Showing posts with label competency. Show all posts
Showing posts with label competency. Show all posts

July 6, 2010

Mitchell to plead insane

No surprise, but Brian David Mitchell has filed official notice that he plans to go for an insanity defense. Mitchell, as you all know, is awaiting trial in the 2002 kidnapping of Elizabeth Smart in Salt Lake City. The defense notice states an intent to rely upon unspecified "expert testimony as to mental disease or defect." I'm not holding my breath that the trial will start as scheduled on November 1, but when and if it does it is bound to be quite interesting.

I highly recommend that all forensic practitioners read U.S. District Judge Dale Kimball's lengthy ruling on Mitchell's competency to stand trial, issued four months ago. At 149 pages, it's the most comprehensive competency decision I have seen. In describing Mitchell as a cunning malingerer, the decision has plenty of implications for the insanity trial as well.

Utah abolished the insanity defense some years back. The state now uses the restrictive standard of Guilty But Mentally Ill, under which evidence of mental disorder can be introduced only for the restricted purpose of disproving mens rea, or the mental state that must be present in order to be convicted of certain special-intent offenses. (A handy chart showing the insanity standards of each U.S. state is HERE.) However, since the federal government is prosecuting Mitchell, he should still be able to rely upon the defense.

POSTSCRIPT: Subsequent news coverage on the government's response to the insanity filing is HERE.

April 13, 2010

California may expand juvenile competency law

In the landmark case of Milton Dusky, the U.S. Supreme Court held that in order to be criminally prosecuted a defendant must have a factual and rational understanding of the proceedings and a basic ability to consult with his or her attorney.

Some U.S. states have limited this due process protection to defendants who suffer from a mental illness or a developmental disability. This excludes children, who may lack rational understanding due to their natural immaturity. In the 2006 Washington state case of Swenson-Tucker, for example, an appellate court held that an 8-year-old boy was competent to stand trial despite severe deficits stemming from his age and immaturity.

In Florida, by contrast, juveniles have a statutory right to competence, and both age and developmental immaturity can be considered in deciding competence. (Florida Code, Section 985.223.)

If California Assemblyman Felipe Fuentes has his way, the Golden State will follow the Sunshine State and move into the forefront of juvenile justice trends. Assembly Bill 2212 would formalize the requirements for juvenile competency proceedings in the state, and specifically mandate consideration of developmental immaturity.

The proposed law (excerpted below) follows on the heels of a 2007 appellate case (see my blog post HERE) allowing immaturity as the basis of incompetency for an 11-year-old Sacramento boy accused of breaking into an elementary school and stealing candy bars. Two psychologists had evaluated Dante H. (2007 Cal. App. LEXIS 704) and concluded that he was not fit to stand trial.
AB 2212, as amended, Fuentes. Minors: mental competency.
The bill would require, upon declaration of a doubt as to the minor's competency, the court to order that the question of the minor's competence be determined in a hearing, as specified. The bill would require the court to appoint an expert in the field of juvenile adjudicative competency to evaluate whether the minor suffers from a mental disorder, developmental disability, or developmental immaturity and, if so, whether the condition impairs the minor's competency. The bill would require the Judicial Council to develop and adopt rules to implement these requirements. The bill would require that, if the minor is found to be incompetent by a preponderance of the evidence, all proceedings remain suspended to determine whether there is a substantial probability that the minor will attain that capacity in the foreseeable future or the court no longer retains jurisdiction. The period of time during which these proceedings would be suspended would not exceed 6 months.
A vote by the California Assembly's Public Safety Committee is scheduled for today.

Although the definition of developmental immaturity remains vague (see below text by Ivan Kruh and Thomas Grisso for an excellent discussion), most forensic psychologists who evaluate juveniles already consider their age and maturity, and this proposed law is a much-needed step toward requiring such practice.

Recommended resources:

March 12, 2010

Brian David Mitchell will pursue insanity defense

In the wake of last week's competency finding, a date of Nov. 1 has been set for Brian David Mitchell's federal trial in the kidnap-rape of Elizabeth Smart of Utah. The defense has indicated it plans to mount an insanity defense. As reported by the Associated Press today, a parallel case in state courts has stalled over the question of Mitchell's competency.

I'm still wading through Judge Kimball's 149-page ruling on competency, which I highly recommended to any of you who do competency work. In describing Mitchell as a cunning malingerer, the decision has plenty of implications for the insanity trial as well.

March 1, 2010

Breaking news: Mitchell labeled as malingerer, ruled competent

Checking for updates on the Elizabeth Smart case for tonight's lecture on competency restoration, I see that the judge ruled just moments ago that Brian David Mitchell is competent to stand trial.

