ประสิทธิผลของโปรแกรมฟื้นฟูความสามารถในการต่อสู้คดีรายบุคคลต่อความสามารถในการต่อสู้คดีของผู้ป่วยนิติจิตเวช (Effectiveness of the Galya Individualized Competency Restoration Program (Galya-ICRP) on Competency to Stand Trial in Forensic Psychiatric Patients)

Main Article Content

อุทยา นาคเจริญ ภาวินี บุตรแสน

Abstract

Object: To study the Galya Individualized Competency Restoration Program (Galya-ICRP) on competency to stand trial in forensic psychiatric patients.


Methods: The sample of this study consisted of 20 forensic psychiatric patients who were under criminal procedure code section 14 and sent for mental examination and competency to stand trial evaluation at the forensic psychiatric institution. The participants were drawn into two equal groups, experimental and control groups. The experimental group received four sessions of the Galya-ICRP. The control group received the conventional care as usual. The instruments used in this study including the demographic data form and the Galya-ICRP which were developed by the researchers and the Galya-ICRP was developed by researchers. The Independent t-test and Pair t-test were used for data analyses.


Results: The results showed that after the completion of the four sessions of program, the experimental group had the mean scores of the competency to stand trial significantly after receiving program higher than before receiving the  program (p<0.05). In addition, the experimental group had the mean scores of the competency to stand trial significantly higher than those of the control group (p<0.05).


Conclusions: Enhancing the competency to stand trial among forensic psychiatric patients who were found incompetent to stand trial.

Keywords

Article Details

Section
Original article

References

1. Cooper VG, Zapf PA. Predictor variables in competency to stand trial decisions. Law Hum Behav. 2003;27:423-36.
2. Crocker A, Eizner-Favreau O, Caulet M. Gender and fitness to stand trial assessments: A five-year review of remands in Québec. Int J Law Psychiatry. 2002;25:67-84.
3. Zapf PA, Roesch R. Fitness to stand trial: Characteristics of fitness remands since the 1992 Criminal Code amendments. Can J Psychiatry. 1998;43:287-93.
4. Bertman LJ, Thompson JW, Water WF, Estupinan-Kane L, Martin JA, Russell L. Effect of an individualized treatment protocol on restoration of competency in pretrial forensic inpatients. J Am Acad Psychiatry Law. 2003;31:27-35.
5. Nicholson RA, McNulty JL. Outcome of hospitalization for defendants found incompetent to stand trial. Behav Sci Law. 1992;10:371-83.
6. Stafford KP, Wygant DB. The role of competency to stand trial in mental health courts. Behav Sci Law. 2005;23:245-58.
7. Mossman D, Noffsinger SG, Ash P, Frierson RL, Gerbasi J, Hackett M, et al. AAPL practice guideline for the forensic psychiatric evaluation of competence to stand trial: an American legal perspective. J Am Acad Psychiatry Law. 2007;35:S3-72.
8. Advokat CD, Guidry D, Burnett DMR, Manguno-Mire G, Thompson JW Jr. Competency restoration treatment: differences between defendants declared competent or incompetent to stand trial. J Am Acad Psychiatry Law. 2012;40:89-97.
9. Wortzel H, Binswanger IA, Martinez R, Filley CM, Anderson CA. Crisis in the treatment of
incompetence to proceed to trial: harbinger of a systemic illness. J Am Acad Psychiatry Law. 2007;35:357-63.
10. Morris DR, DeYoung NJ. Psycholegal abilities and competence restoration of competence to stand trial. Behav Sci Law. 2012;30:710-28.
11. Anderson SD, Hewitt J. The effect of competency restoration training on defendants with mental retardation found not competent to proceed. Law Hum Behav. 2002;26:343-51.
12. Brown D. A didactic program for persons found unfit to stand trial. Hosp Community Psychiatry. 1992;43:732-33.
13. Noffsinger SG. Restoration to Competency Practice Guidelines. Int J Offender Ther Comp Criminol, 2001;45:356-62.
14. Siegel AM, Elwork A. Treating incompetence to stand trial. Law Hum Behav. 1990;14:57-64.
15. Carbonell JL, Heilbrun K, Friedman FL. Predicting who will regain trial competency: initial
promise unfulfilled. Special issue: psychopathology and crime. Forensic Reports. 1992;5:67-
76.
16. Ladds B, Convit A, Zito J, Vitrai J. Involuntary medication of patients who are incompetent to stand trial: a descriptive study of the New York experience with judicial review. Bull Am Acad Psychiatry Law. 1993;21:529-45.
17. อุทยา นาคเจริญ เบญจวรรณ สามสาลี สุลี ตังกุ พรรณยุพา เจ็งไพจิตร และ เกศรียา คณาธรรม. ผลของ
โปรแกรมกลุ่มเตรียมความพร้อมในการต่อสู้คดีต่อความสามารถในการต่อสู้คดีของผู้ป่วยนิติจิตเวช
[Effects of competency to stand trial group program on competency to stand trial among
forensic psychiatric patients. Bangkok]. วารสารสภาการพยาบาล. 2552;24:24-35. Thai.
18. Gutheil TG. Forensic psychiatry. In: Kaplan, H.I., & Sadock, B.J. (Eds.). (6th). Comprehensive
textbook of psychiatry/VI. Maryland: Williams & Wilkins; 1995.
19. Bonnie RJ. The competence of criminal defendants: a theoretical reformulation. Behav Sci Law. 1992;10:291-316.
20. Grisso T. Pretrial clinical evaluations in criminal cases: past trends and future directions. Crim Justice Behav. 1996;23:90-106.
21. Mueller C, Wylie AM. Examining the effectiveness of an intervention designed for restoration of competency to stand trial. Behav Sci Law. 2007;25:891-900.
22. Dawes SE, Palmera BW, Jeste DV. Adjudicative competence. Curr Opin Psychiatry. 2008;21:490–4.
23. Scott CL. Commentary: A road map or research in restoration of competency to stand trial. J Am Acad Psychiatry Law. 2003;31:36-43.
24. Siegel AM, Elwork A. Treating incompetence to stand trial. Law Hum Behav. 1990;14:57-64.