Researchers document a national 'competency crisis' straining evaluators and hospitals

A peer-reviewed review article in Behavioral Sciences & the Law, led by forensic psychologist Daniel Murrie and colleagues, documented rising competency-to-stand-trial referral volume nationwide alongside stagnant evaluator and hospital-bed capacity, describing how evaluation practice — including report quality and telehealth use — is adapting under the strain.

The paper's "competency crisis" framing has become a standard reference point in the field, echoed in a related book chapter on restoration outcomes and in Virginia's regional evaluator-shortage reporting a few months later.

Source: Evaluations of competence to stand trial are evolving amid a national “competency crisis” — Behavioral Sciences & the Law, by Daniel C. Murrie, W. Neil Gowensmith, Lauren E. Kois, and Ira K. Packer

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