The Oregon Psychiatric Security Review Board: 1978-2012

Area of Science:

• Forensic Psychiatry
• Mental Health Law
• Public Policy

Background:

• The Oregon Psychiatric Security Review Board (PSRB) was established to manage individuals found not guilty by reason of insanity.
• The American Psychiatric Association considered the PSRB a potential model for managing insanity acquittees post-Hinckley verdict.
• This commentary examines the PSRB's operations from 1978 to 2011.

Purpose of the Study:

• To describe the functioning of the Oregon Psychiatric Security Review Board (PSRB) from 1978 to 2011.
• To analyze administrative and empirical aspects of the PSRB's operations over a 34-year period.
• To discuss legislative changes in 2012 and their implications for future management of insanity acquittees.

Main Methods:

• Descriptive analysis of administrative data.
• Review of empirical studies on PSRB functioning.
• Examination of legislative changes to PSRB statutes.

Main Results:

• The PSRB operated under a specific legal framework for 34 years, managing hospitalized insanity acquittees.
• The 2012 legislative session significantly altered the PSRB's statutory authority.
• These changes have implications for the ongoing care and oversight of individuals under the PSRB's jurisdiction.

Conclusions:

• The historical functioning of the Oregon PSRB provides insights into the management of insanity acquittees.
• Legislative modifications in 2012 represent a significant shift in policy and practice.
• Future research should evaluate the impact of these changes on patient outcomes and public safety.