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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatr. Jun 22, 2015; 5(2): 228-233
Published online Jun 22, 2015. doi: 10.5498/wjp.v5.i2.228
Published online Jun 22, 2015. doi: 10.5498/wjp.v5.i2.228
Outpatient competence restoration: A model and outcomes
Nicole R Johnson, Department of Behavioral Health, Washington, DC 20002, United States
Philip J Candilis, Department of Behavioral Health, Saint Elizabeths Hospital, Washington, DC 20032, United States
Author contributions: Both authors contributed to this manuscript.
Ethics approval: This project was exempted from review by the Saint Elizabeths Hospital/Department of Behavioral Health (Washington DC) Institutional Review Board.
Informed consent: Only retrospective aggregate data is used in this review so that individual informed consent was not obtained (see IRB waiver).
Conflict-of-interest: The authors declare no conflicts of interest in the conduct or publication of this work.
Data sharing: All the data used in this study is presented in the text of the paper.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Nicole R Johnson, MD, FAPA, Forensic Services Director, Department of Behavioral Health, 35 K Street, NE, Washington, DC 20002, United States. nicole.johnson3@dc.gov
Telephone: +1-202-4072121 Fax: +1-202-7249697
Received: December 5, 2014
Peer-review started: December 6, 2014
First decision: January 20, 2015
Revised: February 18, 2015
Accepted: March 16, 2015
Article in press: March 18, 2015
Published online: June 22, 2015
Peer-review started: December 6, 2014
First decision: January 20, 2015
Revised: February 18, 2015
Accepted: March 16, 2015
Article in press: March 18, 2015
Published online: June 22, 2015
Core Tip
Core tip: Restoring a defendant’s competence to stand trial is a cardinal element of public sector forensic services in the United States. The Washington DC outpatient competence restoration program (OCRP) is one of a number of state programs that offers a model of education and support for incompetent defendants. Using a combination of specialized assessment, multi-modal education, support, and court leverage, the DC OCRP is the first to identify the length of time most useful for restoring its referral population. Implications of these findings can affect the court calendar, further research, and inter-agency collaboration.