In an opinion that went on for a hefty 149 pages, U.S. District Judge Dale Kimball agreed with prosecution psychiatrist Michael Welner that Mitchell is a psychopath who is faking mental illness to avoid criminal responsibility. The 56-year-old alleged kidnapper "does not presently suffer from a mental disease or defect that impedes his rational and factual understanding" of the proceedings against him, the judge ruled.

The decision came after a 10-day competency hearing at which Dr. Jennifer Skeem testified that Mitchell suffered from a delusional disorder and was incompetent.

Judge Kimball's 149-page ruling is online HERE.
Today's Associated Press coverage is online HERE.
My previous coverage of the case includes:

February 22, 2010

Calif.: Legal training on competency assessment

March 24-26 conference to offer MCLE credits

I've gotten a surge in queries from psychologists interested in being supervised as they embark into the tricky area of court-ordered competency-to-stand-trial assessments. With that need in mind, I'm excited that the Forensic Mental Health Association is featuring a special "legal track" on competency at next month's conference. It won't adequately train folks in the nuts and bolts, but they can get the lay of the land and become aware of some of the pitfalls and controversies.

One of the sessions that looks is especially interesting is on "Expert Qualifications and the Adequacy of Court-Ordered Evaluations." Having seen plenty of deficient, drive-by evaluations caused by a combination of the courts' low standards and low pay, I am happy to see this area getting some much-needed attention. The co-presenters are Judge Kurt Kumli of Santa Clara County, a nationally recognized expert in juvenile law and policy, and attorney David Meyer of USC's Institute of Psychiatry and Law.

The opening session of the legal track will address practical issues of enforcing court orders for competency restoration in state hospitals, jails, and conditional release programs. Again, this is a topic ripe for attention, as many competency restoration programs are sorely deficient.

Other sessions of the competency track will focus on juvenile competency, procedural changes in assessing trial competence in California, and the assessment of malingering. In addition to the usual continuing education credits for mental health practitioners, the track will offer MCLE credits to attorneys.

In addition to this special legal track on competency to stand trial, the March 24-26 conference features other high-caliber offerings:
  • Judge Stephen Manley of Santa Clara County will present a keynote address on collaborative courts in California
  • Stephen Behnke, JD, PhD and director of the APA Ethics Office, will review evolving conceptions of clinicians' duty to protect under Tarasoff
  • Stephen Miles, a professor of medicine at the University of Minnesota, will muse on lessons prison clinicians can learn from the involvement of psychologists and physicians in abusive interrogations in war-on-terror prisons
Your faithful blogger, Karen Franklin, is also presenting at the conference, on one of my favorite topics, "Ethical Considerations in Psychiatric Diagnoses in Forensic and Correctional Settings."

Finally, I just have to mention the most bizarre session I came across: "A psychiatric-legal analysis of a case of lycanthropy in a 19th-century serial killer" (presented by doctors J. Arturo Silva and Douglas Tucker). Yee-gads! With pop culture's current fascination with all things supernatural, that's one session I just must attend!

Registration is still open for the March 24-26 conference, although the "early-bird rate" ends March 1. Joining the FMHA earns you an additional $25 discount off the cost of registration. The conference is down in Seaside, California (by Monterey), so it's a scenic venue for those of you who might want to bring family. More information and the registration form are HERE.

Illustration: 18th century engraving, courtesy Wikipedia

December 9, 2009

Epic competency hearing continues

Vigorous cross-examination of prosecution psychiatrist

Since I'm receiving back-channel requests from colleagues to extend my coverage of the Brian David Mitchell case, and since it is after all one of the most historic competency hearings in recent memory, here is today's breaking news -- culled mainly from
a report by Pat Reavy of the Deseret News.

Today, defense attorney Robert Steele vigorously cross-examined prosecution psychiatrist Michael Welner about why he did not put greater weight on the opinion of other experts, including Mitchell's treating psychiatrist at Utah State Hospital.

The attending physician, Dr. Paul Whitehead, believes that Mitchell is both psychotic and incompetent to stand trial. That opinion is shared by prominent forensic psychologists Jennifer Skeem and Stephen Golding, all three of whom are listed as defense witnesses. (See Judge Atherton’s 2005 ruling for a comprehensive analysis of the opinions of Skeem and Golding.)

"This is about Brian Mitchell. It's not about Dr. Whitehead, it's not about Dr. Skeem, it's not about Dr. Golding," Welner retorted on the witness stand today. He is defending his opinion, rendered under direct examination last week, that Mitchell is neither psychotic nor incompetent to stand trial for kidnapping and raping Elizabeth Smart back in 2002.

As you will recall from a previous post, Welner is a prominent New York psychiatrist who was paid about half a million dollars for his lengthy competency report. I don't know how much he is being paid for his court testimony, but I would sure love to know the total of federal tax dollars being expended on this massive competency trial.

Pat Reavy's full report in the Deseret News is available online.

