,000 defendants are evaluated for CTP each year. Yet no research has systematically identified the number of evaluations conducted each year, despite their critical role and many profound implications. We used large-scale, systematic data collection to address this knowledge gap. HYPOTHESES: Given the siloed nature of the judicial and forensic mental health systems, we anticipated incomplete data and that the number of evaluations would far exceed previous estimates. METHOD: In September 2019, we used public information requests to solicit CTP evaluation order data from the judiciaries of 50 U.S. states, the District of Columbia, and the Federal Bureau of Prisons. We accepted evaluation proxies, such as evaluations ordered or evaluations filed, from the 2018/2019 calendar/fiscal year. We used Uniform Crime Reporting data to estimate a nationwide evaluation-to-arrest ratio and annual evaluation volume. RESULTS: Twenty-five states provided data. We deemed data from 18 states acceptable while acknowledging that data likely underrepresented actual evaluation volume. By extrapolating data from these 18 states, we estimated a conservative national evaluation-to-arrest ratio of 0.015 (95% confidence interval [-0.007, 0.037]), which suggested that 15 evaluations are conducted per 1,000 arrests each year. Consequently, it seems likely that at least 140,000 evaluations are ordered each year nationwide, with several hundred people referred for evaluations each day. CONCLUSIONS: Annual CTP evaluation volume likely far exceeds previous estimates. Transparent data are difficult, if not impossible, to obtain. As a result, researchers, legal and forensic mental health professionals, and policymakers lack the ability to implement informed, constitutionally protected CTP practices. Key implications, research directions, and detailed data infrastructure recommendations are provided. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Assuntos
Direito Penal , Estados Unidos , Humanos , Crime
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