Neal, Tess
Tess Neal is an Assistant Professor of Psychology in the ASU New College of Interdisciplinary Arts and Sciences and is a founding faculty member of the [Program on Law and Behavioral Science](http://lawpsych.asu.edu/). Dr. Neal has published one edited book and more than three dozen peer-reviewed publications in such journals as PLOS ONE; American Psychologist; Psychology, Public Policy, and Law; and Criminal Justice and Behavior. Neal is the recipient of the 2016 Saleem Shah Award for Early Career Excellence in Psychology and Law, co-awarded by the American Psychology-Law Society and the American Academy of Forensic Psychology. She was named a 2016 "Rising Star" by the Association for Psychological Science, a designation that recognizes outstanding psychological scientists in the earliest stages of their research career post-PhD "whose innovative work has already advanced the field and signals great potential for their continued contributions." She directs the ASU [Clinical and Legal Judgment Lab](http://psych-law.lab.asu.edu).
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We used archival data to examine the predictive validity of a pre-release violence risk assessment battery over six years at a forensic hospital (N=230, 100% male, 63.0% African-American, 34.3% Caucasian). Examining “real world” forensic decision-making is important for illuminating potential areas for improvement. The battery included the Historical-Clinical-Risk Management-20, Psychopathy Checklist-Revised, Schedule of Imagined Violence, and Novaco Anger Scale and Provocation Inventory. Three outcome “recidivism” variables included contact violence, contact & threatened violence, and any reason for hospital return. Results indicated measures of general violence risk and psychopathy were highly correlated but weakly associated with reports of imagined violence and a measure of anger. Measures of imagined violence and anger were correlated with one another. Receiver Operating Characteristic curve analyses revealed, unexpectedly, that none of the scales or subscales predicted recidivism better than chance. Multiple regression indicated the battery failed to account for recidivism outcomes. We conclude by discussing three possible explanations, including timing of assessments, controlled versus field studies, and recidivism base rates.
Prisoners sentenced to death must be competent for execution before they can actually be executed (Ford v. Wainwright, 1986). The decision for many mental health professionals whether to conduct competence for execution evaluations may be fraught with complex ethical issues. Mental health professionals who do not personally support capital punishment may have a particularly difficult decision to make in this regard but should seriously consider the consequences of their decisions. This article applies Bush, Connell, and Denney’s (2006) eight-step ethical decision-making model to the ethicality of deciding to or abstaining from conducting competence for execution evaluations. This article does not propose what decisions an individual evaluator should make regarding this work, but rather presents a systematic guide for mental health professionals (particularly those who do not support capital punishment) to consider.