December 8, 2009

"Legal pointillism": New approach to competency

First-hand account by witness against Brian David Mitchell

Competency to stand trial focuses on a different time frame than insanity and many other psycholegal constructs. We want to know the defendant’s present state of mind, not what he was thinking or doing in the past. Is he capable of understanding the legal proceedings at this point in time (and in the near future), and assisting his attorney on his own behalf?

But at the competency trial of Elizabeth Smart kidnap suspect Brian David Mitchell, the prosecutor is expanding the traditional scope of competency to encompass the defendant’s entire life, in a technique being labeled "legal pointillism." As he reportedly told an assembly of his witnesses this week:
Each of you has a dot to contribute. (Mitchell) wants us to be close, to just see the dots. We're standing back and viewing the big picture.
This strategy means bringing in a whopping 29 witnesses, including people from Mitchell's distant past who have no direct knowledge of his current mental state. Among these is Alysa Landry, a news reporter for the Daily Times of Farmington, New Mexico. She knew Mitchell for about five months in 1997, when the kidnap suspect lived at a home that prosecution expert Michael Welner labeled as "an al-Qaeda training ground for fundamentalist Mormons."

In a rare first-person account of such an experience, Landry says she underwent about 10 hours of questioning by attorneys, psychologists, and detectives in preparation for this week's testimony.

Finally, the moment of her testimony arrived:
I told of the mind games, power struggles and escalating violence in the house. I also told of Mitchell's self-important and demeaning attitudes and his mission to reinstate the laws of polygamy and consecration, both of which were abandoned during the church's early history.

I waited 12 years for someone to listen to my story, but I was not prepared for the vulnerability or isolation I felt after testifying…. Immediately after stepping from the witness box Tuesday, FBI agent Eric Lerohl asked me again if I was OK. I wasn't. My breath was quick and my fingers were beginning to spasm from lack of oxygen....
The pointillism strategy seems to go as follows: Mitchell is evil. Ergo, he is malingering psychosis. Ergo, he must be competent. We'll have to see if it flies. If so, expect to see it again soon, in a courtroom near you.

Landry's full account, "From cult to witness chair," is HERE. Background on the case is HERE.

December 4, 2009

Record-breaking fee for competency report?

Forensic psychologists: If someone ever complains about your bill, you might want to share this little factoid:

A psychiatrist's competency report in the Brian David Mitchell case (Elizabeth Smart kidnapping in Utah) cost a whopping half million dollars.

And that was just for the report. It doesn't include the cost of expert testimony at Mitchell's competency hearing, currently in progress. And, believe it or not, that was the discounted rate.

Granted, Michael Welner's report was 206 pages long, and took 1,000 hours to produce. That makes the hourly fee $500, not inordinately high for a prominent forensic psychiatrist. But 1,000 hours is an awful lot of time to devote to any one case.

In testimony today, the prosecution's expert testified that in addition to evaluating Mitchell, he also did research on polygamy, the Mormon church, and related issues of revelation, prophets and Joseph Smith.

His bottom-line conclusion: Mitchell was motivated more by lust than religion or psychosis.

If anyone knows of a higher fee for a forensic report, or even a fee that comes close to this one, please let me know and I'll post your response.

Desert News coverage is HERE. An interesting commentary on Welner's controversial role -- and his fee -- in Andrea Yates' sanity trial is HERE. For more background on both Welner (author of the "Depravity Scale") and the Mitchell competency hearing, see my Sept. 1 post.

October 1, 2009

Elizabeth Smart testifies at competency hearing

Kidnap victim Elizabeth Smart provided dramatic testimony today in David Mitchell's long-anticipated competency-to-stand-trial hearing.

But Mitchell wasn't in the room to hear her. He was removed from the courtroom when he refused to stop singing a Mormon hymn, as he does whenever he comes to court.

Smart's testimony was ostensibly intended to establish that Mitchell was acting rationally in order to further his criminal conduct, rather than being motivated by religious delusions as the defense has maintained.

A "calm, poised, articulate" Smart testified that Mitchell was obsessed with sex and used religion to further his predatory goals. She described Mitchell as "evil, wicked, manipulative, sneaky, slimy, selfish, greedy."

But defense attorney Robert Steele said Smart's testimony hinted that Mitchell is delusional, according to coverage in the Salt Lake Tribune. Last week, he argued unsuccessfully that Smart should not be allowed to offer opinions about Mitchell's state of mind or motivations.

Mitchell has refused to submit to any psychological evaluations or diagnostic tests.

His wife and co-defendant, Wanda Barzee, has twice been found incompetent for trial and is undergoing forced treatment with antipsychotic medications. Her next competency hearing is scheduled for Oct. 23.

A transcript of Smart’s 100-minute testimony is online HERE.

