States’ Standards for Training and Certifying Evaluators of Competency to Stand Trial

The standards used to select, train, certify, and retain forensic evaluators of Competency to Stand Trial (CST) vary widely across states. Despite the very important ramifications that CST evaluations have for the defendants who undergo them, little is currently known about how states ensure that evaluators provide the highest-quality work possible. A survey was sent to all 50 states and Washington, DC, to solicit information regarding evaluator selection and certification processes, payment of CST evaluators, and other related topics. Results were compared to previous studies completed in 1997 and 2006 to allow for a longitudinal analysis. Results indicate that although some progress has occurred since the publication of those studies, most states still do not have a formal process for selecting or certifying their CST evaluators. Also, professional qualifications for CST evaluations are loosening, and payment remains relatively low. These findings, as well as the importance of retaining high standards for the field of forensic mental health assessment, are discussed. Specific components of existing certification programs are also detailed.