Treatment and risk among the most dangerous sex offenders

 Study questions need for lengthy treatment of detainees 

McNeil Island with prison ferry in foreground

McNeil Island is a lonesome place these days. In a cost-saving moving, the state of Washington has shuttered the prison. The McNeil Island Correctional Center was the last of its kind, the twin sister of the more infamous Alcatraz Penitentiary in the San Francisco Bay.

Back when I briefly worked there in the late 1990s, it was a rustic place, its forests and overgrown orchards teeming with deer and other wildlife. Now, it is dominated by a modern civil detention site housing about 284 sex offenders. Built at a cost of $60 million, the Special Commitment Center costs another $133 million* per year to run, at a time of massive cuts to essential public services.

Special Commitment Center (photo credit: Seattle Times)

Although Washington holds the distinction of housing civil detainees on a remote island that can only be reached by air or water, the state's larger quandary is not unique. Swept along by public panics and political posturing, 20 U.S. states have approved civil detention programs that are becoming costly albatrosses.

The 30 other U.S. states, as well as other countries around the world, are in a position to ridicule the obscenely high costs of indefinitely quarantining such small handfuls of offenders.

Our neighbors to the north are far more sensible, as it turns out. At the Regional Treatment Centre (RTC) in Kingston, Ontario, Canada, civil commitment is nonexistent, and the highest-risk sex offenders may be released after an average of just seven months of treatment.

And how many of those bad actors go on to sexually reoffend after their brief but intensive treatment?

Fewer than 6 percent, according to a new study. Although the study's 2.5-year follow-up period is relatively short, the findings echo those of a previous study by co-author Jeffrey Abracen and colleagues, finding that even after nine years, only about 10 percent of offenders released from the RTC had reoffended.

Comparing high-risk Canadian sex offenders with similarly dangerous offenders civilly committed in the U.S. state of Florida, the researchers found the two populations to be virtually identical. Of the 31 sex offenders released in Florida, only one (or 3 percent) sexually reoffended. Because so few sex offenders are being released from civil detention sites in the United States, it is difficult to accurately estimate how many of them might reoffend in the community; this study could help to fill this gap, by providing a proxy group.

The low recidivism rates in Canada after only brief treatment suggests that the interminable treatment regimens at U.S. civil commitment sites, which typically last for years and years, are "more cultural than practical," reflecting the U.S. propensity for severe punishment, according to the study's authors, Robin Wilson and Donald Pake Jr. of Florida and Jan Looman and Jeffrey Abracen of Canada. One downside of such interminable treatment is that offenders may become institutionalized, with negative affects on their personalities, the authors suggest.

The researchers highlighted the fact that despite being among the highest-risk sex offenders from their respective prison systems, both the Canadian and U.S. offenders reoffended at rates far below those predicted by the Static-99 and Static-99R, the most widely used actuarial instruments for predicting recidivism.

These researchers are not the only ones coming to the conclusion that the actuarial instruments drastically overpredict recidivism. In the state of Virginia, lawmakers are questioning the use of the Static-99 after noting that civil commitment recommendations shot up when the state began mandating use of the Static-99 in 2006, jumping from about 7 percent to 25 percent of all sex offenders being released from prison.

"When the test was designated in law in 2006, it was believed that a score of 5 meant that the offender was 32 percent likely to commit another sex crime," according to a news report. "Updates have brought that risk down to about 11 percent. Researchers say that even may be too high."

Echoing what many of us have been saying for several years now, a study by Virginia's Joint Legislative Audit and Review Commission, the investigative arm of that state's General Assembly, concluded that the Static-99 is not all that accurate for assessing the risk of specific individuals, as opposed to groups.

Rather than scrapping the civil commitment program altogether, and saving themselves a cool $23 million per year, the first state to mandate the Static-99 almost did a 180 to become the first state to scrap its use altogether. Proposed legislation would have entirely "eliminate[d] the use of the Static-99 assessment instrument" for civil commitment purposes. For some reason, though, that language was removed from the most current version of House Bill 1271.

Stay tuned. As more solid research begins to overtake the hype, these and other political skirmishes are likely to become more common in financially desperate states. Eventually, I predict the entire civil commitment enterprise will hit the scrap pile as did the old sexual psychopath laws of the 1950s, but not before 20 U.S. states and the federal government squander many, many more millions of public dollars.