September 11, 2009

Rare chance to view dueling experts live

Accused coach killer's Iowa competency hearing

Courtesy of the Des Moines Register, we have a rare opportunity to watch two experienced mental health experts testify in court about competency to stand trial. The experts were the featured event in this week's highly publicized hearing for Marc Becker, the mentally disturbed man accused of gunning down esteemed Iowa football coach Ed Thomas in front of about 20 students this past June.
















Click on either image above to watch that expert's testimony. Dr. Michael Taylor's video (left) is about 79 minutes, the first 15 minutes of which are the testimony of a psychiatric nurse at the jail (manually move the time bar to 15 to start with Taylor). Dr. Dan Roger's video (right) lasts about 57 minutes.


The experts agreed that Becker is most likely schizophrenic. They differed vastly, however, on whether he evidenced symptoms of psychosis.

Testifying for the prosecution on Thursday, psychiatrist Michael Taylor said he found no evidence whatsoever of current psychotic symptoms. Dr. Taylor described the defendant as "a calm, relaxed, pleasant young man, well spoken, articulate, able to communicate clearly, able to joke."

"There's absolutely no hint in Mr. Becker's appearance or behavior that would raise any suspicion of any psychiatric disorder," Taylor testified.

On the other side of the aisle, defense-retained psychologist Dan Rogers described the defendant as "floridly psychotic," paranoid, and delusional. "He starts with a perfectly good thought and it just becomes filled with illogical concepts as he tries to proceed," he testified.

While the public may see this as an example of hired guns who will say whatever they are hired to say, an alternate possibility is that Becker presented differently to the two experts. Dr. Rogers evaluated Becker on two occasions, 32 days and 45 days after the offense. Dr. Taylor did not evaluate Becker until more than two months after the crime. By that time, Becker was being medicated with a high dosage of the antipsychotic Invega.

Becker appeared highly sedated in court, raising another competency issue: If his medication dosage is lowered so that he can stay awake in court, his psychosis will worsen, Dr. Rogers predicted.

Of note in this case is the informative, factually accurate coverage being provided by Jennifer Jacobs of the Des Moines Register. In Thursday's article, she quoted the illustrious Daniel Murrie of the Institute of Law, Psychiatry and Public Policy at the University of Virginia School of Medicine, talking about how uncommon incompetency findings are (only an estimated 20% of cases in which the issue is raised).

In her previous story, Ms. Jacobs quoted competency guru Thomas Grisso (of Evaluating Competencies fame) and cited recent empirical research on incompetency findings:
"Each year, about 7,000 defendants nationwide are involuntarily committed to public psychiatric hospitals for treatment intended to make them well enough to stand trial, according to a 2008 report in the American Journal of Forensic Psychiatry. About 78 percent are released in less than three months, according to a 2003 report by the Missouri Institute of Mental Health. Another 20 percent are released between three months and 12 months after committal, and 2 percent are released after 12 months."
After hearing from the two experts, Judge Stephen P. Carroll put the case against Becker on hold while he contemplates his competency ruling.

Hat tip: Luis Rosell

September 1, 2009

Mitchell slated for epic competency hearing

In what is shaping up as one of the longest and most intricate competency hearings in history, Brian David Mitchell has finally been slated for a hearing in late November that is expected to last 10 days.

Mitchell, you will recall, is accused of kidnapping Elizabeth Smart of Utah back in 2002. A self-proclaimed prophet, he allegedly planned to make her one of his wives. (Unlike Jaycee Lee Dugard, who was held hostage for 18 years and bore two children with her abductor, Ms. Smart was held captive for only nine months and reportedly readjusted well.) Wanda Eileen Barzee, Mitchell's estranged wife and codefendant, was found incompetent about five years ago and has been at the Utah State Hospital ever since; no date has been set for her competency hearing.

Prosecutors and defense attorneys are sparring over who will testify at the upcoming hearing.

The prosecution submitted a list of 39 witnesses. It included expert witnesses, police officers, and staff members at the Utah State Hospital, as well as "former friends, acquaintances, co-workers, ecclesiastical leaders and family members," according to a story in the Deseret (Utah) News.

Defense attorneys contend that many of these witnesses should be excluded because they do not have any information about Mitchell’s current state of mind. The relevant time frames in a competency determination are the present and short-term future, not the distant past.

Dr. Michael Welner, a forensic psychiatrist from New York City, is expected to be the star witness for the prosecution.

Welner is a renowned expert who has testified in a number of high-profile criminal cases. An associate professor at NYU School of Medicine and an adjunct professor at Duquesne University Law School in Pennsylvania, in 1996 he founded a monthly periodical, the Forensic Echo. Two years later, he founded what is billed as the first forensic peer-review consultation practice, The Forensic Panel. In a procedure designed to minimize examiner bias, panel members must expose their work to the scrutiny of peers to minimize examiner bias. One of his more controversial creations is the "Depravity Scale," which attempts to quantify evil. Welner is also a frequent media commentator.

