关键词: conditional release forensic psychiatry insanity acquittee monitoring recidivism

Mesh : Humans Insanity Defense Commitment of Mentally Ill Psychotic Disorders Forensic Psychiatry Forensic Medicine

来  源:   DOI:10.29158/JAAPL.230062-23

Abstract:
The procedures and outcomes of conditional release of insanity acquittees is a relatively neglected area of forensic psychiatric research. The release procedures vary in individual states, resulting in a wide range of approaches, from the careful selection of appropriate patients and strict monitoring in the community, to literally no mechanism for ensuring the future safety of such individuals. In North Carolina there are institutional barriers which even hinder research on the outcomes of such cases. Haroon and colleagues report on the post-release outcomes of insanity acquittees in North Carolina from 1996 to 2020. The findings of the researchers are analyzed in light of the lack of a formal post-release monitoring system in their state, contrasted with outcomes in states where a strict monitoring program is in place. Commentary is provided on the study findings, including associations between demographic, psychiatric, and criminological characteristics of insanity acquittees and release outcomes, as well as an apparent systemic bias against minority acquittees in the insanity commitment and release process in North Carolina. Further research on this important topic, from additional state jurisdictions, is recommended.
摘要:
有条件释放精神错乱的程序和结果是法医精神病学研究中相对被忽视的领域。各个州的发布程序各不相同,产生了广泛的方法,从精心挑选合适的病人和严格的社区监测,实际上没有确保这些人未来安全的机制。在北卡罗来纳州,存在体制障碍,甚至阻碍了对此类案件结果的研究。Haroon及其同事报告了1996年至2020年北卡罗来纳州精神错乱无罪释放者的发布后结果。研究人员的发现是根据他们所在的州缺乏正式的发布后监控系统进行分析的,与实施严格监测计划的州的结果形成对比。提供了对研究结果的评论,包括人口统计之间的关联,精神病学,精神错乱的犯罪学特征和释放结果,以及在北卡罗来纳州的精神错乱承诺和释放过程中,对少数族裔无罪释放者的明显系统性偏见。对这一重要课题的进一步研究,来自其他州司法管辖区,是推荐的。
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