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A judge determines competency; a jury determines insanity. Therefore, competency is determined before a trial commences, while insanity is determined at the end of trial with the verdict.
In a majority of states, the burden of proving insanity is placed on the defendant, who must prove insanity by a preponderance of the evidence. In a minority of states, the burden is placed on the prosecution, who must prove sanity beyond reasonable doubt.
The federal insanity defense now requires the defendant to prove, by "clear and convincing evidence," that "at the time of the commission of the acts constituting the offense, the defendant, as a result of a severe mental disease or defect, was unable to appreciate the nature and quality or the wrongfulness of his acts ...
The defendant must provide "clear and convincing" evidence that, due to a mental illness, he/she did not mean to commit the act or did not realize that the criminal act was wrong. A defendant can be found legally insane if he/she can prove that: They did not know that their actions were illegal.
Psychiatrist, a medical doctor who diagnoses and treats mental illnesses.
Post-Hinckley, some states adopted the guilty but mentally ill verdict. A defendant who is found guilty but mentally ill is not acquitted but punished and treated for mental health simultaneously while in prison.
The insanity defense looks to the defendant's mental state at the time the crime was committed, not at the time of the trial. The bar for this defense is very difficult to meet, as many conditions must be met to put on a successful insanity defense. The defense has the burden of proving insanity.
Establishing Insanity Under the M'Naghten Rule test, the criminal defendant must either not understand what he or she did, or be unable to distinguish right from wrong. This test relies on the notion that defendants may be diseased such that they are incapable of understanding their own actions.