In his "voluminous" report, Welner reportedly opines that Mitchell may meet criteria for narcissistic personality disorder or other personality disorders. Typically, as opposed to severe psychotic disorders such as schizophrenia, the personality disorders are not deemed severe enough to make a person incompetent to stand trial.

For further reading, I highly recommend Judge Judith Atherton's 2005 competency opinion in the case, a thoughtful analysis of competency as it pertains to religiosity. Evaluations by esteemed forensic psychologists Jennifer Skeem and Stephen Golding and psychiatrist Noel Gardner are discussed. I have made it available HERE.

Related resources:Deseret News: Mitchell attorneys want fewer witnesses

The Recurrence of an Illusion: The Concept of "Evil" in Forensic Psychiatry, by James L. Knoll, IV (critical commentary on Dr. Welner's Depravity Scale)

March 19, 2009

Crazy but sane, Texas court rules

Remember Andre Thomas, the eye-plucking Texas prisoner I blogged about back in January? The delusional schizophrenic guy who killed his wife and two children, ripped out their hearts, and then walked into a police station and confessed? The fellow who plucked out one eye shortly after the crime, and the other eye just a couple of months ago?

Yesterday, in rejecting an appeal of his death sentence, a Texas appellate court ruled that Thomas "is clearly 'crazy,' but he is also 'sane' under Texas law."

At Thomas' trial, the defense argued that the killings were the result of insane delusions caused solely by Thomas' mental disease. Prosecutors countered that his psychosis was caused or aggravated by his voluntary use of alcohol, drugs and prescription drugs.

The court also rejected an appeal argument that Thomas was not competent to stand trial at the time of his 2005 trial:

"Although reasonable people might well differ on the questions of whether (Thomas) was sane at the time he committed these murders or competent at the time he was tried, those issues were appropriately addressed by the defense, the prosecution, trial judge, and the jury during the trial," wrote Judge Cathy Cochran of the Texas Court of Criminal Appeals in a concurring opinion.

Scott Henson over at Grits for Breakfast found the ruling ludicrous:
It's just ridiculous to send somebody who's so obviously nuts to death row - what's the moral point of killing a guy who'd mutilate himself to death if you let him? What's the insanity defense for if not cases like this one? … How can the court just assume Thomas' substance abuse wasn't a symptom of his mental illness - a form of self-medication, perhaps? Which came first, the chicken or the egg?
Psychiatrist Lucy Puryear, writing at Women and Crime Ink, agreed:
Non-mentally ill people do not pluck their own eyes out for some secondary gain…. To those of you who would suggest that I am soft on crime, consider this novel idea. How about we make mental health treatment available in the community to those who need it. Had Mr. Thomas been adequately treated and monitored he never would have killed his family or plucked out his eye. Three people would be alive today and an enormous amount of money would be saved keeping him out of the prison system. That's not soft on crime, that's preventing crime.
As one solution, Dr. Puryear advocates specialized mental health courts, which are popping up quite regularly in courts around the United States these days:
Instead of the revolving door from prison to back on the streets where psychiatric care is lacking, then back in prison when another crime is committed, these persons can be put into a system where follow-up is mandatory and resources are available.
Tragically, Thomas had twice sought psychiatric help at local hospitals shortly before the crime, but had not stuck around voluntarily and could not be detained against his will.

Competent and sane, you betcha.


The Dallas News story is HERE.

February 11, 2009

Recommended reading: Juvenile competency

I was just looking over Ivan Kruh and Tom Grisso's new book, Evaluation of Juveniles' Competence to Stand Trial, as I sat down to write a rather complex report on an 11-year-old child. Wow! This little book is such a great tool, I thought I should plug it to those of you who work with juveniles.

As I wrote in my Amazon review, "You will not find this much comprehensive, up-to-date information on juvenile competency to stand trial (CST) evaluations in any other single source." It's a tiny little book, but it is jam-packed with information, very clearly written, with the concepts clearly explained.

Also, unlike the volume on SVP evaluations in the same new Best Practices in Forensic Mental Health Assessment series from Oxford University Press, this one tackles the controversies and complexities in the field head-on, rather than shying away from them.

My complete Amazon review is here, with links to other relevant resources. (As always, if you like it please click on the "Yes" button at the bottom, as that helps the placement of my reviews on Amazon.)

January 9, 2009

Eye-plucking prisoner competent and sane

Andre Thomas plucked out his right eye in 2004. Now, he has plucked out his left.

The Texas death row inmate with a history of mental problems killed his wife and their two children and ripped out their hearts. He then walked into a police station and confessed.

None of that sounds all that sane. Indeed, Thomas has been diagnosed with schizophrenia and suffers from psychotic delusions and a preoccupation with death, religion, and suicide, sources say.