The study is: Comparing Sexual Offenders at the Regional Treatment Centre (Ontario) and the Florida Civil Commitment Center by Robin Wilson, Jan Looman, Jeffrey Abracen and Donald Pake Jr., forthcoming from the International Journal of Offender Therapy and Comparative Criminology. To request a copy of this article, you may email co-author Jan Looman (CLICK HERE). Thank you, Dr. Looman.

*See comment by Becky, below, who found the exact cost in the current state budget.

Who wants us to wear wizard suits, and why?

A blog subscriber from Spain, Professor Antonio Andres Pueyo of the Universidad de Barcelona, asked me to play Snopes detective on some blogosphere buzz: Was legislation really introduced in New Mexico stating that psychologists and psychiatrists must wear wizard outfits when testifying as experts?

The story turns out to be true. Here’s the actual text:

When a psychologist or psychiatrist testifies during a defendant's competency hearing, the psychologist or psychiatrist shall wear a cone-shaped hat that is not less than two feet tall. The surface of the hat shall be imprinted with stars and lightning bolts. Additionally, the psychologist or psychiatrist shall be required to don a white beard that is not less than eighteen inches in length, and shall punctuate crucial elements of his testimony by stabbing the air with a wand. Whenever a psychologist or psychiatrist provides expert testimony regarding the defendant's competency, the bailiff shall dim the courtroom lights and administer two strikes to a Chinese gong.

The amendment was tacked onto a 1995 bill addressing licensing guidelines for psychiatrists and psychologists in the Land of Enchantment. Approved by a voice vote in the state senate, it fizzled out in the house of representatives.(1)

Although it was never enacted, its author likely owes his 15 minutes of fame to that single little dead-end amendment. It continues to be widely cited in articles and books; now, 17 years later, it has suddenly gained notice in the blogosphere, ping-ponging from Magraken’s BC Injury Law blog to Overlawyered to Mind Hacks, and many more.(2)

But Professor Pueyo's query about the veracity of the fated legislation sparked my curiosity. Why was it written? And why its lasting allure?

Is that all there is?

Yes, it's catchy and colorful. But what accounts for its remarkable staying power and ability to bounce back from the dead? (Can you tell I’ve been reading zombie novels? I just finished Colson Whitehead's Zone One, which I recommend to any of you zombie fans out there.)

The amendment's author, ex-state senator Duncan Scott, wrote it not just as a harmless prank. Satire is a powerful weapon, and the goal of the hard-core Republican, as he told Harper's Magazine at the time, was to highlight his disapproval of the use of insanity pleas in criminal trials. (Ironically, his language confuses insanity with incompetency, which as we all know is a different matter altogether.)

Just as panic over bogeyman sex offenders is all the rage today, a perceived rise in insanity verdicts was a hot-button topic in the 1980s and 1990s, in the wake of John Hinckley's insanity acquittal in the attempted assassination of President Ronald Reagan. The verdict triggered widespread public concern over the reliability of psychiatric testimony, and the U.S. Congress and half of the states changed their laws to limit or eliminate the insanity defense.

In reality, the popular concern was misplaced. Insanity is very rarely invoked as a defense, being used in less than one percent of cases, and it is successful even more rarely. And, contrary to public opinion, forensic psychologists and psychiatrists who evaluate a defendant's mental state are most likely to conclude that he or she does not meet the legal threshold for insanity.

So who continues to cite the wizard amendment in books and articles, and for what purpose?

Not surprisingly, the Scientologists -- haters of all things psychiatric -- were among the first to embrace it. A 1997 article in the Scientology front magazine USA Today (no relation to the newspaper), blaming psychiatry for "the breakdown of law and order," leads off with the amendment.

Other critics of psychiatry, including Thomas Szasz and Tana Dineen, jumped aboard the train, approvingly citing the wizard passage in their books. Even the authors of forensic how-to texts, such as Christopher Slobogin, Ralph Slovenko, and Robert Meyer and Christopher Weaver, took to citing the passage, as a cautionary message about forensic excesses and overconfidence in prediction.

Walter Olson, Senior Fellow, Cato Institute

And then there's the resurrection of the wizard amendment in the blogosphere. No doubt, many posters are just enchanted by the guffaw factor. But it is no coincidence that its most prominent disseminator is Overlawyered. This blog (which claims to be "the oldest law blog") is the mouthpiece of Walter Olson, a senior fellow at the conservative think tank the Cato Institute; formerly, Olson was with the Manhattan Institute, a right-wing think tank founded by former CIA director William Casey.

