J. Arboledaflorez et al., AN EVALUATION OF LEGAL OUTCOME FOLLOWING PRETRIAL FORENSIC ASSESSMENT, Canadian journal of psychiatry, 39(3), 1994, pp. 161-167
This paper constitutes the first stage of data analysis in a larger co
ntrolled study designed to assess the effect of a forensic psychiatric
assessment on legal disposition defined in three ways: 1. the number
of days spent in custody prior to trial; 2. the number of sentenced da
ys of incarceration; and 3. the conviction rate. A historical cohort d
esign was used to follow two cohorts of individuals remanded, pretrial
, to Southern Alberta Provincial Correctional Centres between 1988 and
1989. The study cohort consisted of all offenders detained who receiv
ed a forensic psychiatric assessment. The comparison cohort consisted
of a random sample of persons detained who did not undergo a forensic
assessment. Because of small numbers, individuals below the age of 18
and women were excluded from study. This paper compares socio-legal ch
aracteristics of study and comparison subjects in order to better unde
rstand forensic psychiatric referral patterns and identify potentially
confounding factors that would need to be controlled in subsequent an
alyses of legal outcomes. No differences were noted with respect to ed
ucational level but forensic subjects were found to be slightly older
(average of 31 years compared to 29 years). Aboriginal peoples (Native
Indian, Inuit and Metis) were three times more common among non-foren
sic offenders. Forensic patients were more likely to have had a prior
forensic assessment but less likely to have a prior criminal detention
. In addition, forensic patients were three times more likely to be ch
arged with a crime against a person and counted more offenses in the t
arget episode than comparison subjects. The under-representation of Ab
original peoples in the forensic cohort is discussed in light of the k
nowledge that mental illnesses are over-represented among native peopl
es and Aboriginal peoples are over-represented among criminal populati
ons. The next phase of the analysis will compare legal outcomes contro
lling for differences in age, ethnicity, prior forensic assessment, pr
ior detentions and violent index crimes.