Competency Restoration Treatment: Differences Between Defendants Declared Competent or Incompetent to Stand Trial

Archival data of inpatient defendants referred for competency restoration were used to make comparisons between those who were restored to competency (CST; n 43) and those who remained incompetent (IST; n 15). The groups did not differ on demographic variables, intellectual capacity, type of offense (violent versus nonviolent), clinical diagnoses, substance abuse, or psychotic symptomatology, as measured by the Brief Psychiatric Rating Scale. However, the CST group performed significantly better than the IST group on both the initial and final Georgia Court Competency Test and Global Assessment of Functioning scale. Psychotic symptom severity decreased significantly only in the CST group, and the CST group was discharged significantly sooner (7.7 8.6 months) than the IST group (17.9 7.0 months). While consistent with prior research, this is the first study to compare both psycholegal comprehension and specific clinical symptoms in defendants before and after compe-tency restoration treatment. J Am Acad Psychiatry Law 40:89–97, 2012 Determination of competency to stand trial (CST) is the most common procedure involving both the mental health and criminal justice systems. As estab-lished by the landmark Supreme Court decisio