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Post-Hinckley insanity reform in Oregon.

S M Reichlin1, J D Bloom, M H Williams

  • 1Department of Psychiatry, Oregon Health Sciences University, Portland.

The Bulletin of the American Academy of Psychiatry and the Law
|January 1, 1990
PubMed
Summary

Oregon

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Area of Science:

  • Forensic Psychiatry
  • Legal Psychology
  • Mental Health Law

Background:

  • The 1983 Oregon legislature narrowed the insanity defense by excluding individuals with personality disorders.
  • This legislative change aimed to reduce the application of the insanity defense.

Purpose of the Study:

  • To examine the effects of the 1983 statutory reform on insanity acquittals.
  • To analyze the treatment and disposition of personality disordered individuals post-insanity defense reform.

Main Methods:

  • Comparative analysis of insanity acquittals before and after the 1983 reform.
  • Matched comparison of personality disordered acquittees with psychotic acquittees.
  • Review of Psychiatric Security Review Board handling of committed patients.

Main Results:

  • No significant change in the frequency of insanity acquittals for personality disordered individuals was observed.
  • Post-reform, personality disordered individuals spent equivalent time in the system and hospital as psychotic controls.
  • Fewer discharge decisions were made for personality disordered patients after the reform.

Conclusions:

  • Narrowing the insanity defense may not significantly alter acquittal rates.
  • The impact of statutory changes on the management of personality disordered individuals requires further investigation.
  • Achieving the goal of narrowing the insanity defense may be more complex than anticipated.

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