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Record identifier : 565526
Personal Name - Primary Intelectual Responsibility : Smedley, Margaret Elizabeth Tucker
Title and statement of responsibility : Sell v. United States: Effects on institutional violence and forensic hospital practice [Thesis]
Publication, Distribution,Etc. : University of Louisville, 2005
Language of the Item : eng
Dissertation of thesis details and type of degree : Ph.D.
Body granting the degree : , University of Louisville
Summary or Abstract : Due to the recent United States Supreme Court decision, Sell v. United States, patients deemed incompetent to stand trial (PC 1370) have been granted the right to refuse psychotropic medication. This study evaluates how the Sell decision has affected patients and practices within a California maximum-security forensic hospital. The study addresses four main areas including: rates of institutional violence, behavioral control techniques, trial competency treatment, and patient psychiatric functioning. Using a state-approved hospital database, patients admitted prior to the Sell decision (Pre-Sell) were compared on these four areas to patients admitted following the Sell decision (Post-Sell). Post-Sell patients were also divided into smaller groups based on their degree of cooperation with medication and were compared on the same four areas.It was predicted that all four areas would be negatively affected by implementation of the Sell decision. Results did not support these hypotheses. (1) Institutional violence rates did not increase as a result of this decision. In fact, Post-Sell patients demonstrated fewer average incidents of violence than Pre-Sell patients. (2) Behavioral control techniques did not increase as predicted for the Post-Sell sample. Surprisingly, results demonstrated that Post-Sell patients exhibited fewer average incidents of restraints than the Pre-Sell sample. (3) Trial competency treatment progress was not slowed after implementation of the Sell decision as predicted. Significant results were found for two components of treatment but the hypothesis was not fully supported. An analysis of patient length of stay in the hospital indicated that patients remained longer on average prior to the Sell decision, contradictory to what was expected. (4) Patient psychiatric functioning has not been negatively affected by implementation of the Sell decision as differences were found in only one of eight psychiatric symptoms..
Topical Name Used as Subject : Psychotherapy, Law
Information of biblio record : TL
 
 
 
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