Nonetheless, he was found competent to stand trial, convicted, and sentenced to die for the death of his 13-month-old daughter.

The self-mutilation is unlikely to have any effect on his appeals, but at least they got him transferred to a psychiatric hospital for treatment.

The story is here.

November 12, 2008

Incompetent bank robber cannot be forcibly medicated, court rules

I just came back from evaluating a convicted prisoner to see if he is competent to proceed with his appeal. He has been found "gravely disabled" and is being forcibly injected with an antipsychotic medication (Haldol Decanoate).

He was refusing to eat because he thought the food was poisoned. But what if he was eating his food and behaving himself, but still quietly harbored paranoid delusions?

That's when Sell would come in.

As many of you know, under the 2003 case of the Sell v. United States, for a defendant to be forcibly medicated to restore competency, a court must find that:
  • important government interests are at stake
  • involuntary medication will significantly further those interests by being "substantially likely" to restore the defendant's competency
  • the medication is substantially unlikely to have negative side effects
  • the medication is medically appropriate
In a boon to good, old-fashioned talk therapy, the Sell ruling also mandated a showing that less intrusive and noxious treatments will not work.

In New Jersey, a federal judge just ruled that the government did not meet the burden of proving those things in the case of a paranoid bank robbery defendant named Wayne Moruzin. Prosecutors had claimed there was a good chance that Haldol injections would stop his paranoia and hallucinations and make Moruzin fit for trial. But a U.S. District Court judge said they didn't provide enough evidence of that, considering the health dangers of antipsychotics such as Haldol.

I've never met anyone who liked taking Haldol. It makes you feel like a drugged-out zombie, and it can cause severe and permanent health problems.

But such a ruling always leads to the question, what will happen next? The government can try to civilly commit Moruzin, or they can just wait and see if he gets better - which is unlikely without medication.

The ruling parallels a U.S. District Court decision in January of 2007 involving a different mentally ill bank robber. In that case, though, the robber had already pleaded guilty in three other bank heists and was serving a 36-year sentence.

The cases don't break new legal ground, but they do continue an interesting trend.

The New Jersey Law Journal report on the Moruzin case is available online at law.com.

September 26, 2008

New manual for SVP evaluators

I just finished reading the brand-new manual, Evaluation of Sexually Violent Predators by Philip H. Witt and Mary Alice Conroy, and I regret to say that I was disappointed. Perhaps the title should have been a clue: We are supposed to be evaluating convicted sex offenders to see whether they meet the legal criteria of being "Sexually Violent Predators," not making an a priori assumption that they do. At any rate, I found the book superficial and one-sided.

For more specifics, see my Amazon review - online here. (If you like the review, please click on the little "Yes" button where it says "Was this review helpful to you?" That helps to boost my Amazon ratings, which improve the placement of my reviews.)

The manual is one in a new "Best Practices in Forensic Mental Health Assessment" series from Oxford University Press. The series editors include such luminaries in forensic psychology as Thomas Grisso and Kirk Heilbrun.

The title in the Oxford series that I'm really looking forward to is The Evaluation of Juveniles' Competence to Stand Trial by Thomas Grisso and my old colleague from Washington, Ivan Kruh, both of whom really know their stuff on this topic. It's due out in November; you can pre-order it here for just $35.

September 25, 2008

Jam-packed new issue of psychiatry-law journal

The latest issue of the Journal of the American Academy of Psychiatry and the Law is now available online, with interesting articles on competency, insanity, dangerousness, practice guidelines, diagnosis in SVP proceedings (a topic I am addressing in an upcoming training and an article in press), and much more:

The LEGAL DIGEST section includes the following summaries and analyses:
And there's even more, believe it or not – check out the full table of contents here.

June 27, 2008

Interesting issue of forensic psychiatry journal

The latest issue of the Journal of the American Academy of Psychiatry and Law is now available online. The theme is ethics in forensic psychiatry practice.

I found Cheryl Wills' article (here) especially intriguing:

Post-Katrina Juvenile Competency Determinations: A Tale of Two Systems

Natural disasters such as Hurricane Katrina have resulted in the displacement of families to locations throughout the nation. Juvenile courts have been affected by this mass migration of youths. Postdisaster recovery has been slow. Consequently, a cohort of youths has aged out of the juvenile justice system before their juvenile competency hearings could be held. Some of these young adults now face charges as adults in criminal courts. The author explores what happens when youths awaiting juvenile competency determinations age out of the system and face charges as adults. The evolution of the problem, the current situation, case examples, and possible solutions are reviewed.
Amnesia and crime

The June issue also includes a point-counterpoint debate on assessing amnesia and crime. Should the approach be neuropsychiatric, as argued by Hal Wortzel and David Arciniegas (here), or psychiatric-clinical, as argued by Dominique Bourget and Laurie Whitehurst (here)?

