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Edited by Marilyn McShane and Frank P. Williams III
   

   
After the Insanity Defense: When the Acquitted Return to the Community
   

Matthew F. Shaw

       
   

Shaw builds upon a study tracking 73 Not Guilty by Reason of Insanity (NGRI) acquittees over an eighteen year period. He integrates retrospective chart reviews with arrest and hospitalization data and assesses strengths and community variables along with individual factors. Stepwise logistic regression models form the basis for predictions. The acquittees resembled prior samples in terms of pre-trial characteristics and demonstrated clinical gains during hospitalization. Nonetheless, one third of the sample was re-arrested and fifteen percent were re-hospitalized after release. Clinical, community, and system factors predicted recidivism. The models developed were correct in roughly 85% of the cases. The study concludes with policy implications and directions for future research.

       
  Matthew F. Shaw is a clinician, researcher, policy maker, and instructor working at Yale University. He treats adolescents and adults, designs programs for low income communities, and is affiliated with the Connecticut Mental Health Center and the Western New England Institute for Psychoanalysis. He lives in a small beach community on the Connecticut coast.
       
    xii, 200 pages. Index, bibliography. ISBN 1-59332-147-3 (casebound)
$62. October 2006.