• Mental state at the time of the offense (insanity and diminished capacity)
  • Competence to stand trial
  • Violence risk assessment
  • Psychiatric disabilities
  • Psychological and emotional injuries
  • Testamentary capacity
  • Decisional capacities and competencies
  • Correctional psychiatry
  • Sentencing evaluations
  • Capital mitigation
  • Fitness for duty

  • Former Director, Division of Forensic Psychiatry, Bellevue Hospital, NYU School of Medicine
  • Former Chair, American Psychiatric Association Council on Psychiatry and Law
  • Consultant to MacArthur Foundation Network on Mental Health and the Law, 1989-96
  • Board Certified, American Board of Psychiatry and Neurology (ABPN)
  • Board Certified, Forensic Psychiatry, ABPN
  • Former Member of the ABPN Committee on Certification in Forensic Psychiatry
  • Work Group Advisor, APA Task Force on DSM-IV
  • Author of multiple peer-reviewed papers, book chapters, and other publications
  • Developed the MacCAT-CA, a structured, validated assessment of competence to stand trial



Steven K. Hoge, M.D., has provided expert evaluation and witness services since 1986 when he founded the Forensic Evaluation Clinic at the University of Massachusetts Medical Center.  As Director, Dr. Hoge provided expertise in evaluations of criminal responsibility, negligent infliction of emotional harm, competence to stand trial, post-traumatic stress disorder, testamentary capacities, psychiatric disabilities, and various competencies.  Dr. Hoge consulted to the Legal Department of the Department of Mental Health for the Commonwealth of Massachusetts.

In 1989, Dr. Hoge became the Medical Director of the Institute of Law, Psychiatry, and Public Policy at the University of Virginia.  The Institute provided expert evaluation services throughout the Commonwealth of Virginia.  Dr. Hoge was responsible for evaluations in the criminal arena ranging from competence to stand trial, insanity defense evaluations, capital sentencing mitigation, and competence to be executed.  In the civil arena, Dr. Hoge served as an expert in cases involving post-traumatic stress disorders, psychiatric disabilities, and various competencies.  Dr. Hoge was also a professor at the University of Virginia School of Law where he taught courses on mental health law, law and medicine, and criminal and civil aspects of psychiatric disabilities. 

From 2005 to 2009, Dr. Hoge was the Director of the Law and Psychiatry Program in the Department of Psychiatry, NYU School of Medicine and Director of the Division of Forensic Psychiatry at Bellevue Hospital.  In that capacity, Dr. Hoge oversaw a 68-bed forensic inpatient service treating disordered offenders arrested by the NYPD and inmates transferred from Riker’s Island.  In addition, Dr. Hoge was responsible for the Manhattan Court Clinic and the Bronx Court Clinic, which provided about 2000 court-ordered evaluations per year.  Dr. Hoge was also responsible for the Manhattan Assisted Outpatient Treatment Program.

Throughout his career, Dr. Hoge has been active in research, bringing scientific rigor to the forensic evaluation process.  Funded by the MacArthur Network on Mental Health and the Law, Dr. Hoge and his colleagues developed and validated a standardized assessment of defendants’ abilities related to competence to stand trial and to make defense decisions, such as to plead.  This research program produced multiple peer-reviewed publications and a book.  The MacArthur Competence Assessment Tool—Criminal Adjudication (MacCAT-CA), is widely used and has spurred further research in the field.

Dr Hoge has been a leader in national organizations, including the American Psychiatric Association (APA) and the American Academy of Psychiatry and the Law (AAPL).  He is a member of the APA Council on Psychiatry and Law, which he formerly chaired.  On behalf of the APA, Dr. Hoge has served on task forces and work groups responsible for reports concerning important aspects of practice in forensic psychiatry, including the insanity defense, the use and misuse of psychiatric diagnoses in the courtroom, security clearance evaluations, and the commitment of dangerous sex offenders.  Dr. Hoge is former Secretary of AAPL.