You have to give these people their props. They are pure geniuses when it comes to spinning the news to illustrate the supposed excesses of the civil trial system, as in the infamous case of the scalding McDonald's coffee. (For more on that, check out the new movie, Hot Coffee.) By exaggerating the costs and ignoring the benefits of the U.S. tort system, they aim to limit class action lawsuits and other methods for citizens to seek redress when they are injured by corporate greed and malfeasance.

And the wizard satire is brilliant in tapping into not only rancor toward the trial system, but also deep-seated cultural hostility toward the intelligentsia, the class resentments so deftly harnessed by Sarah Palin and the Tea Party back in 2008.

As readers know, I am the last to defend arrogant forensic psychiatrists and psychologists; this blog is known for blowing the whistle on our field's excesses: The $500,000 competency report, the "boatloads" of cash earned by some government evaluators, the bogus psychiatric diagnoses being promulgated in sexually violent predator cases.

But, let's face it. By and large forensic evaluators are pawns, not chess masters. We are invited into the legal realm by attorneys and courts, and serve at their discretion. While a few of us may exhibit an arrogance meriting a wizard hat, by and large forensic practitioners are appropriately humble and honest, and make every effort to remain within the limits of our science.

So, while the wizard amendment may be humorous at first blush, the meaning behind the message turns out to be anything but funny.

Notes:

(1) There are different versions of its progress through the legislature. Harper's Magazine, in a July 1995 report, said it was approved by the state senate but rejected by the house of representatives. Another popular scenario has it winning in both the senate and the house, the latter by a vote of 46-14, before being vetoed by the governor. The amendment's author, Duncan Scott, gave a different account to blogger Erik Magraken, saying the language was removed before the bill even reached the house. The online records of the New Mexico Legislature only go back as far as 1996, but if anyone wants to dig back through the paper records, the citation is: Senate Floor Amendment 1 to Senate Bill 459 (Richard Romero), 42nd Leg., 1st Session (New Mexico 1995). 

(2) My favorite blog post on the wizard amendment is by Tom Freeland, a Mississippi lawyer, who said the provision reminded him of one tacked onto a "victim’s rights" bill being pushed through the Mississippi senate, which would have granted victims the right to sit at the counsel table in a criminal trial. A Mississippi senator, Hob Bryan, "annoyed proponents by moving that the provision be waived in murder cases," Freeland reported.

Ambitious competency project launched

The National Judicial College has just launched an amazing online resource on competency. The goal of the "Mental Competency – Best Practices Model" is to present practices deemed to be most effective and efficient for handling mental competency issues in the criminal justice and mental health systems.

If you do any competency related work, I strongly encourage you to check out the fabulous website. It's got step-by-step tutorials, taking you all the way from the initial referral to the evaluation and report to contested hearings and competency restoration treatment. The website boasts an array of other resources, including videos of mock competency hearings, sample reports and templates, and links to articles, case law, and state-by-state statutes.

They’ve even started a mental competency blog, which aims to keep readers apprised of court decisions and other competency related news.

With funding from the Department of Justice, the National Judicial College plans to present a series of three webinars on best practices in competency. You can sign up on the website to be notified of the dates, or just watch them after they are posted on the website.

Forensic psychologists who assisted with the ambitious project include Patricia Zapf of the John Jay College of Criminal Justice in New York, Mary Alice Conroy of Sam Houston State University in Texas, Joel Dvoskin of the University of Arizona, Floyd Jennings of the Harris County (Texas) Public Defender's Office, and Karen Bailey-Smith and Lenny Bailey, both of the Georgia Department of Behavioral Health and Developmental Disabilities.

Kudos to all!

California adopts Edwards: OK to deny self-representation to mentally ill

Mentally ill defendants in California may be barred from representing themselves at trial even when they have been found competent to stand trial, the state Supreme Court has decided.

This week's ruling stems from the 2008 U.S. Supreme Court case of Indiana v. Edwards, which held that states may set higher standards for self-representation than for competency to proceed to trial with an attorney.

The court upheld the conviction of Andrew D. Johnson of Vallejo, sentenced under California’s three-strikes law to 85 years to life in prison for two severe assaults.

Earlier in the proceedings, a jury had found Johnson competent to stand trial.The trial judge had initially let Johnson represent himself, but changed his mind based on Johnson’s bizarre behavior and filing of nonsensical motions.

