Competency Info
What is the job of the judge?
To decide the verdict in a bench trial, decide sentencing, and is the "boss" of the courtroom.
How often to clinicians meet with their patients for a full session?
At least once a week, not including check-ins.
Who are our current group leaders?
Iliana, Grace, and Sam, but our clinicians also run groups.
How often do psychologists have to meet with their patients?
Once every 30 days at least.
Where happens to those who are found Not Guilty By Insanity and for how long?
They are sent to the state hospital until they are "no longer mentally ill" NOT for their original sentence.
Do clinicians review competency information during daily check-ins?
No, unless they want to.
True or False: Competency is discussed in all groups.
False, rec groups do not often review competency information.
True or False: there is only one way to assess for competency.
False, most of the psychologists use the R-CAI, but we also have the ECST-R and sometimes the ILK can help assess competecy as well.
Who are the two people who ask questions when the defendant decides to take the stand?
The district attorney and the public defender.
What information do clinicians review during individual sessions?
Anything competency related, factual information, rational understanding of their case, and their ability/willingness to work with an attorney.
What competency information is covered in groups?
Primarily factual information, but also a bit on rational understanding and working with an attorney.
What kinds of additional testing do psychologists do?
Personality testing, cognitive testing, and malingering testing.
What rights do you give up when you take a plea bargain?
Right to a trial, right to confront witnesses, right to an appeal.
Other than competency, what other topics do clinicians cover in their individual sessions?
Assess for safety, assess current mental status, provide consent forms to be signed, among many other things!
What methods do group leaders use to review competencey (List at least 2)?
Jeopardy, bingo, scenarios, movies, Q and A, etc.
Why is additional testing sometimes recommended or necessary?
To help with diagnostic clarify, help determine if someone is LIF, can aid in treatment recommendations, and help determine if someone is exaggerating symptoms for some kind of external goal.
What are the three prongs of competency?
Factual understanding, rational understanding of their own case, and being able and willing to work with an attorney.
What methods do clinicians use during individual sessions (List at least 3)?
Incentives, flashcards, roleplaying/practice, Q and A, reviewing the police report, etc.
How do patients discuss their own case information during group.
Trick question, they don't/should not since it's not a confidential setting.
What are the different sections in a court report (Name at least 5)?
Opinion on competency
Identifying information
Notification of purpose and interview circumstances
Sources of information
DSM-5-TR diagnosis
Consideration of malingering
Current psychotropic medications
Presence of IMO
Current status of capacity to consent to medications
Clinican presentation prior to and upon admission
Response to treatment and current MSE
Ability to understand the nature of the criminal proceedings
Ability to assist counsel and conduct a rational defense
(in RT report) Probability of Regaining competency
Recommendations