Morris Douglas R, Parker George F
Logansport State Hospital, IRTC 832, 1098 South State Road 25, Logansport, IN 46947, USA.
J Am Acad Psychiatry Law. 2008;36(4):522-34.
Restoration to competence (RTC) of mentally disordered defendants has become increasingly important for state hospitals. In Indiana, most RTC admissions are sent to one primarily forensic state hospital, but many are admitted to other state hospitals. A state database of defendants admitted for RTC between 1988 and 2005 was analyzed for trends in annual admissions, length of stay (LOS), and success of restoration by hospital and by diagnostic category. Regression models were developed to identify factors associated with RTC success. Analysis of 1,475 RTC admissions showed increased annual admissions over the study period. While the forensic hospital restored a higher percentage of individuals than the other state hospitals, the percentage of RTC success decreased over time in all hospitals. Admission to the forensic hospital, female gender, and mood disorder diagnosis were associated with increased restoration success. Older age and psychotic disorder or mental retardation diagnoses were associated with decreased likelihood of restoration. Race was not significantly associated with RTC at six months, but white defendants were less likely to be restored within one year.
精神错乱被告的能力恢复（RTC）对州立医院来说变得越来越重要。在印第安纳州，大多数接受RTC的患者被送往一家主要的法医州立医院，但也有许多患者被收治到其他州立医院。对1988年至2005年间因RTC入院的被告的州数据库进行了分析，以了解各医院以及按诊断类别划分的年度入院趋势、住院时间（LOS）和恢复成功率。建立了回归模型以确定与RTC成功相关的因素。对1475例RTC入院病例的分析显示，在研究期间年度入院人数有所增加。虽然法医医院恢复正常的个体比例高于其他州立医院，但所有医院的RTC成功率都随着时间的推移而下降。入住法医医院、女性性别和情绪障碍诊断与恢复成功率的提高有关。年龄较大以及患有精神障碍或智力迟钝诊断与恢复的可能性降低有关。种族在六个月时与RTC没有显著关联，但白人被告在一年内恢复正常的可能性较小。