The state high court cautioned that trial courts "must apply this standard cautiously," as under normal circumstances defendants have a Sixth Amendment right to represent themselves: "A court may not deny self-representation merely because it believes the matter could be tried more efficiently, or even more fairly, with attorneys on both sides."

No uniform standard

Several interested parties -- including the California Attorney General, San Francisco Public Defender, California Attorneys for Criminal Justice, and the Office of the State Public Defender -- had filed amici curiae arguing that California courts should have discretion to deny self-representation to "gray-area" defendants such as Johnson.

In their briefs, these parties proposed various standards for competency for self-representation that the court might adopt. But the court declined to adopt any of these specific standards, or those proposed in two recent law review articles, "pending further guidance from the high court."

In a footnote, the court also suggested that courts may choose to include the question of self-representation competence in routine trial-competency evaluation requests, even when the issue has not been raised.

This will leave court-appointed experts in an awkward position, tasked with evaluating "simply whether the defendant suffers from a severe mental illness to the point where he or she cannot carry out the basic tasks needed to present the defense without the help of counsel."

Such murkiness will increase the complexity of competency 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."

When a defendant refuses evaluation

In his appeal, Johnson also complained that none of the experts appointed to evaluate his trial competency ever interviewed him personally. In fact, that was because he refused to meet with any of them.

The court said that the when a defendant refuses to be evaluated, the judge and jury must "do the best they can under the circumstances," as occurred here.

At the competency trial, psychologist Kathleen O'Meara, called by the defense, made clear that her opinion was tentative in that it was based solely on transcripts of the pretrial proceedings, defendant's letters, medical records and conversations with correctional staff. She speculated that defendant might have a paranoid delusional disorder, but that he could also be malingering.

Two psychiatrists called by the prosecution, Herb McGrew and Murray Eiland, both testified that it was not possible to form an opinion on competency without interviewing the defendant.

Sticky wicket

The Edwards decision expands the parens patriae doctrine, subordinating autonomy for ostensible fairness. In deciding that the mentally ill do not have the same constitutional rights as everyone else, the U.S. Supreme Court set up a very difficult situation.

On the one hand, allowing floridly psychotic defendants to represent themselves sanctions court-assisted suicide in that conviction is almost always assured, as in the farcical spectacle of Colin Ferguson's trial in the Long Island Railroad massacre.

On the other hand, 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. And, since no judge wants an inexperienced, potentially disruptive defendant mucking up their courtroom, it is tempting to find a problem defendant competent to stand trial, but then force him to accept an attorney -- and a defense -- that he may not want.

Related reading:

How will Edwards affect competency evaluations? (June 20, 2008 blog post)

Mentally ill: No constitutional right to self representation (June 19, 2008 blog post)

Fools competent to represent themselves at trial: Buffoonery doesn’t qualify under Edwards, appellates rule (July 7, 2010 blog post)

Defending the Right to Self Representation: An Empirical Look at the Pro Se Felony Defendant, Erica J. Hashimoto, North Carolina Law Review (2007) [free, open-access download]

Defending Oneself, Erica Hashimoto

COMPETENCY CASE RESOURCES WEB PAGE

Why does the United States lock up so many people?

Freedom is seldom found

By beating someone to the ground

-- Amos Lee, Freedom

Prisoner sketch, Pelican Bay SHU

The statistics are shocking: One out of every 99 adults quarantined behind bars in the United States, with larger and larger swaths of the civilian work force deployed as a captor class. Although academic scholars have been analyzing the social costs of our 30-year punishment binge for some time, the American public has been oddly disinterested in our de-evolution into a full-blown prison nation.

Finally, that appears to be changing, perhaps in no small part due to the staggering financial costs of mass incarceration during these tough economic times. The direct costs of prisons have quadrupled over two decades, to almost $40 billion a year in the 40 states sampled in a new report by the Vera Institute of Justice's Center on Sentencing and Corrections.

Now, award-winning New Yorker writer Adam Gopnik has stepped up to ask the essential question: WHY do we lock up so many people?

After all, he points out in his essay, "The Caging of America," New York City has managed to buck the incarceration trend, while seeing its crime rate plummet by as much as 80 percent (the topic of criminology scholar Franklin E. Zimring's new book, The City That Became Safe).

