The adjustment and rehospitalization of 39 NGRI outpatients was studied for a 20 month period. Each patient was evaluated at the beginning of the study and periodically assessed with the SADS-C at 3-4 month intervals. The study found that rehospitalized patients consistently demonstrated from the beginning greater psychological impairment with a wider range of more severe symptoms. Therefore, NGRI patients with GAS scores of less than 50 or more than seven SAD-C symptoms should be considered at high risk in community placement.
Get full access to this article
View all access options for this article.
References
1.
Abramowitzs, S. , Tupin J., Berger A. (1984) Multivariate prediction of hospital readmission. Comp Psychiat25:71-76.
2.
Bloom J. , Rogers J., Manson S. (1982). After Oregon's insanity defense: A comparison of conditional release and hospitalization. Inter J of Law and Psychiat5:391-402.
3.
Bonnie R. (1973). The moral basis of the insanity defense. Amer Bar Assoc J69:194-197.
4.
Cavanaugh J. , Rogers R. (1982). Convergence of mental illness and violence: Effects on public policy. Psychiat Annals12:537-541.
5.
Endicott J. , Spitzer R. (1978). A diagnostic interview: The schedule of affective disorders and schizophrenia. Arch Gen Psychiat35:837-844.
6.
Glasberg R. , Wayne I. (1981). The beginning of a new story: Post-release adjustment of men found not guilty by reason of insanity. In SJ Hucker, CD Webster, MH Ben-Aron (Eds.) Mental Disorder and Criminal Responsibility. Toronto, Butterworths.
7.
Goldring S. (1983). The assessment, treatment and community outcome of defendants found not guilty by reason of insanity. Paper presented in October at the Biennial Conference of the American Psychology Law Society, Chicago, Illinois.
8.
Hans V. , Slater D. (1983). John Hinckley Jr. and the Insanity Defense: The Public's verdict. Public Opinion Quart47:202-212.
9.
Pasewark R. , Bieber S., Bosten K., Kiser M. and Steadman H. (1982). Criminal recidivism among insanity acquittees. Internat J of Law and Psychiat5:365-374.
10.
Pokorny A. , Kaplan H., Lorimor R. (1983). Effects of diagnosis and treatment history as relapse of psychiatric patients. Am JPsychiat140:1598-1601.
11.
Rogers J. , Bloom J., Manson S. (1983). Oregon's new insanity defense system: A review of the first five years 1978 to 1982. Paper presented in October, at the Annual Meeting of the American Academy of Psychiatry and the Law.
12.
Rogers R. , Cavanaugh J. (1981). Application of the SADS diagnostic interview to forensic psychiatry. J Psychiat and Law9:329-344.
13.
Rogers R. , Cavanaugh J., Dolmetsch R. (1981). Schedule of Affective Disorders and Schizophrenia, diagnostic interview in evaluations of insanity: An exploratory study. Psychol Reports49:135-138.
14.
Rogers R. , Cavanaugh J. (1981). A treatment program for potentially violent offender patients. Internat J of Offender Therapy and Compar Criminol25:53-59.
15.
Rogers R. , Harris M., Wasyliw O. (1983). Observed and self-reported psychopathology in NGRI acquitees in court-mandated outpatient treatment. Internat J of Offender Therapy and Comp Criminol27:143-149.
16.
Rogers R. , Thatcher A., Cavanaugh J. (forthcoming). Use of the SADS diagnostic interview in evaluating legal insanity. J of Clin Psychol.
17.
Roth J. (Chair, 1983). Insanity Defense Workgroup; American Association statement on the insanity defense. Amer JPsychiat140:681-688.
18.
Silver S. (1983). Treatment and aftercare of insanity acquittees in Maryland. Testimony before the Subcommittee on Criminal Law of the Committee on the Judiciary, United States Senate, USGPO. Washington, DC, Serial #J-97-122, pages 374-383.
19.
Spitzer R. , Endicott J. (1978). Schedule of Affective Disorders and Schizophrenia. New York: New York State Psychiatry Institute.
20.
Spodak N. , Silver S., Wright C. (1983). Criminality of discharged insanity acquittees: Fifteen year experience in Maryland reviewed. Paper presented in October at the Annual Meeting of the American Academy of Psychiatry and the Law, Portland, Oregon.