Forensic Neuropsychological Foundations in Competency to Stand Trial Evaluations.

This article focuses on the role of neuropsychological assessment in competency to stand trial (CST) evaluations, emphasizing how cognitive and brain-based conditions can affect an individual’s ability to participate in legal proceedings. It outlines relevant legal standards, the involvement of neuropsychologists in assessing cognitive capacities and symptom validity, and the importance of culturally sensitive approaches. The article highlights common conditions impacting CST, including traumatic brain injury (TBI), intellectual disability (ID), and dementia, illustrating each with detailed case examples that demonstrate neuropsychological evaluation’s practical application. It concludes by underscoring the growing need for specialized forensic neuropsychological expertise to support accurate, effective, and equitable CST assessments and restoration efforts within the justice system.