Review of Campbell's Assessing Sex Offenders

Michael Harlow writes a critical review (here) of the new (second) edition of Terrence W. Campbell's Assessing Sex Offenders: Problems and Pitfalls. (To see the new edition itself at Amazon, click here.)

Legal case summaries

And, last but not least, we get summaries of interesting recent court cases on:
Click here for the full table of contents.

June 20, 2008

How will Edwards affect competency evaluations?

Imagine yourself in this situation:

You have no money or family resources. You are arrested for a serious crime you did not commit. You are assigned an overworked and inexperienced lawyer. You repeatedly call his office, but he is never there. On the eve of trial, he briefly visits you at the jail. He is not familiar with your case. He has done no investigation. He brushes aside your claims of innocence and urges you to plead guilty. You talk to other prisoners. They say this attorney is notorious for falling asleep during trials. Frantic, you ask the judge for a different lawyer. He refuses.

This situation is far from fantasy. The quality of court-appointed counsel is abysmal in many jurisdictions. Indigent defense agencies are understaffed and underfunded, creating a pressing demand to extract guilty pleas from their clients. Appellate courts have consistently ruled that inexperience, falling asleep, and heavy drinking do not necessarily constitute ineffective assistance of counsel.

Your choices: (1) Watch this inept attorney railroad you to prison, (2) plead guilty to a crime you did not commit, or (3) represent yourself.

That latter choice may be your best option. According to the only empirical study to date, pro se defendants were more likely to win acquittals than were defendants with attorneys. Of course, only a tiny proportion of defendants, about 0.3% to 0.5%, represent themselves, often when they are backed into a corner as in the above vignette.

So how does this relate to yesterday's U.S. Supreme Court ruling in Indiana v. Edwards?

In Edwards, the high court carved out a special niche for mentally ill defendants, subordinating autonomy for ostensible fairness. The ruling establishes two levels of competency: the current (low) level for competency to stand trial, and a higher one for competency to represent oneself. But it provides no guidance on what this higher level is.

Although only a small proportion of pro se defendants are mentally ill, a request to represent oneself is likely to trigger a competency evaluation. Indeed, of the 22% of pro se defendants who were screened for competency in the above-cited study by law professor Erica Hashimoto, most (59%) were screened only after they sought to dismiss their counsel. Judges and prosecutors are likely to seek such evaluations because failure to do so might cause a conviction to be overturned.

Expansion of parens patriae doctrine

The underlying problem is that the standard for competency to stand trial is very low, and the courts have consistently refused to raise the bar. But how many judges want an inexperienced, potentially disruptive defendant mucking up their courtroom? So, my prediction is that mentally ill defendants will be found competent, but forced to accept an attorney - and a defense - that they may not want.

Indeed, this was at the crux of Justice Antonin Scalia's lengthy dissent:

"Once the right of self-representation for the mentally ill is a sometime thing, trial judges will have every incentive to make their lives easier … by appointing knowledgeable and literate counsel."

And since the U.S. trial system gives "full authority" to the attorney to conduct the defense as he or she sees fit, a defendant who has not consented to legal representation is stripped of the right to present his own defense.

"The facts of this case illustrate this point with the utmost clarity," Scalia wrote. "Edwards wished to take a self-defense case to the jury. His counsel preferred a defense that focused on lack of intent. Having been denied the right to conduct his own defense, Edwards was convicted without having the opportunity to present to the jury the grounds he believed supported his innocence."

The other side of this argument, of course, is that allowing floridly psychotic defendants to represent themselves sanctions court-assisted suicide in that conviction is almost always assured. This is especially so in serious cases, including death penalty cases.

As the high court held in the half-century-old case of Massey v. Moore, "No trial can be fair that leaves the defense to a man who is insane, unaided by counsel, and who by reason of his mental condition stands helpless and alone before the court."

Slippery slope

As Scalia noted, the Edwards ruling is "extraordinarily vague." It leaves unanswered the question of what level of competence is sufficient to represent oneself, and how that decision will be made.

It also leaves unclear what happens when a defendant has an attorney, but seeks to testify at trial. Will there be an intermediate standard of competency for this situation, in which a certain degree of rational thinking and articulation skills are necessary?

Undoubtedly, the murkiness of the new standard will increase the complexity of these evaluations for forensic psychologists and psychiatrists. This is especially problematic in that court-appointed experts are grossly undercompensated, which attracts inexperienced and poorly trained professionals willing to perform what one attorney I know refers to as "drive-by competency evaluations."

I see the potential of depriving the mentally ill of a right to counsel as a potentially slippery slope. Where does one draw the line? Indeed, in its amicus brief, the American Psychiatric Association noted the need for pro se defendants to have both "oral communication capabilities" and "written-communication abilities."

