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Establishing guilt
The court must look for beyond reasonable doubt of mens rea
Mens rea
Criminal intent
Actus reus
Wrongful deed
Being unfit to stand trial
Inability to conduct a defense at any stage of court proceedings due to a mental disorder (e.g., being in a schizophrenia episode)
Fitness standards Bill C-30
Must be able to understand the nature/object of proceedings, understand possible consequences of proceedings, and communicate with the counsel
Historical fitness standards
Determines whether the defendant has intentionality, whether the defendant can plead guilty, and has sufficient cognitive capacity to understand proceedings
Who can assess fitness to stand trial?
Only medical practitioners (physicians) can, while psychologists may assist in testing and assessment, often using the Fitness Interview Test revised
Fitness Interview Test Revised (FIT-R)
Has 3 sections to assess ability to understand nature/object of proceedings, possible consequences, and communication; scored qualitatively alongside potential diagnosis
Unfit defendants
Tend to be single, unemployed, living alone, older WOC, diagnosed with a psychotic disorder, less likely to have a violent charge
Halting proceedings for fitness
Unfit defendants may be detained or conditionally charged for up to 3 months for fitness review; case is dropped if determined to unlikely become fit, not a threat to the public, and in the interest of proper justice
Restoring fitness
Goal is to get the defendant fit for trial using psychological supports and medication (most common); courts will take into account the individual capacity of comprehension
Insanity defense
Defendant must be suffering from a defect of reason, must not know the nature/quality of act they were performing, must not know that what they were doing is wrong
Not criminally responsible because of mental disorder (NCRMD)
Defendant should receive an absolute discharge unless they pose a threat to society
Criminal lunatics act
Created following James Hadfield case, who suffered a brain injury through combat and attempted assassination of King George; was successfully argued that he was out of touch with reality
Assessing insanity
Requires psychiatric assessment using scales like the R-CRAS; clinician takes all info into account and uses it as a basis for a decision regarding mental status and criminal responsibility
Rogers Criminal Responsibility Assessment Scales (R-CRAS)
Assesses reliability, organicity, psychopathology, cognitive control, behavioral control; has not cut-off score, evaluated qualitatively
Dispositions for NCRMD
Can either get absolute discharge, conditional discharge, or be sent to a psychiatric facility
Review boards for NCRMD
Will consider charges, trial transcript, criminal history, risk assessment, clinical history, psychological testing, and hospital recommendation; time person is held is capped
“High risk” NCRMDs
Must have committed a serious offence, have a high likelihood of reoffending, and acts so severe that they pose a risk to the public → must be held in psychiatric facility
Automatism
Unconscious, involuntary behavior, person not aware of what they are doing (e.g. sleep-walking); judged on a case-by-case basis in court
Non-insane automatism
Behavior occurs because of an external factor such as brain trauma, physical ailments like a stroke, hypoglycemia, carbon monoxide poisoning, sleepwalking, involuntary intoxication
Insane automatism
Behavior occurs due to a mental disorder
Intoxication as a defense
Was overturned and Bill C-72 passed where self-induced intoxication is no longer recognized as a defense
Fit defendants with mental disorders
Offenders have higher rates of mental disorders than the general population, but still determined fit for trial; may be due to higher chances of being arrested, caught, and pleading guilty
Mental illness and violence
Some links between psychiatric diagnosis and physical violence; but not predictive of reoffending
Community treatment order
Allows mentally ill offender to live in the community, and receiving treatment or detention in the event their condition deteriorates
Diversion
Diverting mentally offenders directly into treatment with the goal of preparing them for reintegration
Mental health courts
For minor to moderate offenses and ensuring treatment for mental disorders; more satisfaction with perceived higher fairness and justice; reduced reoffending and criminal needs
Risk
A range probability estimate of if a person will commit criminal or violent acts; can change across time and interact with other factors
Components of risk assessment
Prediction and management
Baxstrom and Dixon studies
“Dangerous” forensic patients were released, but few actually reoffended; concluding that risk assessment predictions are often inaccurate
Risk assessment in civil settings
Civil commitment, child protection, immigration laws, school/labor regulations, duty to warn
Duty to warn
The duty of a professional to break confidentiality to warn third parties or authorities if a client poses a serious, imminent danger of violence
Risk assessment in criminal settings
Conducted before trial, at sentencing, custody, and release (i.e., all major decision points); public safety may outweigh confidentiality
False positive prediction
When a criminal is predicted to reoffend, but does not
True positive prediction
When a criminal is predicted to reoffend, and does reoffend
True negative prediction
When a criminal is predicted to not reoffend, and does not reoffend
False negative prediction
When a criminal is predicted to not reoffend, but reoffends
Base rate problem
The percentage of people in a population who commit a criminal
Methodological of measuring risk
Assumptions that risk can be measured, cannot measure high risks due to inability to release offenders, weak construct
Risk judgement error and biases
Clinical judgement is impacted by potential inaccurate heuristics like illusory correlation, ignoring base rates, and over confidence in judgements