Simplify the expression. 
Definitions:
Mental Disorders
Psychiatric conditions marked by significant disturbances in an individual's thoughts, feelings, or behaviors that impact daily functioning.
Unfit to Stand Trial
A legal determination that a defendant is not mentally competent to participate in the trial process or understand the proceedings.
Substitute Decision-Maker
An individual appointed or designated to make healthcare or financial decisions on behalf of someone who is unable to make such decisions for themselves.
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