title: Assessing fitness to stand trial: the utility of the Fitness Interview Test (revised edition).
abstract: OBJECTIVE
  In Canada most evaluations of fitness to stand trial are conducted on an inpatient basis. This costs time and money, and deprives those defendants remanded for evaluation of liberty. This research assessed the predictive efficiency of the Fitness Interview Test, revised edition (FIT) as a screening instrument for fitness to stand trial.
  
  
  METHODS
  We compared decisions about fitness to stand trial, based on the FIT, with the results of institution-based evaluations for 2 samples of men remanded for inpatient fitness assessments.
  
  
  RESULTS
  The FIT demonstrates excellent utility as a screening instrument. The FIT shows good sensitivity and negative predictive power, which suggests that it can reliably screen those individuals who are clearly fit to stand trial, before they are remanded to an inpatient facility for a fitness assessment.
  
  
  CONCLUSIONS
  We discuss the implications for evaluating fitness to stand trial, particularly in terms of the need for community-based alternatives to traditional forensic assessments.
authors.affiliation: Department of Psychology, University of Alabama, Box 870348, Tuscaloosa, AL 35487-0348, USA.
authors.forename: P A
authors.initials: PA
authors.lastname: Zapf
authors.forename: R
authors.initials: R
authors.lastname: Roesch
authors.forename: J L
authors.initials: JL
authors.lastname: Viljoen
mesh_terms: D000328:Adult; D003416:Criminal Law; D005260:Female; D006801:Humans; D007298:Insanity Defense; D007406:Interview, Psychological; D008297:Male; D016743:Mental Competency / Q000523:psychology*; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology / Q000628:therapy