Effects of advanced age and dementia on restoration of competence to stand trial |
| |
| Authors: | Douglas R. Morris George F. Parker |
| |
| Affiliation: | 1. Department of Neurology, University of California at Davis, Davis, CA, USA;2. Douglas Mental Health University Institute, McGill University, Montreal, Canada;3. Division of Biostatistics, School of Medicine, University of California at Davis, Davis, CA, USA;4. Helen Wills Neuroscience Institute, University of California, Berkeley, Berkeley CA, USA;1. Department of Psychiatry, Institute of Psychiatric Research, Indiana University School of Medicine, Indianapolis, IN 46202, United States;2. Department of Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, LA, United States;1. Qmetrics Technology, LLC, Rochester, NY, United States;2. Departamento de Investigación e Innovación, Escuela de Medicina, Tecnológico de Monterrey, Monterrey, NL, Mexico;1. Institute of Psychiatric Research, Department of Psychiatry, Indiana University School of Medicine, Indiana University-Purdue University at Indianapolis, Indianapolis, IN 46202, USA;2. Department of Biochemistry & Molecular Biology, Center for Medical Genomics, Indiana University School of Medicine, Indiana University-Purdue University at Indianapolis, Indianapolis, IN 46202, USA;1. Department of Integrative Physiology and Center for Neuroscience, University of Colorado Boulder, CO 80309, USA;2. Department of Psychiatry, McLean Hospital and Harvard Medical School, Belmont, MA 02478, USA;3. School of Psychological Science, La Trobe University, Melbourne, VIC. 3086, Australia |
| |
| Abstract: | Elderly defendants (age 65+) and defendants with dementia adjudicated incompetent to stand trial and hospitalized for restoration to competence (RTC) often present unique challenges to clinicians charged with their restoration. In this study, we attempted to better identify predictors of successful RTC by building upon previous research correlating increased age with decreased likelihood of RTC. We identified elderly non-demented defendants (n = 31) and defendants diagnosed with dementia (n = 47) from a state database of 1380 individuals hospitalized for competence restoration from 1988–2004. Using regression analysis and correcting for demographic variables and common admission psychiatric diagnoses, we studied the relationship of age at hospital admission and dementia diagnosis on the likelihood of successful RTC. Both advanced age and dementia diagnosis were associated with decreased RTC. After correcting for dementia diagnosis, increased age retained its negative correlation with restoration success. Both elderly non-demented defendants and defendants diagnosed with dementia were significantly less likely to be restored to competence than all other RTC admissions (n = 1302). However, a substantial percentage of both demented and elderly non-demented defendants were successfully restored to competence, potentially justifying restoration attempts for both of these groups of defendants. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
