1. Statutory Standard
Mass. ALI
2. Clinical Evidence Sandbox
Toggle Factors
Psychiatric Presentation
Postpartum Psychosis
Command Hallucinations
Involuntary Delusion
Rapid Med Changes (13+ Rxs)
Major Depressive Disorder
Cognitive & Volitional Evidence
Conscious Planning / Errand Run
Total Loss of Volitional Control
Appreciated Legal Wrongfulness
Believed Act Was Morally Compelled
Interactive Legal Element Decision Tree
Dynamic D3.js Evaluation
3. Procedural Burden & Instruction
Commonwealth Burden
Cognitive Prong
Substantially Impaired
Volitional Prong
Substantially Impaired
Burden Standard
Proof Beyond Reasonable Doubt
Discharge Standard
Civil Commitment (MGL c.123 §16)
Applicable Jury Instruction Text
"Under Massachusetts law, a person is not criminally responsible for her conduct if, at the time of such conduct, as a result of a mental disease or defect, she lacked substantial capacity either to appreciate the criminality of her conduct or to conform her conduct to the requirements of law." (Commonwealth v. McHoul, 352 Mass. 544).
Procedural Phase Timeline
1. Competency to Stand Trial: Dusky standard — rational & factual understanding of proceedings.
2. Dual Forensic Evaluation: Mass. R. Crim. P. 14 notice of affirmative psychiatric defense.
3. Jury Consideration: Fact-finder weighs expert psychiatric testimony vs. evidence of sanity.