Competency to Stand Trial (CST)

Competency to Stand Trial (CST)

Definition and Importance

  • Competency to Stand Trial (CST): A legal standard regarding an individual’s capacity to understand and meaningfully participate in their criminal case.

  • Due Process Violation: It's a violation of an individual's right to due process, as protected by the Fifth Amendment, to subject them to a criminal trial without understanding what is transpiring.

  • Key Case - Dusky v. U.S.: Established the definition of CST, stating that:

    • The test must be whether the defendant has sufficient present ability to consult with their attorney with a reasonable degree of rational understanding.

    • Additionally, whether the defendant has a rational and factual understanding of the proceedings against them (Dusky v. United States, 362 U.S. 402, p. 403).

Components of the Dusky Standard

  • The Dusky standard consists of two “prongs”:

    1. Sufficient Present Ability: The ability to consult with an attorney and make decisions in their best interest (foundational and decisional competency).

    2. Rational Understanding: Understanding the courtroom personnel, procedure, and the nature of the criminal charges faced.

  • Adjudicative Competency: Extends beyond just the ability to stand trial to include understanding of the legal process.

Key Considerations

  • Measure of Capacity: Competency assesses the defendant's ability, not their willingness. A defendant may refuse to cooperate with defense counsel without being deemed incompetent.

  • Present Capacity: Competency can fluctuate over time, particularly influenced by mental health status.

  • Mental Illness and Competency: Mental illness alone does not imply incompetence; it relates specifically to the ability to meet the Dusky criteria.

  • Presumption of Competency: Established through Cooper v. Oklahoma (1996) and Medina v. California (1992), which affirms that competency is presumed until proven otherwise.

Levels of Competency

  • Main focus on Competency to Stand Trial (CST) also includes:

    • Competency to Plead Guilty: The defendant's ability to understand proceedings and the consequences of pleading guilty, ensuring a knowing, intelligent, and voluntary plea.

    • Competency to Waive an Attorney: Defendants must understand the consequences of waiving their right to counsel if they opt to represent themselves (pro se).

Competency Assessment Procedures

  • If CST is questioned at any point prior to sentencing, the court mandates a competency evaluation conducted by qualified mental health professionals (requirements vary by state).

  • Judicial Determination: While the judge ultimately decides competency, its assessment is psychological in nature.

  • Discretion of Evaluators: There is no standard protocol or specific criteria beyond those outlined by Dusky, making it subjective and complex.

  • Judicial Reliance on Clinical Opinion: Research shows judges align with evaluators' clinical opinions over 80% of the time (Pirelli et al., 2014; Warren et al., 2016).

Forensic Assessment Instruments (FAI)

  • Purpose: FAIs are being developed to refine forensic evaluation methodology for competency assessments. Examples include:

    • Competency Screening Test

    • MacArthur Structured Assessment of the Competencies of Criminal Defendants

    • MacArthur Competence Assessment Tool–Criminal Adjudication

  • Advantages: FAIs are efficient, standardized, and provide objective measurements.

  • Disadvantages: They may not capture the complexities of individual cases, leading to possible misinterpretations. Hence, they are rarely used in standard assessments unless litigated during competency hearings.

Post-Evaluation Process

  • Following evaluation, mental health examiners will provide a clinical opinion in a report regarding the defendant's competency.

  • Evidentiary Standard: The standard for CST is the preponderance of the evidence, meaning the court must be over 50% certain of a defendant's incompetence to decide against proceeding with trial.

  • Burden of Proof in New York: It lies with the prosecution to prove that a defendant is competent to stand trial.

  • Consequence of Incompetency: If incompetency is not properly addressed, it may result in overturning subsequent convictions.

Outcomes of Assessments

  • If deemed competent, the trial proceeds as normal.

  • A finding of incompetency halts the criminal case progression.

  • Outcomes vary by state, with New York’s procedures being charge-dependent.

  • Disagreements over findings can lead to challenges, or efforts to controvert before a judge confirms the evaluation.

Expert Witnesses in Competency Hearings

  • If the findings are contested, the case may lead to a hearing.

  • Initial evaluators may be called to testify, and the opposing party can engage an independent expert for a second opinion.

  • Experts offer opinions without definitively labeling defendants as competent or incompetent, respecting the judicial nature of such determinations.

Malingering Competency

  • Malingering Definition: An intentional exaggeration or fabrication of symptoms aimed at achieving a favorable outcome or avoiding negative results (e.g., delayed trial or psychiatric treatment instead of incarceration).

  • Defendants may believe they can altogether avoid jail time by feigning incompetence.

Detection of Feigned Competency

  • Evaluation of Competency to Stand Trial-Revised (ECST-R): An effective tool for assessing feigned incompetence.

    • Unique for including symptom validity measures that can detect feigning through “atypical presentation” (ATP) scales.

    • Complies with Daubert Standard for supporting evaluation error rates.

    • Limitations: Not validated for those with IQs <60; further research is warranted for validation.

Competency Considerations for Children

  • Developmental Issues: Youth facing criminal charges may lack competency to stand trial due to developmental and intellectual factors.

  • Defendants under 15 years or with disabilities are generally more likely to be deemed incompetent.

  • Recommendations for Evaluations: Advocated for those who are:

    • 12 years old or younger,

    • Experiencing mental illness,

    • Having developmental or learning disabilities,

    • Showcasing low-borderline intelligence or deficits in key cognitive areas (e.g., memory, attention).

Research Findings on Juvenile Competence

  • A study by Grisso et al. (2003) analyzed 1,000 juvenile delinquents and young adults, revealing:

    • 11 to 13 years old: 30% showed CST impairment; 50% might confess during police questioning; 75% willing to accept plea bargains.

    • 14 to 15 years old: 20% exhibited CST impairment; 20% may confess during police questioning; 50% willing to accept plea bargains.

    • 16 to 17 years old: 10% showed CST impairment; 20% confess; 50% plea acceptance.

Legal Framework in New York

  • In New York, CST is defined within Article 730 of the Criminal Procedure Law.

    • Terminology: Competency referred to as “fitness to proceed.”

    • Definitions:

    • “Fit”: A competent individual.

    • “Unfit”: An incompetent individual who cannot understand the proceedings or assist in their defense (CPL §730.10).

  • Definition of Mental Illness: As per NYS Mental Hygiene Law (MHL), it includes disturbances impairing behavior, thought, or judgment, necessitating care, treatment, and rehabilitation (MHL §1.03(20)).

Procedure of Article 730 Cases

  • Similar to typical CST procedures, a petition for a 730 exam can be filed if unfitness is suspected.

  • This results in evaluations by two qualified mental health professionals, with findings reported to the court.

  • If found fit, the case proceeds; if unfit, the progression stalls.

Handling Unfit Defendants

  • For Felony Cases: Defendants may undergo restoration (a treatment process) to regain fitness. They are committed to the Office of Mental Health for treatment until deemed fit again.

  • For Misdemeanor Cases: Findings of unfitness lead to dismissal of charges by law, and defendants receive a “Final Order of Observation” that can involve up to 90 days of treatment.

  • Legal Precedent: Ritter v. Surles (1988) justified that continued commitment is unconstitutional unless civil commitment standards are met, often resulting in shorter stays in practice.