title: Juveniles adjudicated incompetent to proceed: a descriptive study of Florida's Competence Restoration program.
abstract: Although competence to stand trial is perhaps the most studied area of mental health law, most of the research has been focused on adults. This study describes a population of 471 juveniles committed for treatment/habilitation and restoration of their competence to proceed in the delinquency process. This population differed from their adult counterparts in important ways. For example, 58 percent of the juveniles had a diagnosis of mental retardation, and 57 percent of the juveniles with an Axis I diagnosis also had a diagnosis of conduct disorder. Only 17 percent had a diagnosed psychotic disorder. Diagnoses among cohorts of adults found incompetent differ markedly. However, similar to adult defendants who are adjudicated incompetent to proceed, the majority of these children were returned to court after treatment staff determined that they were competent to proceed. Contrary to expectation, there were no significant age-related differences with respect to the recommendation of clinical staff regarding restoration of competence. The data suggest the need for further research examining that subset of children in the juvenile justice system whose competence to proceed is questionable.
authors.affiliation: Department of Mental Health Law and Policy, Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa 33612, USA. mcgaha@fmhi.usf.edu
authors.forename: A
authors.initials: A
authors.lastname: McGaha
authors.forename: R K
authors.initials: RK
authors.lastname: Otto
authors.forename: M D
authors.initials: MD
authors.lastname: McClaren
authors.forename: J
authors.initials: J
authors.lastname: Petrila
mesh_terms: D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000453:epidemiology; D002648:Child; D002653:Child Behavior Disorders / Q000453:epidemiology* / Q000523:psychology; D015897:Comorbidity; D019955:Conduct Disorder / Q000453:epidemiology* / Q000523:psychology; D003416:Criminal Law / Q000331:legislation & jurisprudence*; D005260:Female; D005431:Florida / Q000453:epidemiology; D005555:Forensic Psychiatry / Q000331:legislation & jurisprudence*; D006801:Humans; D008607:Intellectual Disability / Q000453:epidemiology* / Q000523:psychology; D007604:Juvenile Delinquency / Q000208:ethnology / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D008297:Male; D016743:Mental Competency / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D019964:Mood Disorders / Q000453:epidemiology / Q000523:psychology; D011618:Psychotic Disorders / Q000453:epidemiology / Q000523:psychology; D012112:Residential Facilities / Q000706:statistics & numerical data; D012935:Social Justice