Gopnik writes with the outrage of an outsider whose blindfolds were suddenly yanked away to reveal the carceral state in all of its nightmarish savagery:

Death row, Tennessee

Mass incarceration on a scale almost unexampled in human history is a fundamental fact of our country today -- perhaps the fundamental fact, as slavery was the fundamental fact of 1850.

The scale and the brutality of our prisons are the moral scandal of American life. Every day, at least 50,000 men -- a full house at Yankee Stadium -- wake in solitary confinement, often in "supermax" prisons or prison wings, in which men are locked in small cells, where they see no one, cannot freely read and write, and are allowed out just once a day for an hour's solo "exercise." (Lock yourself in your bathroom and then imagine you have to stay there for the next ten years, and you will have some sense of the experience.)

How did we get here? How is it that our civilization, which rejects hanging and flogging and disembowelling, came to believe that caging vast numbers of people for decades is an acceptably humane sanction?

To answer his question, Gopnik weaves together two strands of American history, what we might call the Southern and the Northern penal traditions.

Juvenile In Justice, Richard Ross

The new Jim Crow

The Southern strand, most recently articulated by Michelle Alexander, posits that penal colonies arose to replace the slave plantations in the post-Reconstruction South, with mass incarceration functioning as "The New Jim Crow" for poor African American men in the post-civil rights era. It's hard to argue with the statistics: More than half of American black men without a high-school diploma go to prison at some time in their lives, and more of these men are trapped in today's criminal justice system than were enslaved prior to the Civil War:

Young black men pass quickly from a period of police harassment into a period of "formal control" (i.e., actual imprisonment) and then are doomed for life to a system of "invisible control." Prevented from voting, legally discriminated against for the rest of their lives, most will cycle back through the prison system. The system, in this view, is not really broken; it is doing what it was designed to do.

Procedural justice

Many of you may be familiar with this notion of South's white supremacist contribution to the carceral state, but you may be surprised to learn about the North's major hypothesized contribution: the Bill of Rights.

Wait a minute. Weren't our founding fathers all about protecting our rights, making sure that we were never again victimized by the cruel rule of tyrants?

In blaming the Bill of Rights, Gopnik channels Harvard Law School professor William J. Stuntz, who died just before last fall's publication of his The Collapse of American Criminal Justice, which argues that the Enlightenment era saw the elevation of procedural rights at the expense of moral justice.

The trouble with the Bill of Rights, [Stuntz] argues, is that it emphasizes process and procedure rather than principles…. This emphasis, Stuntz thinks, has led to the current mess, where accused criminals get laboriously articulated protection against procedural errors and no protection at all against outrageous and obvious violations of simple justice.

Thus, in our increasingly impersonal and bureaucratic world, rather than the nemesis of the brutal prison, due process is actually its mirror image:

The more professionalized and procedural a system is, the more insulated we become from its real effects on real people…. Once the procedure ends, the penalty begins, and, as long as the cruelty is routine, our civil responsibility toward the punished is over. We lock men up and forget about their existence.

Gopnik's essay, which I highly recommend, can be found HERE.

Juror’s bad dream becomes defense nightmare

What would you do if you were defending a man accused of bludgeoning someone to death with a baseball bat, and a juror disclosed having a nightmare in which the defendant chased her around with a baseball bat?

You might request that the juror be dismissed.

That’s what happened this week in a murder trial St. Lawrence County, New York.

But the judge denied the defense request, despite a plea from the juror's family that she is emotionally overwhelmed by the case. Besides her nightmare, the juror also told the court that she started crying when she saw her father sitting in a recliner that reminded her of the chair in which the dead man was found.

The ruling shocked the defendant.

"I just about fell over," defendant Wayne T. Oxley Jr told a reporter. "I was pretty shocked she stayed on the jury. I kind of lost my breath."

The prosecuting attorney said it wouldn't be fair to discharge a juror just because of what she dreamed. "Dreams are dreams, you can't make them not happen," said the attorney.

Prominent forensic psychologist Saul Kassin of the John Jay College of Criminal Justice disagreed.

"It's clear she has formed a negative emotional opinion," Kassin told a reporter from the Watertown Daily Times. "If I were on the defense team, that would make me nervous. People often have difficulty separating reality from fantasy."

This is Oxley's third trial. The first ended with a conviction for second-degree murder, later overturned on appeal. A retrial ended in a hung jury. If Oxley is convicted and successfully appeals based on the juror's emotional bias, Judge Jerome J. Richards's ruling could end up a nightmare for him as well.