So, might perceived low intelligence or even low education be a sufficient bar to self-representation? And, how about ideological extremism? Could those labeled "terrorists" be barred from representing themselves in order to air their political beliefs?

This linkage is not a remote possibility, as it turns out. One of the key issues in the Guantanamo prosecutions has been whether the detainees (who are not protected by the U.S. Constitution) will be allowed independent counsel. The initial tribunal rules refused to allow competent detainees to represent themselves. Now, detainees may decline government-appointed lawyers, but the tribune may force counsel onto any detainee who does not fully participate in his defense.

More nuanced approach

On the brighter side, the high court refused to overturn Faretta v. California, as the state of Indiana had sought. That 1975 case established the right of defendants to represent themselves so long as they made this choice "voluntarily and intelligently."

In addition, the ruling may whittle away at the unilateral view of competency espoused by the court in Godinez v. Moran, the only other Supreme Court case that has considered competence within the context of self-representation. In that 1993 opinion, written by Justice Clarence Thomas, the court engaged in convoluted reasoning to hold that no higher level of competency was required to waive counsel.

"There is no reason to believe that the decision to waive counsel requires an appreciably higher level of mental functioning than the decision to waive other constitutional rights," held the Court in Godinez. "The competence that is required of a defendant seeking to waive his right to counsel is the competence to waive the right, not the competence to represent himself."

In contrast, the Edwards opinion cites the empirical research conducted by the MacArthur group to assert that competency is not a single, unitary construct. Rather, understanding, reasoning, and appreciation of one's circumstances are separable aspects of functional legal ability, the court held.

We can only hope that this recognition of the complexity of competency, and the implicit endorsement of formal competency assessment tools such as the MacCAT-CA, signals an important shift in thinking.

In preparing this essay, I came across many good resources, some of which are listed here.

The ruling in
Indiana v. Edwards is here. All of the various supporting and opposing briefs are available here and here. The American Psychiatric Association brief is here.

Erica Hashimoto's research on pro se defendants,
Defending the Right of Self-Representation: An Empirical Look at the Pro Se Felony Defendant, 85 NC Law Review 432 (2007), is available for download here. An essay by her at the Concurring Opinions blog is here.

The New York Times, the Christian Science Monitor, and Legal Times have coverage of the ruling. Commentary is available at Scotusblog, Crim Prof blog, Simple Justice, the Legal Ethics Forum, and Court-O-Rama.

June 19, 2008

Mentally ill: No constitutional right to self representation

A few months ago, I blogged about an important case out of Indiana, pertaining to whether the mentally ill have a right to represent themselves in court. As many of you may recall, this Constitutional right led to the farcical and ironic spectacle of a railroad killer railroading himself straight to prison.

That was Colin Ferguson (satirized by Saturday Night Live here). We have witnessed similar spectacles in other cases of floridly psychotic people acting as their own attorneys. Another example that I blogged about several times was Scott Panetti, who rambled insanely at his 1995 murder trial and tried to subpoena Jesus Christ, John F. Kennedy, and other dead people.

It's an easy conviction for the prosecution, of course. But it is hardly fair. And certainly not dignified.

In today's 7-2 ruling in the case of Indiana v. Edwards, the U.S. Supreme Court held that the mentally ill do not have the same constitutional rights as everyone else. Even though someone may be competent to stand trial with the help of a lawyer, a judge may force the defendant to accept an attorney if the trial might otherwise be a farce.

"The Constitution permits states to insist upon representation by counsel for those competent enough to stand trial ... but who still suffer from severe mental illness to the point where they are not competent to conduct trial proceedings by themselves," Justice Stephen Breyer wrote for the majority.

Proponents of allowing mentally ill defendants to represent themselves despite questionable understanding and judgment cite the Sixth Amendment's right to self-representation. Legal scholar Michael Perlin calls this argument a "pretextual" rationalization for injustice.

Today's decision involved Ahmad Edwards, a delusional schizophrenic man whom a trial judge ruled was competent to stand trial for a robbery-shooting but incompetent to represent himself. Edwards had an attorney but was convicted anyway, prompting his appeal. This ruling will likely reinstate his conviction.

The imposition of a higher standard for self representation than for other facets of competency to stand trial seems at odds with the high court’s earlier holding in Godinez v. Moran. Clarence Thomas, the author of that 1993 opinion, dissented in Thursday's ruling, as did fellow conservative jurist Antonin Scalia.

"In my view, the Constitution does not permit a state to substitute its own perception of fairness for the defendant's right to make his own case before the jury," Scalia said.

The full opinion in Indiana v. Edwards (07-208) is available here. USA Today has more here. My previous blog post on the case is here. Photo credit: afsilva, "The Railroad Ahead" (Creative Commons license).